Spinal Manipulation: Difference between revisions
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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.However, Flynn et. al determined that patients that meet certain criteria were more likely to experience short-term improvements with spinal manipulation. A clinical prediction rule was developed in order to identify these patients with LBP who will most likely benefit 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> | 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.However, Flynn et. al determined that patients that meet certain criteria were more likely to experience short-term improvements with spinal manipulation. A clinical prediction rule was developed in order to identify these patients with LBP who will most likely benefit 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;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;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 | ||
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[http://www.youtube.com/watch?v=NhwECwj3LDI&feature=related Sacroiliac Joint Manipulation] | [http://www.youtube.com/watch?v=NhwECwj3LDI&feature=related Sacroiliac Joint Manipulation] | ||
== <br> == | == <br> == | ||
== References == | == References == | ||
Revision as of 23:51, 2 June 2009
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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.However, Flynn et. al determined that patients that meet certain criteria were more likely to experience short-term improvements with spinal manipulation. A clinical prediction rule was developed in order to identify these patients with LBP who will most likely benefit 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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Resources[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 &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; Sports Physical Therapy 37, no. 6 (June 2007): 290-302.
