Spinal Manipulation
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Description
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The underlying pathological cause of low back pain (LBP) is only determined in about 15% of all cases. Because of this there has been much confusion 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 for these patients. Evidence has been conflicting regarding the effectiveness of spinal manipulation as an intervention in this patient population. A clinical prediction rule was developed in order to identify LBP patients who will benefit the most from spinal manipulation. 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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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.
