Spinal Manipulation: Difference between revisions
No edit summary |
No edit summary |
||
| Line 15: | Line 15: | ||
== Description<br> == | == Description<br> == | ||
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 | 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 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 develpoed in order to identify LBP patients who will benefit the most from spinal manipulation. Spinal manipulation is a sub-group of the [http://www.physio-pedia.com/index.php5?title=Treatment%E2%80%90based_classification_approach_to_low_back_pain Treatment-Based Classification Approach] for low back pain.<br> <br> | ||
== Clinical Prediction Rule for Manipulation <ref>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 &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; Sports Physical Therapy 37, no. 6 (June 2007): 290-302.</ref> == | |||
== Clinical Prediction Rule for Manipulation <ref>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 &amp;amp;amp;amp;amp;amp;amp;amp;amp; Sports Physical Therapy 37, no. 6 (June 2007): 290-302.</ref> == | |||
*Pain lasting less than 16 days | *Pain lasting less than 16 days | ||
Revision as of 22:58, 2 June 2009
This page is currently under construction as part of a project at the Medical College of Georgia. Please do not edit, but please come back in the near future to check out new information!!
Be the first to edit this page and have your name permanently included as the original editor, see the editing pages tutorial for help.
|
Original Editor - Stacey Jones and Ashley Gunzenhauser. Lead Editors - Your name will be added here if you are a lead editor on this page. Read more. |
Description
[edit | edit source]
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 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 develpoed 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
[edit | edit source]
Resources[edit | edit source]
Case Studies[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 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 &amp;amp;amp;amp;amp;amp;amp;amp;amp; Sports Physical Therapy 37, no. 6 (June 2007): 290-302.
