{"id":400,"date":"2025-11-12T23:49:02","date_gmt":"2025-11-12T14:49:02","guid":{"rendered":"https:\/\/tokyochiro.com\/blog\/?p=400"},"modified":"2026-02-28T23:54:37","modified_gmt":"2026-02-28T14:54:37","slug":"acute_and-chronic_lbp","status":"publish","type":"post","link":"https:\/\/tokyochiro.com\/blog\/chiropractic\/acute_and-chronic_lbp\/","title":{"rendered":"\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3010\u6025\u6027\u304a\u3088\u3073\u6162\u6027\u8170\u75db\u306b\u5bfe\u3059\u308b\u52b9\u679c\u3011"},"content":{"rendered":"\n

\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u30b1\u30a2\u306e\u52b9\u679c\u3068\u5b89\u5168\u6027\u306b\u3064\u3044\u3066\u306f\u3001\u79d1\u5b66\u7684\u6839\u62e0\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u8fd1\u5e74\u3067\u306f\u3001\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30bf\u30fc\u304c\u63d0\u4f9b\u3059\u308b\u5c02\u9580\u7684\u306a\u6cbb\u7642\u304c\u3001\u81e8\u5e8a\u7684\u306b\u6709\u52b9\u304b\u3064\u5b89\u5168\u3067\u3042\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u8cbb\u7528\u5bfe\u52b9\u679c\u306b\u3082\u512a\u308c\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3059\u7814\u7a76\u3084\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u304c\u5897\u3048\u3066\u3044\u307e\u3059\u3002\u533b\u5e2b\u3068\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30bf\u30fc\u306e\u9023\u643a\u304c\u65e5\u672c\u3088\u308a\u3082\u9032\u3093\u3067\u3044\u308b\u30a2\u30e1\u30ea\u30ab\u3067\u306f\u3001\u7c73\u56fd\u5185\u79d1\u5b66\u4f1a\u306e\u81e8\u5e8a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3084\u300e\u7c73\u56fd\u533b\u5e2b\u4f1a\u96d1\u8a8c\uff08JAMA\uff09\u300f\u306b\u63b2\u8f09\u3055\u308c\u305f\u8ad6\u6587\u306a\u3069\u3067\u3001\u6025\u6027\u304a\u3088\u3073\u6162\u6027\u8170\u75db\u306b\u5bfe\u3059\u308b\u6709\u52b9\u6027\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u3001\u7b4b\u9aa8\u683c\u7cfb\u306e\u3055\u307e\u3056\u307e\u306a\u75c7\u72b6\u306b\u5bfe\u3059\u308b\u5065\u5eb7\u6539\u5584\u3092\u76ee\u7684\u3068\u3057\u305f\u3001\u975e\u85ac\u7269\u7642\u6cd5\u3068\u3057\u3066\u306e\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u30fb\u30b1\u30a2\u306e\u6709\u7528\u6027\u3092\u652f\u6301\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\u6025\u6027\u30fb\u4e9c\u6025\u6027\u30fb\u6162\u6027\u8170\u75db\u306b\u5bfe\u3059\u308b\u975e\u4fb5\u8972\u7684\u6cbb\u7642\uff1a\u7c73\u56fd\u5185\u79d1\u5b66\u4f1a\u81e8\u5e8a\u5b9f\u8df5\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/h2>\n\n\n\n

Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians<\/strong><\/a><\/p>\n\n\n\n

Amir Qaseem, MD, PhD, MHA, Timothy J. Wilt, MD, MPH, Robert M. McLean, MD, and Mary Ann Forciea, MD for the Clinical Guidelines Committee of the American College of Physicians<\/em><\/p>\n\n\n\n

