Spinal Manipulation
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Description
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The underlying pathological cause of lower back pain (LBP) is only determined in about 15% of all cases. Because of this there has been much confusing and debate about the best way to treat patients with LBP. There have been numerous studies done to determine the effectiveness of different treatment interventions in patients with LBP. Evidence has been conflicting regarding the effectiveness of spinal manipulation in these patients.
Spinal manipulation is a sub-group of the Treatment-Based Classification Approach for low back pain.
Clinical Prediction Rule for Manipulation [1][edit | edit source]
- Pain lasting less than 16 days
- No symptoms distal to the knee
- FABQ score less than 19
- Internal Rotation of greater than 35 degrees for at least one hip
- Hypomobility of a least one level of the lumbar spine
Clinical Presentation[edit | edit source]
Key Evidence
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Resources[edit | edit source]
Case Studies[edit | edit source]
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References[edit | edit source]
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- ↑ 1. Fritz, Julie M. PT, PhD, ATC, Cleland, Joshua A. PT, PhD, OCS, FAAOMPT, and Childs, John D. PT, PhD, MBA, OCS, FAAOMPT, “Subgrouping Patients With Low Back Pain: Evolution of a Classification Approach to Physical Therapy,” Journal of Orthopaedic & Sports Physical Therapy 37, no. 6 (June 2007): 290-302.
