Clinical Practice Guideline: Chiropractic Care for Low Back Pain

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Presentation transcript:

Clinical Practice Guideline: Chiropractic Care for Low Back Pain Gary Globe, PhD, MBA, DC, Ronald J. Farabaugh, DC, Cheryl Hawk, DC, PhD, Craig E. Morris, DC, Greg Baker, DC, Wayne M. Whalen, DC, Sheryl Walters, MLS, Martha Kaeser, DC, MA, Mark Dehen, DC, Thomas Augat, DC  Journal of Manipulative & Physiological Therapeutics  Volume 39, Issue 1, Pages 1-22 (January 2016) DOI: 10.1016/j.jmpt.2015.10.006 Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 1 Search strategies used in the literature search. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 2 Flow diagram for literature search. LBP, low back pain; RCT, randomized controlled trial; SR, systematic reviews. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 3 Contraindications for high-velocity manipulation to the lumbar spine (red flags). aIn some cases, soft-tissue, low-velocity, low-amplitude mobilization procedures may still be clinically reasonable and safe. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 4 Conditions contraindicating certain chiropractic-directed treatments such as spinal manipulation and passive therapy. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 5 Complicating factors that may document the necessity of ongoing care for chronic conditions. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 6 Algorithms for chiropractic management of LBP. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 6 Algorithms for chiropractic management of LBP. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 6 Algorithms for chiropractic management of LBP. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 6 Algorithms for chiropractic management of LBP. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions

Fig 6 Algorithms for chiropractic management of LBP. Journal of Manipulative & Physiological Therapeutics 2016 39, 1-22DOI: (10.1016/j.jmpt.2015.10.006) Copyright © 2016 National University of Health Sciences Terms and Conditions