\n

\u6025\u6027\u307e\u305f\u306f\u4e9c\u6025\u6027\u306e\u8170\u75db\u60a3\u8005\u306e\u5927\u534a\u306f\u6cbb\u7642\u306e\u6709\u7121\u306b\u304b\u304b\u308f\u3089\u305a\u6642\u9593\u3068\u3068\u3082\u306b\u6539\u5584\u3059\u308b\u305f\u3081\u3001\u81e8\u5e8a\u533b\u3068\u60a3\u8005\u306f\u975e\u85ac\u7269\u7642\u6cd5\u3068\u3057\u3066\u8868\u9762\u6e29\u71b1\u7642\u6cd5\uff08\u4e2d\u7b49\u5ea6\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\u3001\u30de\u30c3\u30b5\u30fc\u30b8\u3001\u937c\u6cbb\u7642\u3001\u307e\u305f\u306f\u810a\u690e\u30de\u30cb\u30d4\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\uff08\u4f4e\u54c1\u8cea\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\u3092\u9078\u629e\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u85ac\u7269\u7642\u6cd5\u3092\u5e0c\u671b\u3059\u308b\u5834\u5408\u3001\u81e8\u5e8a\u533b\u3068\u60a3\u8005\u306f\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u6297\u708e\u75c7\u85ac\u307e\u305f\u306f\u9aa8\u683c\u7b4b\u5f1b\u7de9\u85ac\u3092\u9078\u629e\u3059\u3079\u304d\u3067\u3042\u308b\uff08\u4e2d\u7b49\u5ea6\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\u3002<\/p>\n\n\n\n

\u6162\u6027\u8170\u75db\u60a3\u8005\u306b\u5bfe\u3057\u3066\u306f\u3001\u81e8\u5e8a\u533b\u3068\u60a3\u8005\u306f\u5f53\u521d\u3001\u85ac\u7269\u7642\u6cd5\u4ee5\u5916\u306e\u6cbb\u7642\u6cd5\u3092\u9078\u629e\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u5177\u4f53\u7684\u306b\u306f\u3001\u904b\u52d5\u7642\u6cd5\u3001\u591a\u8077\u7a2e\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u3001\u937c\u6cbb\u7642\u3001\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u306b\u57fa\u3065\u304f\u30b9\u30c8\u30ec\u30b9\u8efd\u6e1b\u6cd5\uff08\u4e2d\u7b49\u5ea6\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\u3001\u592a\u6975\u62f3\u3001\u30e8\u30ac\u3001\u904b\u52d5\u5236\u5fa1\u8a13\u7df4\u3001\u6f38\u9032\u7684\u7b4b\u5f1b\u7de9\u6cd5\u3001\u7b4b\u96fb\u56f3\u30d0\u30a4\u30aa\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u3001\u4f4e\u51fa\u529b\u30ec\u30fc\u30b6\u30fc\u7642\u6cd5\u3001\u30aa\u30da\u30e9\u30f3\u30c8\u7642\u6cd5\u3001\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3001\u307e\u305f\u306f\u810a\u690e\u30de\u30cb\u30d4\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\uff08\u4f4e\u54c1\u8cea\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\u304c\u6319\u3052\u3089\u308c\u308b\u3002<\/p>\n<\/blockquote>\n\n\n\n

\u6025\u6027\u8170\u75db\u306b\u5bfe\u3059\u308b\u810a\u690e\u30de\u30cb\u30d4\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u7642\u6cd5\u306e\u81e8\u5e8a\u7684\u52b9\u679c\u3068\u6709\u5bb3\u4e8b\u8c61\u3068\u306e\u95a2\u9023\u6027\u3000\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u3068\u30e1\u30bf\u5206\u6790<\/h2>\n\n\n\n

Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain<\/strong>\u3000Systematic Review and Meta-analysis<\/strong><\/a><\/p>\n\n\n\n

Neil M. Paige, MD, MSHS; Isomi M. Miake-Lye, BA; Marika Suttorp Booth, MS et al<\/em><\/p>\n\n\n\n

\n

\u3010\u8981\u7d04\u3011\u810a\u690e\u30de\u30cb\u30d4\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u7642\u6cd5\u306f\u3001\u6700\u59276\u9031\u9593\u306e\u75db\u307f\u306e\u8efd\u6e1b\u3068\u6a5f\u80fd\u6539\u5584\u306b\u308f\u305a\u304b\u306a\u52b9\u679c\u3092\u793a\u3057\u305f\u304c\u3001\u4e00\u904e\u6027\u306e\u8efd\u5ea6\u306e\u7b4b\u9aa8\u683c\u7cfb\u6709\u5bb3\u4e8b\u8c61\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002<\/p>\n<\/blockquote>\n\n\n\n

\u7c73\u56fd\u533b\u5e2b\u4f1a\u96d1\u8a8c\uff08JAMA\uff09\u60a3\u8005\u306e\u30da\u30fc\u30b8\u3000\u8170\u75db<\/h2>\n\n\n\n

