LBP: No significant differences between early thrust and non-thrust spinal manipulation .
This report has been verified
by one or more authors of the
original publication.
Early use of thrust manipulation versus non-thrust manipulation: a randomized clinical trial
Man Ther. 2013 Jun;18(3):191-8. doi: 10.1016/j.math.2012.08.005. Epub 2012 Oct 2154 patients over the age of 18 years presenting with mechanically producible low back pain were randomized to receive an early treatment with spinal manipulation, using either a thrust or non-thrust technique, to compare these two methods in terms of pain and disability. Results at discharge from physiotherapist care indicated that, although both significantly improved at all time points, there was no significant difference in pain and disability at discharge between the two groups. Furthermore, it was found that personal equipoise of the treating physiotherapist had a significant influence on both pain and disability. Lastly, there was no significant difference between groups in rate of recovery, total visits, days in care, or the patient's beliefs about avoiding activity.
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