Spinal manipulation for low-back pain: a treatment package agreed by the UK chiropractic, osteopathy and physiotherapy professional associations

E Harvey, A. K Burton, J K Moffett, A Breen

Research output: Contribution to journalReview article

60 Citations (Scopus)

Abstract

Trials of manipulative treatment have been compromised by, amongst other things, different definitions of the therapeutic procedures involved. This paper describes a spinal manipulation package agreed by the UK professional bodies that represent chiropractors, osteopaths and physiotherapists. It was devised for use in the UK Back pain Exercise And Manipulation (UK BEAM) trial - a national study of physical treatments in primary care funded by the Medical Research Council and the National Health Service Research and Development Programme. Although systematic reviews have reported some beneficial effects of spinal manipulation for low-back pain, due to the limited methodological quality of primary studies and difficulties in defining manipulation, important questions have remained unanswered. The UK BEAM trial was designed to answer some of those questions. Early in the design of the trial, it was acknowledged that the spinal manipulation treatment regimes provided by practitioners from the three professions shared more similarities than differences. Because the trial design specifically precluded comparison of the effect between the professions, it was necessary to devise a homogenous package representative of, and acceptable to, all three. The resulting package is 'pragmatic', in that it represents what happens to most people undergoing manipulation, and 'explanatory' in that it excludes discipline-specific variations and other ancillary treatments.

Original languageEnglish
Pages (from-to)46-51
Number of pages6
JournalManual Therapy
Volume8
Issue number1
DOIs
Publication statusPublished - 1 Feb 2003

Fingerprint

Spinal Manipulation
Chiropractic
Low Back Pain
Back Pain
Osteopathic Physicians
Exercise
Therapeutics
Health Services Research
Physical Therapists
National Health Programs
Biomedical Research
Primary Health Care
Research

Cite this

@article{9484b5cef7184bf1a2dc31724c6ccbaa,
title = "Spinal manipulation for low-back pain: a treatment package agreed by the UK chiropractic, osteopathy and physiotherapy professional associations",
abstract = "Trials of manipulative treatment have been compromised by, amongst other things, different definitions of the therapeutic procedures involved. This paper describes a spinal manipulation package agreed by the UK professional bodies that represent chiropractors, osteopaths and physiotherapists. It was devised for use in the UK Back pain Exercise And Manipulation (UK BEAM) trial - a national study of physical treatments in primary care funded by the Medical Research Council and the National Health Service Research and Development Programme. Although systematic reviews have reported some beneficial effects of spinal manipulation for low-back pain, due to the limited methodological quality of primary studies and difficulties in defining manipulation, important questions have remained unanswered. The UK BEAM trial was designed to answer some of those questions. Early in the design of the trial, it was acknowledged that the spinal manipulation treatment regimes provided by practitioners from the three professions shared more similarities than differences. Because the trial design specifically precluded comparison of the effect between the professions, it was necessary to devise a homogenous package representative of, and acceptable to, all three. The resulting package is 'pragmatic', in that it represents what happens to most people undergoing manipulation, and 'explanatory' in that it excludes discipline-specific variations and other ancillary treatments.",
keywords = "Spinal manipulation, back pain, UK BEAM",
author = "E Harvey and Burton, {A. K} and Moffett, {J K} and A Breen",
year = "2003",
month = "2",
day = "1",
doi = "10.1054/math.2002.0472",
language = "English",
volume = "8",
pages = "46--51",
journal = "Musculoskeletal Science and Practice",
issn = "2468-8630",
publisher = "Elsevier BV",
number = "1",

}

Spinal manipulation for low-back pain : a treatment package agreed by the UK chiropractic, osteopathy and physiotherapy professional associations. / Harvey, E; Burton, A. K; Moffett, J K; Breen, A.

In: Manual Therapy, Vol. 8, No. 1, 01.02.2003, p. 46-51.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Spinal manipulation for low-back pain

T2 - a treatment package agreed by the UK chiropractic, osteopathy and physiotherapy professional associations

AU - Harvey, E

AU - Burton, A. K

AU - Moffett, J K

AU - Breen, A

PY - 2003/2/1

Y1 - 2003/2/1

N2 - Trials of manipulative treatment have been compromised by, amongst other things, different definitions of the therapeutic procedures involved. This paper describes a spinal manipulation package agreed by the UK professional bodies that represent chiropractors, osteopaths and physiotherapists. It was devised for use in the UK Back pain Exercise And Manipulation (UK BEAM) trial - a national study of physical treatments in primary care funded by the Medical Research Council and the National Health Service Research and Development Programme. Although systematic reviews have reported some beneficial effects of spinal manipulation for low-back pain, due to the limited methodological quality of primary studies and difficulties in defining manipulation, important questions have remained unanswered. The UK BEAM trial was designed to answer some of those questions. Early in the design of the trial, it was acknowledged that the spinal manipulation treatment regimes provided by practitioners from the three professions shared more similarities than differences. Because the trial design specifically precluded comparison of the effect between the professions, it was necessary to devise a homogenous package representative of, and acceptable to, all three. The resulting package is 'pragmatic', in that it represents what happens to most people undergoing manipulation, and 'explanatory' in that it excludes discipline-specific variations and other ancillary treatments.

AB - Trials of manipulative treatment have been compromised by, amongst other things, different definitions of the therapeutic procedures involved. This paper describes a spinal manipulation package agreed by the UK professional bodies that represent chiropractors, osteopaths and physiotherapists. It was devised for use in the UK Back pain Exercise And Manipulation (UK BEAM) trial - a national study of physical treatments in primary care funded by the Medical Research Council and the National Health Service Research and Development Programme. Although systematic reviews have reported some beneficial effects of spinal manipulation for low-back pain, due to the limited methodological quality of primary studies and difficulties in defining manipulation, important questions have remained unanswered. The UK BEAM trial was designed to answer some of those questions. Early in the design of the trial, it was acknowledged that the spinal manipulation treatment regimes provided by practitioners from the three professions shared more similarities than differences. Because the trial design specifically precluded comparison of the effect between the professions, it was necessary to devise a homogenous package representative of, and acceptable to, all three. The resulting package is 'pragmatic', in that it represents what happens to most people undergoing manipulation, and 'explanatory' in that it excludes discipline-specific variations and other ancillary treatments.

KW - Spinal manipulation

KW - back pain

KW - UK BEAM

UR - http://www.scopus.com/inward/record.url?scp=0037326615&partnerID=8YFLogxK

U2 - 10.1054/math.2002.0472

DO - 10.1054/math.2002.0472

M3 - Review article

C2 - 12635637

AN - SCOPUS:0037326615

VL - 8

SP - 46

EP - 51

JO - Musculoskeletal Science and Practice

JF - Musculoskeletal Science and Practice

SN - 2468-8630

IS - 1

ER -