Measuring the Appropriateness of Spinal Manipulation for Chronic Low Back and Chronic Neck Pain in Chiropractic Patients.

ABSTRACT:

Study design

RAND/UCLA Appropriateness Method (RUAM) applied to chiropractic manipulation for patients with chronic low-back pain (CLBP) and chronic neck pain (CNP).

Objective

Determine the rate of appropriate care provided by US chiropractors.

Summary of background data

Spinal manipulation has been shown effective for CLBP and CNP but may not be appropriate for all patients with these conditions.

Methods

Ratings of the appropriateness of spinal and cervical manipulation previously developed by two RUAM expert panels were applied to data abstracted from random samples of patient charts from chiropractors in six US regions to determine the appropriateness of manipulation for each patient.

Results

Of 125 chiropractors sampled, 89 provided charts that could

SUBMITTER: Coulter ID 

PROVIDER: S-EPMC8438222 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature