February 2019 PMID 30208070

The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain-A pragmatic randomized controlled trial.

Andreas Eklund, Irene Jensen, Malin Lohela-Karlsson, Jan Hagberg, Charlotte Leboeuf-Yde, Alice Kongsted, Lennart Bodin, Iben Axén

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Mentions

80
Peak: 3 in Nov 2023
across 6 sources since Feb 2019

Extended reach

3,599,414
potential audience

Total likes

27,139

Video views

3,596,018

Mentions per month

Feb 2019 – Sep 2026

Where it's discussed

  • YouTube36 videos
  • X / Twitter14 posts
  • Facebook13 posts
  • Instagram13 posts
  • Reddit3 posts
  • Blogs1 articles

AI synopsis

What people are saying

The collection centers on reaction to the article, with several observers noting the main result (maintenance care reduced days with bothersome pain but required more treatments) and varying on whether more evidence is needed. Some posts question sources or completeness (Wikipedia-type critique), while others summarize the finding and express cautious optimism. Word choices range from neutral citations to critical remarks and calls for further research, indicating a preliminary but engaged discourse rather than a unanimous stance.

AgreementNeither agree nor disagree

Overall, posts show mixed views with some acknowledgment of findings but also skepticism or calls for more research. No strong consensus in either direction.

InterestModerate interest

Moderate to high interest; many posts reference the study and its outcomes, but some dismiss or deflect with procedural complaints (e.g., citations, updates).

EngagementModerate engagement

Engagement is surface-level in several posts (quoting titles, retweets) but there are also comments that reflect deeper consideration (noting trade-offs like more treatments vs fewer pain days).

ImpactModerate impact

Impact appears modest; discussions highlight key results but few posts discuss broader implications or policy changes.

Abstract in brief

  • The study compared chiropractic Maintenance Care (MC) to symptom-guided treatment in patients with recurring or persistent low back pain, finding that MC significantly reduced the total days with bothersome pain over a year.
  • Patients receiving MC had fewer days with pain but also underwent more treatments, and no serious side effects were reported.
  • Overall, the trial supports MC as an effective secondary and tertiary strategy for managing persistent low back pain, especially for patients who initially respond well to chiropractic care.

Top posts

Most liked on X and Bluesky
Ricardo Fujikawa
@Quirorick · X

In https://t.co/HkXMTNGNJF https://t.co/3qbVO2Xqb2

May 9, 2019 · 5 likes · 247 followers View post →
Sadhaka
@Erica_Sadhaka · X

@Acydcat @SnaiLords Wikipedia is outdated. There are more recent studies than what they've cited and ones that were entirely omitted. 2020: https://t.co/FcXiXHpHHb 2006: https://t.co/1xOf1baYBy 2018: https://t.co/A1ZJ28QJlS 2010: https://t.co/MDWDO8ZhqO Wikipedia isn't the NIH.

Oct 27, 2021 · 3 likes · 47 followers View post →
DMT
@DaleThompsonDC · X

@Blue_Wode @Ken_V_DC “ For selected patients with recurrent or persistent non-specific LBP who respond well to an initial course of chiropractic care, MC should be considered an option for tertiary prevention.” https://t.co/wI7RQFpO5J

Nov 1, 2023 · 1 like · 480 followers View post →
Carlos Braghini Jr.
@cbraghini · X

The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain—A pragmatic randomized controlled trial - https://t.co/liPJst5z5Q on @plosone

Feb 21, 2019 · 758 followers View post →
DMT
@DaleThompsonDC · X

@Blue_Wode MC was more effective than symptom-guided treatment in reducing the total number of days over 52 weeks with bothersome non-specific LBP but it resulted in a higher number of treatments. https://t.co/IgE3HaoqrW

Oct 24, 2022 · 500 followers View post →
IL Chiropractic Soc.
@ILChiro · X

The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain— A pragmatic randomized controlled trial https://t.co/khy7SGM0it https://t.co/6zEx93RDJv

Jun 9, 2020 · 398 followers View post →

All mentions

NuSkewl
@nu_skewl · X

@49Homeboy @EdwardBrode @allie__voss “ For selected patients with recurrent or persistent non-specific LBP who respond well to an initial course of chiropractic care, MC should be considered an option for tertiary prevention.” https://t.co/U4PDHJLSKY

Sep 19, 2025 · 35 followers View post →
ChiroMagic
@chiromagic · X

VVVUUUFFF INFO LANMAS CHIRO https://t.co/FC0MzEbKcR

Jul 23, 2025 · 12 followers View post →
genna
@l1menace · X

https://t.co/BHpZ2s5DzQ

Nov 14, 2023 · 56 followers View post →
DMT
@DaleThompsonDC · X

@Blue_Wode @Ken_V_DC “ For selected patients with recurrent or persistent non-specific LBP who respond well to an initial course of chiropractic care, MC should be considered an option for tertiary prevention.” https://t.co/wI7RQFpO5J

Nov 1, 2023 · 1 like · 480 followers View post →
DMT
@DaleThompsonDC · X

@Blue_Wode MC was more effective than symptom-guided treatment in reducing the total number of days over 52 weeks with bothersome non-specific LBP but it resulted in a higher number of treatments. https://t.co/IgE3HaoqrW

Oct 24, 2022 · 500 followers View post →
Sadhaka
@Erica_Sadhaka · X

@Acydcat @SnaiLords Wikipedia is outdated. There are more recent studies than what they've cited and ones that were entirely omitted. 2020: https://t.co/FcXiXHpHHb 2006: https://t.co/1xOf1baYBy 2018: https://t.co/A1ZJ28QJlS 2010: https://t.co/MDWDO8ZhqO Wikipedia isn't the NIH.

Oct 27, 2021 · 3 likes · 47 followers View post →
IL Chiropractic Soc.
@ILChiro · X

The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain— A pragmatic randomized controlled trial https://t.co/khy7SGM0it https://t.co/6zEx93RDJv

Jun 9, 2020 · 398 followers View post →
Healthier Illinois
@HealthierIL · X

The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain— A pragmatic randomized controlled trial https://t.co/9inkdwINKp https://t.co/i4TbQBWzh2

Jun 9, 2020 · 9 followers View post →
David Jenkins
@SeminoleChiroCr · X

“The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain — A pragmatic randomized controlled trial.” https://t.co/eYf0yo5DA2

Jan 23, 2020 · 84 followers View post →
Andreas Eklund
@DrAndreasEklund · X

@InaDiener https://t.co/wQASI1DvL1

Oct 15, 2019 · 325 followers View post →
Ricardo Fujikawa
@Quirorick · X

In https://t.co/HkXMTNGNJF https://t.co/3qbVO2Xqb2

May 9, 2019 · 5 likes · 247 followers View post →
Michael Black
@ClovellyChiro · X

Maintenance care vs Pain care. Interesting article that requires more research and larger sample. Positive result however https://t.co/fV2tGL7hSM

Apr 25, 2019 · 25 followers View post →
Sydney Chiropractic Care
@SydneyChiroCare · X

RT @SydneyChiroCare: Study shows Spinal Maintenance Care was more effective than symptom-guided treatment in reducing lower back pain suffe…

Apr 3, 2019 · 1 share · 124 followers View post →
Carlos Braghini Jr.
@cbraghini · X

The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain—A pragmatic randomized controlled trial - https://t.co/liPJst5z5Q on @plosone

Feb 21, 2019 · 758 followers View post →
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