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Activator Methods International Ltd.
2950 N. Seventh Street, Suite 200
Phoenix, AZ 85014
ofc 602-224-0220
fax 602-224-0230
toll free 1-800-598-0224
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Subject: Lumbar Spine Related Studies
Title: Rating Specific Chiropractic Technique Procedures for Common Low Back Conditions
Reference: Meridel I. Gatterman, DC,a Robert Cooperstein, DCb, Charles Lantz, DC, PhD,c Stephen M. Perle, DC,d and Michael J. Schneider DC,e JMPT 2001; 24(7) 449-455
ABSTRACT
Objective: To rate specific chiropractic technique procedures used in the treatment of common low back conditions.
Design and Methods
A panel of chiropractors rated specific chiropractic technique procedures for their effectiveness in the treatment of common low back conditions, based on the quality of supporting evidence after systematic literature reviews and expert clinical opinion. Statements related to the rating process and clinical practices were then developed through a facilitated nominal consensus process.
Results
For most low back conditions presented in this study, the three procedures rated most effective were high-velocity, low-amplitude (HVLA) with no drop table (side posture), distraction technique, and HVLA prone with drop table assist. The three rated least effective were upper cervical technique, non-thrust reflex/low force, and lower extremity adjusting. The four conditions rated most amenable to chiropractic treatment were non-complicated low back pain, sacroiliac joint dysfunction, posterior joint/subluxation, and low back pain with buttock or leg pain.
Conclusions
The ratings for the effectiveness of chiropractic technique procedures for the treatment of common low back conditions are not equal. Those procedures rated highest are supported by the highest quality of literature. Much more evidence is necessary for chiropractors to understand which procedures maximally benefit patients for which conditions. (J Manipulative Physiol Ther 2001;24:449-56)
Key Indexing Terms: Chiropractic; Low Back Pain; Practice Guidelines; Consensus Methodology
a Chiropractic Physicians and Consultants Group, Portland, Ore.
b Palmer College of Chiropractic West, San Jose, Calif.
c Director of Research, Life University College of Chiropractic, Marietta, Ga.
d Chiropractic Department, University of Bridgeport College of Chiropractic, Bridgeport, Conn.
e Private Practice of Chiropractic, Pittsburgh, Pa.
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