Please use this identifier to cite or link to this item: http://hdl.handle.net/1959.14/190168
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- Title
- Independent evaluation of a clinical prediction rule for spinal manipulative therapy : a randomised controlled trial
- Related
- European spine journal, Vol. 17, Issue 7, (2008), p.936-943
- DOI
- 10.1007/s00586-008-0679-9
- Publisher
- Springer-Verlag
- Date
- 2008
- Author/Creator
- Hancock, Mark J
- Author/Creator
- Maher, Christopher G
- Author/Creator
- Latimer, Jane
- Author/Creator
- Herbert, Robert D
- Author/Creator
- McAuley, James H
- Description
- A clinical prediction rule to identify patients most likely to respond to spinal manipulation has been published and widely cited but requires further testing for external validity. We performed a pre-planned secondary analysis of a randomised controlled trial investigating the efficacy of spinal manipulative therapy in 239 patients presenting to general practice clinics for acute, non-specific, low back pain. Patients were randomised to receive spinal manipulative therapy or placebo 2 to 3 times per week for up to 4 weeks. All patients received general practitioner care (advice and paracetamol). Outcomes were pain and disability measured at 1, 2, 4 and 12 weeks. Status on the clinical prediction rule was measured at baseline. The clinical prediction rule performed no better than chance in identifying patients with acute, non-specific low back pain most likely to respond to spinal manipulative therapy (pain P = 0.805, disability P = 0.600). At 1-week follow-up, the mean difference in effect of spinal manipulative therapy compared to placebo in patients who were rule positive rather than rule negative was 0.3 points less on a 10-point pain scale (95% CI -0.8 to 1.4). The clinical prediction rule proposed by Childs et al. did not generalise to patients presenting to primary care with acute low back pain who received a course of spinal manipulative therapy.
- Description
- 8 page(s)
- Subject Keyword
- Low back pain
- Subject Keyword
- Spinal manipulative therapy
- Subject Keyword
- Subgroup analysis
- Resource Type
- journal article
- Organisation
- Macquarie University. Dept. of Health Professions
- Identifier
- http://hdl.handle.net/1959.14/190168
- Identifier
- ISSN:0940-6719
- Identifier
- mq_res-ext-2-s2.0-46749104687
- Language
- eng
- Reviewed
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