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Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial.

Publication ,  Journal Article
Cook, C; Learman, K; Showalter, C; Kabbaz, V; O'Halloran, B
Published in: Man Ther
June 2013

The purpose of this study was to investigate the comparative effectiveness of early use of thrust (TM) and non-thrust manipulation (NTM) in sample of patients with mechanical low back pain (LBP). The randomized controlled trial included patients with mechanically reproducible LBP, ≥ age 18-years who were randomized into two treatment groups. The main outcome measures were the Oswestry Disability Index (ODI) and a Numeric Pain Rating Scale (NPRS), with secondary measures of Rate of Recovery, total visits and days in care, and the work subscale of the Fears Avoidance Beliefs Questionnaire work subscale (FABQ-w). A two-way mixed model MANCOVA was used to compare ODI and pain, at baseline, after visit 2, and at discharge and total visits, days in care, and rate of recovery (while controlling for patient expectations and clinical equipoise). A total of 149 subjects completed the trial and received care over an average of 35 days. There were no significant differences between TM and NTM at the second visit follow-up or at discharge with any of the outcomes categories. Personal equipoise was significantly associated with ODI and pain. The findings suggest that there is no difference between early use of TM or NTM, and secondarily, that personal equipoise affects study outcome. Within-groups changes were significant for both groups.

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Published In

Man Ther

DOI

EISSN

1532-2769

Publication Date

June 2013

Volume

18

Issue

3

Start / End Page

191 / 198

Location

Scotland

Related Subject Headings

  • United States
  • Treatment Outcome
  • Surveys and Questionnaires
  • Return to Work
  • Physical Therapy Modalities
  • Pain Measurement
  • Orthopedics
  • Middle Aged
  • Male
  • Low Back Pain
 

Citation

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Cook, C., Learman, K., Showalter, C., Kabbaz, V., & O’Halloran, B. (2013). Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial. Man Ther, 18(3), 191–198. https://doi.org/10.1016/j.math.2012.08.005
Cook, Chad, Kenneth Learman, Chris Showalter, Vincent Kabbaz, and Bryan O’Halloran. “Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial.Man Ther 18, no. 3 (June 2013): 191–98. https://doi.org/10.1016/j.math.2012.08.005.
Cook C, Learman K, Showalter C, Kabbaz V, O’Halloran B. Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial. Man Ther. 2013 Jun;18(3):191–8.
Cook, Chad, et al. “Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial.Man Ther, vol. 18, no. 3, June 2013, pp. 191–98. Pubmed, doi:10.1016/j.math.2012.08.005.
Cook C, Learman K, Showalter C, Kabbaz V, O’Halloran B. Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial. Man Ther. 2013 Jun;18(3):191–198.

Published In

Man Ther

DOI

EISSN

1532-2769

Publication Date

June 2013

Volume

18

Issue

3

Start / End Page

191 / 198

Location

Scotland

Related Subject Headings

  • United States
  • Treatment Outcome
  • Surveys and Questionnaires
  • Return to Work
  • Physical Therapy Modalities
  • Pain Measurement
  • Orthopedics
  • Middle Aged
  • Male
  • Low Back Pain