Chiropractic services are commonly used by workers with musculoskeletal problems, especially low back and neck complaints.
Research into the effectiveness and cost-effectiveness of this approach is, however, difficult to design without prior pilot studies.
This study followed 32 workers with these complaints attending one such service and used five measures of outcome over a 6-month period.
These measured pain (VAS), disability (FLP), quality of life (SF-36), perceived benefit and satisfaction with care.
Additionally, sickness costs to the companies were recorded over two years encompassing the study period.
Treatment utilization was also monitored.
Over half the population were chronic sufferers.
The effect sizes were large for pain and for seven out of eight dimensions of the SF-36 questionnaire at 6-month follow-up, although not for disability (FLP).
High levels of satisfaction and perceived improvement were reported and sickness costs to the companies fell.
However, the sample size in this pilot study was small and did not include controls.
We would, therefore, recommend a full cost-effectiveness study incorporating a randomized trial in this area.
Mots-clés Pascal : Médecine travail, Homme, Industrie, Etude impact, Douleur, Système ostéoarticulaire pathologie, Traitement, Efficacité traitement, Economie santé, Chiropraxie
Mots-clés Pascal anglais : Occupational medicine, Human, Industry, Impact study, Pain, Diseases of the osteoarticular system, Treatment, Treatment efficiency, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0032518
Code Inist : 002B26H. Création : 31/05/1999.