2021
DOI: 10.1136/bmjopen-2021-054070
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Clinical decision-making for spinal manipulation for persistent spinal pain following lumbar surgery: a protocol for a systematic review and meta-analysis of individual participant data

Abstract: IntroductionThere are limited available research and guidance regarding the use of spinal manipulative therapy (SMT) in patients with low back-related symptoms following lumbar spine surgery, a condition called persistent spinal pain syndrome type 2 (PSPS-2). This publication outlines a review protocol to identify and synthesise individual participant data (IPD) to examine associations between patient, clinical and surgical variables and SMT application in adults with PSPS-2.Methods and analysisPubMed, OVID, W… Show more

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Cited by 8 publications
(21 citation statements)
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“…In designing the regression model, a select number of key covariates were chosen from the available dataset. This process was guided by previous research on this topic [ 7 ]. Our present study included 7 covariates in each regression model, which accordingly required at least 14 subjects for this method of analysis.…”
Section: Methodsmentioning
confidence: 99%
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“…In designing the regression model, a select number of key covariates were chosen from the available dataset. This process was guided by previous research on this topic [ 7 ]. Our present study included 7 covariates in each regression model, which accordingly required at least 14 subjects for this method of analysis.…”
Section: Methodsmentioning
confidence: 99%
“…Despite the growing, aging population with PSPS-2, there is no consensus regarding the optimal treatment for this condition [ 4 ]. While conservative therapies such as physical therapy, medication, and injections are often recommended instead of revision surgery [ 4 , 5 ], little research has examined the utility of chiropractic spinal manipulative therapy (CSMT) for PSPS-2 [ 6 , 7 ].…”
Section: Introductionmentioning
confidence: 99%
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