Evidence-informed management of chronic low back pain with spinal manipulation and mobilization

Gert Bronfort, Mitch Haas, Roni Evans, Greg Kawchuk, Simon Dagenais

Research output: Contribution to journalReview articlepeer-review

118 Scopus citations

Abstract

Editors' preface: The management of chronic low back pain (CLBP) has proven very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing among available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaningful improvements, there is often uncertainty about the most appropriate intervention for a particular patient. To help understand and evaluate the various commonly used nonsurgical approaches to CLBP, the North American Spine Society has sponsored this special focus issue of The Spine Journal, titled Evidence Informed Management of Chronic Low Back Pain Without Surgery. Articles in this special focus issue were contributed by leading spine practitioners and researchers, who were invited to summarize the best available evidence for a particular intervention and encouraged to make this information accessible to nonexperts. Each of the articles contains five sections (description, theory, evidence of efficacy, harms, and summary) with common subheadings to facilitate comparison across the 24 different interventions profiled in this special focus issue, blending narrative and systematic review methodology as deemed appropriate by the authors. It is hoped that articles in this special focus issue will be informative and aid in decision making for the many stakeholders evaluating nonsurgical interventions for CLBP.

Original languageEnglish (US)
Pages (from-to)213-225
Number of pages13
JournalSpine Journal
Volume8
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Keywords

  • Chronic low back pain
  • Low back pain, manipulation, spinal
  • Meta-analysis
  • Spinal manipulative therapy (SMT)
  • Spinal mobilization (MOB)

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