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A Benefit of Spinal Manipulation as Adjunctive Therapy for Acute Low-Back Pain: A Stratified Controlled Trial
Abstract
Fifty-four subjects volunteered to participate in a controlled study contrasting spinal manipulation with spinal mobilization without the rotational forces and leverage required to move facet joints. All suffered from regional low-back pain for less than 1 month, were ages 18–40, had never previously undergone any form of spinal manipulation, and denied a prior episode of backache within the previous 6 months. Randomization was stratified at outset into those who suffered for less than 2 weeks and those whose discomfort had persisted for 2–4 weeks. Outcome was monitored by a questionnaire assessing functional impairment. A treatment effect of manipulation was demonstrated only in the strata with more prolonged illness at entry. In the first week following manipulation, these patients improved to a greater degree (P=.009, t test) and more rapidly (P <.025, Wilcoxon rank-sum test).
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Citations
Cited by
van Tulder, M. W., Koes, B. W., & Bouter, L. M. (1997) · Spine · doi:10.1097/00007632-199709150-00012 · Cited by 987
A Comparison of Osteopathic Spinal Manipulation with Standard Care for Patients with Low Back Pain
Andersson, G. B. J., Lucente, T., Davis, A. M., Kappler, R. E., Lipton, J. A., & Leurgans, S. (1999) · New England Journal of Medicine · doi:10.1056/nejm199911043411903 · Cited by 332
Jensen, M. P., Strom, S. E., Turner, J. A., & Romano, J. M. (1992) · Pain · doi:10.1016/0304-3959(92)90156-6 · Cited by 187
Pitfalls of Patient Education: Limited Success of a Program for Back Pain in Primary Care
Cherkin, D. C., Deyo, R. A., Street, J. H., Hunt, M., & Barlow, W. (1996) · Spine · doi:10.1097/00007632-199602010-00019 · Cited by 144
ESTABLISHING A RESEARCH AGENDA FOR INVESTIGATING ALTERNATIVE MEDICAL INTERVENTIONS FOR CHRONIC PAIN
Berman, B. M., & Swyers, J. P. (1997) · Primary Care: Clinics in Office Practice · doi:10.1016/s0095-4543(05)70308-0 · Cited by 28
Metadata
- Authors
- HADLER, N. M., CURTIS, P., GILLINGS, D. B., & STINNETT, S.
- Venue
- Spine
- Published
- 1987-09
- Volume
- 12
- Issue
- 7
- Pages
- 703-706
- ISSN
- 0362-2436 (ISSN-L)
- OpenAlex
- W4299156770
- Cited by
- 163
- References
- 0
- FWCI
- 3.50
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: A Benefit of Spinal Manipulation as Adjunctive Therapy for Acute Low-Back Pain: A Stratified Controlled Trial. https://app.cochat.ai/papers/10.1097/00007632-198709000-00012
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- HADLER, N. M., CURTIS, P., GILLINGS, D. B., & STINNETT, S. (1987). A Benefit of Spinal Manipulation as Adjunctive Therapy for Acute Low-Back Pain: A Stratified Controlled Trial. Spine. https://doi.org/10.1097/00007632-198709000-00012
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
