Low Back Pain

Chiropractic Spinal Manipulation

AHCPR has concluded that spinal manipulation hastens recovery from acute low back pain not caused by such conditions as fracture, tumor, infection, and cauda equina syndrome (AHCPR, 1994).

A random sample of 10 patients per office (920 patients) who sought chiropractic care for low back pain for the first time during the study period.

Medical records of patients from 92 chiropractic offices in or near Miami, Florida; Minneapolis-St. Paul, Minnesota; Portland, Oregon; and San Diego, California; who sought care for the first time between January 1, 1985, and December 31, 1991.

Initiation of spinal manipulation was inappropriate in 20%–40% of cases, uncertain in 20%– 30% of cases, and appropriate in 40%–54% of cases (depending on city).

Shekelle et al., 1998

aIf a description in the first column has no citation, it is covered by the citation in the reference column. bWe contacted the authors of some of the articles to clarify details related to the sample and to the data analysis.

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