Spinal Manipulations Flashcards
What are the 5 most predictive factors that make it okay to do spinal manipulations?
Current symptom duration < 16 days
Fear avoidance beliefs questionnaire < 19
Hypomobility of lumbar spine with PA pressure
IR of at least 1 hip > 35°
No symptoms below the knee
What are the two most important variables when it comes to performing spinal manipulations?
Recent onset of symptoms < 16 days
No symptoms below the knee
What does the likelihood ratio change to if you have the two most important variables present?
45% to 91%
What are some factors that indicate not performing spinal manipulation?
Symptoms below the knee
Increasing episodic frequency
Peripherlization with motion testing
No pain with spring testing
What is the clinical prediction rule with spinal manipulations?
Success rate is much higher when you have 3 or more predictor variables present
