Table 2

A summary of the included RCTs and their use of evidence regarding indications for Maintenance Care and frequency of care, as well as the outcomes and when they were measured

Author, year of publi-cationSample size, Number of cliniciansInclusion criteria:Contents and frequency of Maintenance Care visitsComparator(s)Time of follow-upsOutcome
- = no effect + = effect
Previous episodesPersistent painImprovement with initial care
Senna 2011 [18]

N = 60

3 MDs

xA month of initial care followed by Maintenance Care every 2 weeks for 9 months

1: Sham SMT for a month without continued care

2: SMT for a month without continued care

After 1, 4, 7

and 10 months

Disability +

Pain +

Health +


Martel 2011 [19]

N = 98

3 DCs

x

Active Treatment: Monthly &

Advice: every 2nd month for 10 months

1: SMT + Exercise

2: Attention only

After initial treatment, mid-trial

and end of trial

Pain –

Function –

Disability +


Maiers 2018 [17]

N = 180

1 clinic with DCs + ETs

xMonthly for 36 weeks1: Treatment for 12 weeks

Weeks 4, 12, 34,

36, 52 and 78.

Disability -

Eklund 2018 [16]

N = 319

35 DC’s

XxXEvery 1–3 months for 12 months1: Treatment after symptoms reoccur on patient’s initiativeWeekly for 52 weeksNumber of days with bothersome pain +
DC Doctor of Chiropractic, ET Exercise Therapist, SMT Spinal Manipulative Therapy