Spinal manipulation for low-back pain: a treatment package agreed to by the UK chiropractic, osteopathy and physiotherapy professional associations.

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Spinal manipulation for low-back pain: a treatment package agreed to by the UK chiropractic, osteopathy and physiotherapy professional associations.
2003
Harvey E, Burton AK, Moffett JK, Breen A,
Journal of Manipulative and Physiological Therapeutics
Elsevier

Abstract
Trials of manipulative treatment have been compromised by, amongst other things, different definitions of the therapeutic procedures involved. This paper describes a spinal manipulation package agreed by the UK professional bodies that represent chiropractors, osteopaths and physiotherapists. It was devised for use in the UK Back pain Exercise And Manipulation (UK BEAM) trial--a national study of physical treatments in primary care funded by the Medical Research Council and the National Health Service Research and Development Programme. Although systematic reviews have reported some beneficial effects of spinal manipulation for low-back pain, due to the limited methodological quality of primary studies and difficulties in defining manipulation, important questions have remained unanswered. The UK BEAM trial was designed to answer some of those questions. Early in the design of the trial, it was acknowledged that the spinal manipulation treatment regimes provided by practitioners from the three professions shared more similarities than differences. Because the trial design specifically precluded comparison of the effect between the professions, it was necessary to devise a homogenous package representative of, and acceptable to, all three. The resulting package is 'pragmatic', in that it represents what happens to most people undergoing manipulation, and 'explanatory' in that it excludes discipline-specific variations and other ancillary treatments.

MeSH
Chiropractic; Exercise Therapy; Great Britain; Humans; Interprofessional Relations; Low Back Pain; Manipulation, Spinal; Muscle, Skeletal; Osteopathic Medicine; Physical Therapy (Specialty); Societies, Medical

Author Address
Department of Health Sciences, Alcuin College, University of York, York, UK. e.l.harvey@leeds.ac.uk

MEDLINE record details

Publication Type:
Journal Article; Research Support, Non-U.S. Gov't; Review

ISSN:
1356-689X

Country:
Scotland

Language:
eng

Date of Entry:
20030313

Unique Identifier:
12635637

Journal Subset:
IM

Copyright © 2007 Elsevier, Inc. All rights reserved

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