Spinal manipulative therapy: Translating from research to clinical practice

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Interest and research surrounding the use of spinal manual manipulative therapy has grown substantially over the last 5 years. Despite this advancement, the majority of research continues to remain focused on statistical levels of significance rather than on clinical decision making and clinically meaningful changes in patient status. The present article discusses the clinical research surrounding manipulative therapy of the cervical, thoracic, and lumbar spine and the need for implementation into clinical practice. This article is devoted to presenting an understanding of the current evidence in support of manipulation and the translation of this evidence to clinical practice. Through an understanding of recently developed clinical prediction rules, the reader will gain the ability to recognize patient variables identifying an individual as a likely responder to spinal manipulation. © 2008 by Begell House, Inc.

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