November 6, 2013

#17-November 6, 2013 – Thrust and Non-thrust Manipulation for Older Adults with LBP: Both are Equally Effective

Chris Showalter PT, OCS, COMT, FAAOMPT
MAPS Clinical Director

Full Disclosure: This month’s Research Commentary discusses a peer-reviewed research article co-authored by MAPS Senior Faculty Members Ken Learman, Chris Showalter, Bryan O’Halloran, and Research Consultant Chad Cook.

Thrust and Non-thrust Manipulation for Older Adults with LBP:
Both are Equally Effective

Few studies have focused on manual therapy procedures in a sample of patients 55 to 65 years or older with Low Back Pain (LBP).  However, the incidence of back pain leading to restricted activity in older adults is extremely common (Makris 2011), and therefore demands evidence-based initiatives that have demonstrated clinical utility.

Prior studies that compared thrust manipulation (TM) to non-TM (NTM) in subjects with LBP have excluded individuals older than 65 years (Hadler 1987, Cleland 2009) and many manual therapy trials

involving all forms of musculoskeletal conditions have excluded subjects older than 55 to 60 years, thus providing little clarification of the potential treatment effects for older adult populations.
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