Optimizing treatment protocols for spinal manipulative therapy: study protocol for a randomized trial.

ABSTRACT:

Background

Low back pain is a common and costly condition. Spinal manipulative therapy (SMT) is a treatment supported in some guidelines, although most clinical trials examining SMT report small effect sizes. Enhancing the effects of SMT requires an understanding of underlying mechanisms and a systematic approach to leverage understanding of mechanisms to create more effective treatment protocols that are scalable in clinical practice. Prior work has identified effects on spinal stiffness and lumbar multifidus activation as possible mechanisms. This project represents a refinement phase study within the context of a multi-phase optimization strategy (MOST) framework. Our goal is to identify an optimized SMT treatment protocol by examining the impact of using co-intervention exercis

SUBMITTER: Fritz JM 

PROVIDER: S-EPMC5987587 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature