Thrust and nonthrust manipulation for older adults with low back pain

The authors conducted this study in order to compare the effects of thrust manipulation (TM) and non-TM (NTM) on a sample of older subjects with low back pain. They chose to use a secondary data analysis of a randomized control trial. Forty-nine subjects aged 55 to 88 years were recruited for the trial, who received either a TM or NTM on at least 2 occasions over the course of care, and were extracted from the larger data set. The treatment program included a standardized home exercise program for the first 2 sessions, which could be adjusted by the therapist after those 2 sessions. Numeric pain rating scale and Oswestry Disability Index (ODI) were the outcomes for this study. Multivariate analysis uncovered no significant between-group differences for treatment group (P = .99) without group × time interaction (P = .90). Substantial within-group changes were observed for both groups for ODI and numeric pain rating scale (P < .001); the average self-report of recovery was 78.0% (SD, 19.8%). Age stratification of the older subset revealed between-group differences in ODI change scores for the oldest subjects (>70 years) compared with 60 to 69 years (P = .02).

The authors concluded that their study had shown that outcomes for TM as well as NTM improved in older adults with low back pain.

Sensorimotor Impairment in Neck Pain

Join Chris Worsfold in this short online course to learn about the evaluation and rehabilitation of sensorimotor impairment in patients with neck pain.