Discussion Podcast: Spinal Manipulative Therapy and Low Back Pain
Participants: Leonardo Costa, PT, PhD, Associate Professor, Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil; and Chad Cook, PT, PhD, MBA, OCS, FAAOMPT, Professor and Chair, Division of Physical Therapy, Walsh University, North Canton, Ohio, and Associate Editor, Manual Therapy. Moderator: Steven George, PT, PhD, Associate Professor and Assistant Department Chair, Department of Physical Therapy, Brooks Center for Rehabilitation Studies, University of Florida, Gainesville, Florida, and Editorial Board member, PTJ.
Files in this Data Supplement:
- Discussion Podcast
In the June 2013, PTJ published "Immediate Effects of Region-Specific and Non–Region-Specific Spinal Manipulative Therapy in Patients With Chronic
Low Back Pain: A Randomized Controlled Trial." This RCT contributed to the growing body of evidence that suggests that spinal
manipulative therapy is a viable treatment option for low back pain; however, the results did not differ regardless of whether
a region-specific or non-region-specific technique was used. In this podcast, manual therapy expert Chad Cook and moderator
Steven George join the article's senior author Leonardo Costa to discuss the study findings and their possible clinical implications.
Are we close to understanding the mechanisms of action for this intervention? What are the next steps in research?
Running time: 23:56 (35.2 MB).
Discussion Podcast: Spinal Manipulative Therapy and
Low Back Pain:
Quick GrabsCosta: "Some researchers in back pain are oversimplifying a very complex problem."
Cook: "The fact that this study was as large as what it was, I thought it might be able to tease out what very small difference there might be between a region-specific and a non-region-specific manipulation. And that didn't happen."
ReferencesSlaven E, Goode A, Coronado R, et al. The relative effectiveness of segment specific level and non-specific level spinal joint mobilization on pain and range of motion: results of a systematic review and meta-analysis. J Man Manip Ther. 2013;21:7-17.
Donaldson M, Learman K, O'Halloran B, et al. The role of patients' expectation of appropriate initial manual therapy treatment in outcomes for patients with low back pain. J Manipulative Physiol Ther. 2013;36:276-83.
Coronado R, Bialosky J, Cook C. The temporal effects of a single session of high-velocity, low amplitude thrust manipulation on subjects with spinal pain. Phys Ther Rev. 2010;15:29-35.
Hegedus E, Goode A, Butler R, Slaven E. The neurophysiological effects of a single session of spinal joint mobilization: does the effect last. J Man Manip Ther. 2011;19:143-151.
Bialosky JE, Bishop MD, Price DD, et al. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Man Ther. 2009;14:531-538.
Childs JD, Fritz JM, Flynn TW, et al. A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation: a validation study. Ann Intern Med. 2004;141:920-928.
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