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A clinical prediction rule predicted outcome in patients with low back pain having spinal manipulation and exercise treatment
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 Q In patients with low back pain (LBP), does a clinical prediction rule predict outcome of spinal manipulation?

Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Rheumatology ★★★★★☆☆

METHODS

Embedded ImageDesign:

a randomised controlled trial to validate a previously developed clinical prediction rule for predicting outcome of spinal manipulation.

Embedded ImageSetting:

8 physical therapy clinics in 2 academic medical centres and outpatient practice settings in the US.

Embedded ImagePatients:

131 patients who were 18–60 years of age (mean age 34 y, 58% men), had a primary symptom of LBP, were referred to physical therapy, and had an Oswestry Disability Questionnaire (ODQ) score ⩾30%. Exclusion criteria: serious spinal condition, nerve root compression, pregnancy, or previous surgery to the lumbosacral spine or pelvis. Patients were allocated to receive spinal manipulation plus exercise (n = 70) or exercise alone (n = 61) given by a physical therapist for 4 weeks.

Embedded ImageDescription of prediction guide:

the clinical prediction rule criteria were (1) LBP symptom duration <16 days, (2) no symptoms distal to …

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