JAMA Patient Page\u3000Low Back Pain<\/a><\/strong><\/p>\n\n\n\n

Denise M. Goodman, MD, MS; Alison E. Burke, MA; Edward H. Livingston, MD<\/em><\/p>\n\n\n\n

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\u3010\u8981\u7d04\u3011\u8170\u75db\u306b\u306f\u591a\u304f\u306e\u6cbb\u7642\u6cd5\u304c\u3042\u308b\u3002\u904b\u52d5\u7642\u6cd5\u3084\u7406\u5b66\u7642\u6cd5\u304c\u52b9\u679c\u7684\u306a\u5834\u5408\u304c\u591a\u304f\u3001\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u7642\u6cd5\u3084\u937c\u6cbb\u7642\u3067\u6539\u5584\u3059\u308b\u4eba\u3082\u3044\u308b\u3002<\/p>\n<\/blockquote>\n\n\n\n

\u6025\u6027\u8170\u75db\u60a3\u8005\u306b\u5bfe\u3059\u308b\u6a19\u6e96\u533b\u7642\u3078\u306e\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u624b\u6280\u7642\u6cd5\u306e\u8ffd\u52a0\u3000\u5b9f\u7528\u7684\u306a\u7121\u4f5c\u70ba\u5316\u6bd4\u8f03\u6709\u52b9\u6027\u7814\u7a76\u306e\u7d50\u679c<\/h2>\n\n\n\n

Adding Chiropractic Manipulative Therapy to Standard Medical Care for Patients With Acute Low Back Pain<\/strong>\u3000Results of a Pragmatic Randomized Comparative Effectiveness Study<\/strong><\/a><\/p>\n\n\n\n

Goertz, Christine M. DC, PhD; Long, Cynthia R. PhD; Hondras, Maria A. DC, MPH; Petri, Richard MD; Delgado, Roxana MS; Lawrence, Dana J. DC, MMedEd, MA; Owens, Edward F. MS, DC; Meeker, William C. DC, MPH<\/em><\/p>\n\n\n\n

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\u3010\u8981\u7d04\u301118\u6b73\u304b\u308935\u6b73\u306e\u6025\u6027\u8170\u75db\u3092\u6709\u3059\u308b\u7537\u5973\u306b\u304a\u3044\u3066\u3001\u6a19\u6e96\u7684\u306a\u533b\u7642\u30b1\u30a2\u306e\u307f\u3068\u6bd4\u8f03\u3057\u305f\u5834\u5408\u3001\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u624b\u6280\u7642\u6cd5\u3092\u6a19\u6e96\u7684\u306a\u533b\u7642\u30b1\u30a2\u3068\u4f75\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u75db\u307f\u306e\u8efd\u6e1b\u3068\u8eab\u4f53\u6a5f\u80fd\u306e\u6539\u5584\u306b\u8457\u3057\u3044\u52b9\u679c\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002<\/p>\n<\/blockquote>\n\n\n\n

\u8170\u75db\u3092\u6709\u3059\u308b\u7c73\u56fd\u8ecd\u4eba\u306b\u304a\u3051\u308b\u901a\u5e38\u533b\u7642\uff06\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u6cbb\u7642\u3068\u901a\u5e38\u533b\u7642\u5358\u72ec\u306e\u75bc\u75db\u30fb\u6a5f\u80fd\u969c\u5bb3\u3078\u306e\u52b9\u679c\u3000\u6bd4\u8f03\u6709\u52b9\u6027\u81e8\u5e8a\u8a66\u9a13<\/h2>\n\n\n\n

Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain<\/strong>\u3000A Comparative Effectiveness Clinical Trial<\/strong><\/a><\/p>\n\n\n\n

Christine M. Goertz, DC, PhD; Cynthia R. Long, PhD; Robert D. Vining, DC et al<\/em><\/p>\n\n\n\n

