Appropriateness of Spinal Manipulation
Authors: Myron M. LaBan
Journal: Annals of Internal Medicine (1999)

Letters5 January 1999Appropriateness of Spinal ManipulationMyron M. LaBan, MD and Ronald S. Taylor, MDMyron M. LaBan, MDSearch for more papers by this author and Ronald S. Taylor, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-1-199901050-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:“If you cannot catch a bird of paradise, better take a wet hen.” This quote from Nikita Khrushchev is fitting for Shekelle and colleagues' article on the appropriateness of spinal manipulation for low back pain (1). This article uses criteria very similar to those proposed by the Agency for Health Care Policy and Research (AHCPR) (2).The AHCPR clinical practice guideline continues to provoke much controversy. The 23-member panel (each member of which had his or her own agenda) was ultimately herded to a predetermined conclusion—that less is really more! This process reaffirmed the standard federal imperative ...References1. Shekelle PG, Coulter I, Hurwitz EL, Genovese MA, Adams AH, Mior SA, et al . Congruence between decisions to initiate chiropractic spinal manipulation for low back pain and appropriateness criteria in North America. Ann Intern Med. 1998;129:9-17. LinkGoogle Scholar2. Bigos SJ, Bowyer O, Braen G, Brown K, Deyo R, Haldeman S, et al. Acute Low Back Pain Problems in Adults: Clinical Practice Guideline no. 14. Rockville, MD: US Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research; 1994. AHCPR publication no. 95-0643. Google Scholar3. LaBan MM. Commentary on physical treatments.. In: Gonzalez EG, Materson RS, eds. The Nonsurgical Management of Acute Low Back Pain. New York: Demos Vermande; 1997. Google Scholar4. LaBan MM, Taylor RS. Manipulation, an objective analysis of the literature.. In: Gorfin SR, Herkowitz HN, eds. The Degenerative Neck. Orthopedic Clinics of North America. Philadelphia: WB Saunders; 1992. Google Scholar Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCongruence between Decisions To Initiate Chiropractic Spinal Manipulation for Low Back Pain and Appropriateness Criteria in North America Paul G. Shekelle , Ian Coulter , Eric L. Hurwitz , Barbara Genovese , Alan H. Adams , Silvano A. Mior , and Robert H. Brook Appropriateness of Spinal Manipulation Louis Sportelli Appropriateness of Spinal Manipulation Paul G. Shekelle , Ian A. Coulter , and Robert H. Brook Appropriateness of Spinal Manipulation Peter G. Hill Metrics Cited byThe Passive Straight Leg Raising Test in the Diagnosis and Treatment of Lumbar Disc Herniation: A Survey of United Kingdom Osteopathic Opinion and Clinical Practice 5 January 1999Volume 130, Issue 1Page: 75KeywordsHealth care policyLower back painRetrospective studiesTreatment guidelines Issue Published: 5 January 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...