A Clinical Prediction Rule To Identify Patients with Low Back Pain Most Likely To Benefit from Spinal Manipulation: A Validation Study

View larger version (91K): [in a new window]   Figure 1. Manipulative intervention used in developing and validating the spinal manipulation clinical prediction rule. See Appendix 2 and Appendix 3 video for details. Reprinted from reference 30: Childs JD, Fritz JM, Piva SR, Erhard RE. Clinical decision making in the identification of patients likely to benefit from spinal manipulation: a traditional versus an evidence-based approach. J Orthop Sports Phys Ther. 2003;33:259-75, with permission of the Orthopaedic and Sports Physical Therapy Sections of the American Physical Therapy Association.

View larger version (29K): [in a new window]   Figure 2. Flow diagram for patient recruitment and randomization.

View larger version (12K): [in a new window]   Figure 3. Two-dimensional graphical representation of the 3-way clinical prediction rule x treatment group x time interaction for the Oswestry Disability Questionnaire (ODQ) score (P < 0.001). Lower scores represent less disability.