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\u3010\u8981\u7d04\u3011\u81e8\u5e8a\u8a66\u9a13\u306e\u7d50\u679c\u3001\u8170\u75db\u306b\u5bfe\u3059\u308b\u901a\u5e38\u306e\u533b\u7642\u30b1\u30a2\u306b\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u6cbb\u7642\u3092\u4f75\u7528\u3057\u305f\u5834\u5408\u3001\u533b\u7642\u30b1\u30a2\u5358\u72ec\u3088\u308a\u3082\u75db\u307f\u306e\u8efd\u6e1b\u52b9\u679c\u304c\u9ad8\u304f\u3001\u8eab\u4f53\u6a5f\u80fd\u969c\u5bb3\u306e\u6539\u5584\u5ea6\u3082\u5927\u304d\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002\u73fe\u5f79\u8ecd\u4eba750\u540d\u3092\u5bfe\u8c61\u3068\u3057\u305f\u672c\u7814\u7a76\u306f\u3001\u901a\u5e38\u306e\u533b\u7642\u30b1\u30a2\u3068\u30ab\u30a4\u30ed\u30d7\u30e9\u30af\u30c6\u30a3\u30c3\u30af\u6cbb\u7642\u3092\u6bd4\u8f03\u3057\u305f\u6709\u52b9\u6027\u8a66\u9a13\u3068\u3057\u3066\u306f\u904e\u53bb\u6700\u5927\u898f\u6a21\u306e\u3082\u306e\u306e\u4e00\u3064\u3067\u3042\u308b\u3002<\/p>\n<\/blockquote>\n\n\n\n

\u6025\u6027\u304a\u3088\u3073\u4e9c\u6025\u6027\u306e\u8170\u75db\u306b\u5bfe\u3059\u308b\u810a\u690e\u30de\u30cb\u30d4\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u6cd5\u3068\u901a\u5e38\u533b\u7642\u306e\u6bd4\u8f03\u3000\u7121\u4f5c\u70ba\u5316\u81e8\u5e8a\u8a66\u9a13<\/h2>\n\n\n\n

Comparison of Spinal Manipulation Methods and Usual Medical Care for Acute and Subacute Low Back Pain<\/strong>\u3000A Randomized Clinical Trial<\/strong><\/a><\/p>\n\n\n\n

Schneider, Michael DC, PhD; Haas, Mitchell DC, MA; Glick, Ronald MD; Stevans, Joel DC; Landsittel, Doug PhD<\/em><\/p>\n\n\n\n

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\u3010\u8981\u7d04\u3011\u624b\u6280\u7684\u30b9\u30e9\u30b9\u30c8\u30de\u30cb\u30d4\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\uff08\u62bc\u5727\u64cd\u4f5c\uff09\u306f\u3001\u901a\u5e38\u306e\u533b\u7642\u30b1\u30a2\u3068\u6bd4\u8f03\u3057\u3066\u3001\u81ea\u5df1\u7533\u544a\u306b\u3088\u308b\u969c\u5bb3\u3068\u75db\u307f\u306e\u77ed\u671f\u7684\u306a\u8efd\u6e1b\u52b9\u679c\u304c\u9ad8\u3044\u3002\u624b\u6280\u7684\u63a8\u5727\u64cd\u4f5c\u7fa4\u306e94\uff05\u304c\u75db\u307f\u306e30\uff05\u4ee5\u4e0a\u306e\u8efd\u6e1b\u3092\u9054\u6210\u3057\u305f\u306e\u306b\u5bfe\u3057\u3001\u901a\u5e38\u306e\u533b\u7642\u30b1\u30a2\u7fa4\u3067\u306f69\uff05\u3067\u3042\u3063\u305f\u3002<\/p>\n<\/blockquote>\n\n\n\n

\u8077\u696d\u6027\u8170\u90e8\u640d\u50b7\u5f8c\u306e\u8170\u690e\u624b\u8853\u3092\u4e88\u6e2c\u3059\u308b\u65e9\u671f\u6307\u6a19\u3000\u30ef\u30b7\u30f3\u30c8\u30f3\u5dde\u52b4\u50cd\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f\u524d\u5411\u304d\u7814\u7a76\u306e\u7d50\u679c<\/h2>\n\n\n\n

Early Predictors of Lumbar Spine Surgery After Occupational Back Injury<\/strong>\u3000Results From a Prospective Study of Workers in Washington State<\/strong><\/a><\/p>\n\n\n\n

Keeney, Benjamin J. PhD; Fulton-Kehoe, Deborah PhD, MPH; Turner, Judith A. PhD; Wickizer, Thomas M. PhD; Chan, Kwun Chuen Gary PhD; Franklin, Gary M. MD, MPH<\/em><\/p>\n\n\n\n

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