Research Catalog

Title

The appropriateness of spinal manipulation for low-back pain : indications and ratings by a multidisciplinary expert panel / Paul G. Shekelle ... [et al].

Author

Shekelle, Paul G.

Publication

Santa Monica, CA : Rand Corp., 1991.

Items in the Library & Off-site

Holdings

Details

Additional Authors

Rand Corporation.

Description

xi, 99 p.; 28 cm.

Summary

This report contains the indications and ratings for appropriateness for spinal manipulation that reflect the findings of a nine-member panel of back-pain experts. The panel members rated the appropriateness of indications twice, using a nine-point scale. The initial ratings of appropriateness were done individually and without group discussion. The second-round ratings used a structured method based on consensus procedures. The results showed that these physicians were able to formulate detailed lists of indications for spinal manipulation for low-back pain and rate their appropriateness. There was an increase in agreement and a decrease in disagreement between the initial round and the final round. The final round rated 1,550 indications, and there was agreement on 36 percent and disagreement on 12 percent of the indications. The level of disagreement was somewhat less than in previous ratings of medical procedures by all-medical panels.

Subject

• Manipulation, Orthopedic
• Back Pain > therapy
• Back Pain > diagnosis
• Spinal adjustment
• Spondylotherapy

Note

• "Supported by the Consortium for Chiropractic Research, Foundation for Chiropractic Education and Research."
• "R-4025/2-CCR/FCER."

Bibliography (note)

• Includes bibliographical references.

Processing Action (note)

• committed to retain

ISBN

0833011456

OCLC

28423108

Owning Institutions

Harvard Library