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FUNCTION CENTRED TRAINING VERSUS DRUGS

FUNCTION CENTRED TRAINING VERSUS DRUGS is a three-year randomised study of 174 patients suffering from Low Back Pain who placed in two different programs:

  1. Function-centred inpatient training

  2. Pain-centred programme using medication



"It is good to rub and polish your mind against that of others.

-Michel de Montaigne, essayist (1533-1592)



Where?

Valens clinic in Switzerland.

Programme coordinators: Dr Stefan Bachmann and Dr John Verhoef.

RESULTS

Being an inpatient programme, both programmes were expensive, but those on the rehab programme had

  • Significantly fewer sick leave days

  • Were 8% less likely to be permanently disabled,

compared with those on the medication programme.









Chiropractic

Frankly, neither the medication nor the rehab programme produced particularly impressive looking results with around 50% of the patients being permanently disabled after three years in either programmes. However, lets acknowledge that every patient was probably a tough case.

However, the 118 days worked by those in the rehab programme versus 74 days of those on the medication programme (after one year) amounts to enormous savings for the employers, and quality of life for the patients.

Perhaps it's time for our Swiss chiropractic colleagues to challenge their phyiotherapist compatriots to a competition!

Interesting links

  • Go from FUNCTION CENTRED TRAINING VERSUS DRUGS to CHIROPRACTIC CONTINUING EDUCATION.

  • Anti-cholinergic drug side-effects.

  • Exercise class benefits arthritis sufferers.

  • Gelatine helps reconstitute cartilage.

  • Anecdote of the Jar.


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