The Appropriateness of Spinal Manipulation for Low-Back Pain

Indications and Ratings by an All-Chiropractic Expert Panel

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

ResearchPublished 1992

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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Document Details

  • Copyright: RAND Corporation
  • Availability: Available
  • Year: 1992
  • Print Format: Paperback
  • Paperback Pages: 128
  • Paperback Price: $35.00
  • Paperback ISBN/EAN: 978-0-8330-1264-7
  • Document Number: R-4025/3-CCR/FCER

Citation

RAND Style Manual
Shekelle, Paul G., Alan H. Adams, Mark R. Chassin, Eric Hurwitz, Rolla Edward Park, Reed B. Phillips, and Robert H. Brook, The Appropriateness of Spinal Manipulation for Low-Back Pain: Indications and Ratings by an All-Chiropractic Expert Panel, RAND Corporation, R-4025/3-CCR/FCER, 1992. As of September 12, 2024: https://www.rand.org/pubs/reports/R4025z3.html
Chicago Manual of Style
Shekelle, Paul G., Alan H. Adams, Mark R. Chassin, Eric Hurwitz, Rolla Edward Park, Reed B. Phillips, and Robert H. Brook, The Appropriateness of Spinal Manipulation for Low-Back Pain: Indications and Ratings by an All-Chiropractic Expert Panel. Santa Monica, CA: RAND Corporation, 1992. https://www.rand.org/pubs/reports/R4025z3.html. Also available in print form.
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