A comparison of manual therapy and active rehabilitation in the treatment of non specific low back pain with particular reference to a patient's Linton & Hallden psychological screening score: a pilot study

Abstract

Background: Clinical guidelines for the management of back pain frequently recommend 'manual therapy' as a first line intervention, with psychosocial screening and 'active rehabilitation' for those not improving at 6 weeks post onset. The potential for psychosocial factors to predict treatment response and therefore outcome has not been adequately explored. The purpose of this pilot study was to determine the feasibility of a study to compare manual therapy and active rehabilitation outcomes for subjects with sub-acute/chronic back pain, investigate whether any difference in outcome was related to psychosocial factors, and to inform the design of a main study.

A Case Study Examining the Effectiveness of Mechanical Diagnosis and Therapy in a Patient who Met the Clinical Prediction Rule for Spinal Manipulation

“…Matching exercise along with the direction of preference assists in pain reduction and recovery of function 4 and allows for self-management of the patient's condition. Although mixed results exist regarding active management based on disease chronicity, an active self-management has been advocated as a useful approach for low back pain 10,26,27 .…”

Evaluation of the Predictive Validity of the Orebro Musculoskeletal Pain Screening Questionnaire

“…3,6 The external validity of different cut-off values has been confirmed in various studies. [6][7][8][9][10][11][12][13][14][15] The outcome measures were pain intensity and disability. Average pain intensity during the last week was rated on a 0 to 10 numerical rating scale (item 9 in the Orebro).…”

Prevalence and Risk Factors for Low Back Pain in Industrial Workers

“…5 Over a third of the handicap burden may be linked to environmental and psychosocial factors. 6 Primary care treatment of chronic LBP is associated with modest or no improvement. 7 therapy is a management strategy that is widely used as a treatment for LBP.…”