EXAMPLES OF EVIDENCE REGARDING THE RELATIONSHIP BETWEEN OSTEOPATHY AND MEDICINE

Zollman Vickers 1999
Complementary Medicine and the Doctor
British Medical Journal Vol 319 P1558 – 1561. 4 Dec 1999

Vroomen PCAJ et al
Lack of Effectiveness of Bed Rest for Sciatica
New England Journal of Medicine 1999 340:418-23

RCGP Guidelines Update June1999

• Evidence stronger against bed rest in 9 randomised control trials
  Waddell et al 1997 British Journal of GP 47.
  
• Evidence weaker for using exercises
  11 randomised controlled trials Fass et al Spine 21 1996 and 3 randomised controlled trials Lewis RCGP review 1995
  
• Psychosocial factors should be considered earlier in management
  Burton et al Spine 20 1995 and Catchel Spine 20 1995
  
• Evidence stronger for staying active in 8 randomised controlled trials
  Waddell et al British Journal GP 47