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The Appropriateness of Spinal Manipulation for Low-Back Pain

Indications and Ratings by an All-Chiropractic Expert Panel

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By: Paul G. Shekelle, Alan H. Adams, Mark R. Chassin, Eric Hurwitz, Rolla Edward Park, Reed B. Phillips, Robert H. Brook

This report presents results from the third stage of the RAND Appropriateness of Spinal Manipulation for Low-Back Pain Study. The study is designed to ascertain the clinical criteria for the appropriate use of spinal manipulation for low-back pain from chiropractors and medical specialists, and then to investigate the use of chiropractic services in a random sample of practicing chiropractors. The third stage describes the methods used for assessing the appropriateness of spinal manipulation by a panel of expert chiropractors and presents the panel's actual ratings of 1570 indications for the use of spinal manipulation for low-back pain. The panel members rated the appropriateness of indications twice, using a nine-point scale. Results showed that these chiropractic physicians were able to formulate detailed lists of indications for spinal manipulation for low-back pain and rate their appropriateness for spinal manipulation.

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Pages: 128

ISBN/EAN: 0-8330-1264-9

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