Spine Care Research

Spine Care Research

Spine Care Research and Back Pain Studies

 

  1. Back Pain Reduction (Diederich, Hubsch, etal SPINE 2000 vol.25, 14, 1354-1366)
  • 125 recurrent and chronic low back pain patients (76 women 49 men)
  • Average pain duration 6 years
  • Treatment visits in the DBC Active Spine Care program were 2 times per week for 24
  • Follow up on patients 2 years post treatment
  • 100 had statistically significant reductions in pain (VAS -Avg 60 begin – Avg 23 end of DBC program)
  • Pain at 2 years for those that continued a maintenance program in DBC Active Spine Care = 19 VAS
  1. Back Pain reduction (Kankaanpaa, etal, SPINE 1999:24;1034-1042)
  • 59 recurrent and chronic low back pain patients (37 men 22 women) randomized RCT
  • DBC Active Spine Care vs massage therapy and thermal therapy 12 week program for both
  • Statistically significant reductions (P< 0.005) in pain from DBC ASC group vs MT & TT at 6 months and 1 year

 

  1. Spine Pain Recurrence of LBP after DBC Active Spine Care treatment (Diederich, Hubsch, etal SPINE 2000 vol.25, 14, 1354-1366)
  • 125 recurrent and chronic low back pain patients (76 women 49 men)
  • End of 2 years out of 100 patients that continued exercise in DBC Active Spine Care only 9 had a recurrence of LBP

 

  1. Absenteeism from Work after treatment in DBC Active Spine Care (Diederich, Hubsch, etal SPINE 2000 vol.25, 14, 1354-1366)
  • Out of 100 patients that continued exercise in DBC Active Spine Care only 14 missed more than 1 day of work at the follow up period of 2 years

 

  1. Changes in disability after treatment in DBC Active Spine Care (Kankaanpaa, etal, Spine 1999:24;1034-1042)
  • 59 patients with recurrent and chronic low back pain (22 women 37 men)
  • disability begin treatment 14 on PDI (PDI-Pain and Disability Index)
  • Disability at follow up 1 year post DBC Active Spine Care treatment = 6

 

  1. Percent increases in mobility due to back pain  (transverse & sagittal) after treatment in DBC Active Spine Care (Taimela S, etal Spine 2000; 25 (14):1809-1816)
  • 896 patients
  • DBC – Louisville, KY / 95%
  • DBC – Fort Worth, TX / 92%
  • DBC – Pueblo, CO / 90%
  • DBC – Plano, TX / 94%

This pertains to good outcomes when you have significantly improved mobility in these two planes of motion. (Linstrom I Ohlund C, etal Spine 1992;17:641-52 / Mellin G, Hurri H, etal J Rehab Med 1985; 17:163-6 also 1989;21:91-5 / Osborne N, Steele J, Stewart Bruce-Low, etal Spine 2013;38L15):1245-1252

 

  1. Savings for Employers DBC – S. Africa (2013-Sasolmed, Resilience Health, DBC Active Spine Care® Company Program)
  • 1000+ Sasol employees with recurrent – chronic low back pain participated in DBC Active Spine Care®
  • 170 avoided expensive spine surgery
  • 40% reduction in hip surgery
  • Hospital readmission rates reduced
  • Significant reduction in therapy visits, medication, and imaging
  • Sasol saved 28 working years of productivity
  1. Paraspinal endurance changes in low back pain after DBC Active Spine Care (Kankaanpää M, Taimela S, Airaksinen O, Hänninen O Spine (Phila Pa 1976). 1999 May 15; 24(10):1034-42 / Rissanen A, Heliövaara M, Alaranta H, Taimela S, Mälkiä E, Knekt P, Reunanen A, Aromaa A J Rehabil Med. 2002 Mar; 34(2):62-6 / Kankaanpää M, Taimela S, etal Arch Phys Med Rehabil. 1998 Apr;79(4):412-7
  • Paraspinal endurance has been shown to be a predictor of low back pain and the recurrence of low back pain
  • “Lack of endurance in the back extensor muscles is associated with higher rates of low back pain, and decreased productivity in the workplace.”
  • 125 patients/employees
  • 57 patients with recurrent chronic low back pain (27 men 30 women) vs 49 healthy controls
  • Paraspinal endurance increase was still significant at 6 months post treatment, but not at 1 year (this would support the need for continuous treatments in the DBC ASC program)

Other supporting evidence for endurance training of the paraspinal muscles:

Kankaanpää M, Taimela S, Airaksinen O, Hänninen O Spine (Phila Pa 1976). 1999 May 15; 24(10):1034-42. / Hultman G, Nordin M, Saraste H, Ohlsèn H J Spinal Disord. 1993 Apr; 6(2):114-23. / Biering-Sørensen F Spine (Phila Pa 1976). 1984 Mar; 9(2):106-19. / Rissanen A, Heliövaara M, Alaranta H, Taimela S, Mälkiä E, Knekt P, Reunanen A, Aromaa A J Rehabil Med. 2002 Mar; 34(2):62-6. / Nourbakhsh MR, Arab AM J Orthop Sports Phys Ther. 2002 Sep; 32(9):447-60. / Sparto PJ, Parnianpour M, Barria EA, Jagadeesh JM Spine (Phila Pa 1976). 1999 Sep 1; 24(17):1791-8. / Gandevia SC / Physiol Rev. 2001 Oct; 81(4):1725-89. / Gomer FE, Silverstein LD, Berg WK, Lassiter DL Hum Factors. 1987 Apr; 29(2):131-43. / Moffroid MT, Haugh LD, Haig AJ, Henry SM, Pope MH Phys Ther. 1993 Jan; 73(1):10-7.