A Clinical Prediction Rule for Classifying Patients with Low Back Pain Who Demonstrate Short-Term Improvement With Spinal Manipulation

Abstract

It appears that patients with low back pain likely to respond to manipulation can be accurately identified before treatment.

A clinical prediction rule for classifying patients with low back pain who demonstrate short-term improvement with mechanical lumbar traction

“…The FABQW subscale has been previously correlated with work loss and disability in patients with chronic and acute LBP [10,22,37]. In our study FABQW cut-off point is 21, 2 points higher than previously reported in lumbar spine manipulation prediction study [6]. The difference may be associated with the chronicity of LBP.…”

“…Further more, our criterion was also consistent with that adopted in a previous study [6] in which a more 'dramatic' intervention such as lumbar spine manipulation was examined.…”

“…Specially, the responders were operationally defined as individuals who showed 50% (or greater) improvement in MODQ score from baseline at post intervention. The MODQ is commonly used in research and clinical practice [6,9,12] for the following reasons: (1) its measurements have high test-retest reliability (ICC = 0.90); (2) it possesses good construct validity, with correlations with global patient ratings and other region-specific disability measures over 0.80; and (3) it has good responsiveness, with an effect size of 1.8 in patients receiving physical therapy interventions for low back pain [5,33].…”

“…lumbar spine manipulation clinical prediction rule [6], lumbar stabilization exercise clinical prediction rule [18]. Those clinical prediction rules (CPR) contribute significantly to the establishment of classification approach to physiotherapy management of LBP.…”

Proposed Algorithm for the Management of Athletes With Athletic Pubalgia (Sports Hernia): A Case Series

“…The sacroiliac regional thrust manipulation technique has been shown to be effective at decreasing pain associated with hip dysfunction, low back pain, and SIJ dysfunction. 10,14,15,25,26 Hip anterior glide mobilizations/manipulations were performed when anterior glide hypomobility was perceived to be present, and hip posterior glide mobilizations/manipulations were performed when posterior glide hypomobility was perceived to be present. Any perceived lumbar segmental hypomobility was treated with grades III to IV central posterior-anterior mobilizations/manipulations.…”