Letter to the editor concerning “Independent evaluation of a clinical prediction rule for spinal manipulative therapy: a randomised controlled trial” (M. Hancock et al.)
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To the Editor:
We congratulate Hancock and colleagues for undertaking a randomized trial which in part, examined the effectiveness of an eclectic approach to manual therapy for non-specific low back pain (LBP) . These results were reported elsewhere and demonstrate that individuals with non-specific LBP, who receive paracetamol and advice from a general medical practitioner, do not experience a shortened time to recovery with the addition of diclofenac or an assortment of manual therapy techniques.
The authors carried out a secondary analysis of this data  to evaluate the performance of a clinical prediction rule , which identifies individuals who have a high probability of achieving clinical success with a combination of a spinal manipulation technique and therapeutic exercise. It appears in part, that the authors sought to determine whether the prediction rule would also identify patients with LBP who experience clinical success with treatment consisting of a diverse...
KeywordsClinical Success Manual Therapy Prediction Rule Spinal Manipulation Spinal Manipulative Therapy
- 5.Fritz JM, Childs JD, Flynn TW (2005) Pragmatic application of a clinical prediction rule in spinal manipulation intervention primary care to identify patients with low back pain with a good prognosis following a brief spinal manipulation intervention. BMC Fam Pract 6(1):29PubMedCrossRefGoogle Scholar
- 9.Hancock MJ et al (2008) Independent evaluation of a clinical prediction rule for spinal manipulative therapy: a randomised controlled trial. Eur Spine J (in press)Google Scholar
- 11.Vega CP (2008) NSAIDs and Manipulation ineffective for acute low back pain: a best evidence review. Best Evid Rev. Available at http://www.medscape.com/viewarticle/572783. Accessed 10 May 2008