S14: Low Back Pain: Standardization Issues in Manual Medicine Research and its Application to Evidence-Based Practice

Jacek Cholewicki1, Christine Goertz2, Partap Khalsal3, Brian Degenhardt4

1Michigan State University College of Osteopathic Medicine, USA; 2Palmer Center for Chiropractic Research (Palmer College of Chiropractic), USA; 3National Center for Complementary and Alternative Medicine (NCCAM),  National Institutes of Health (NIH), USA;4A.T. Still University, Kirksville, MO, USA


Five scientists, representing various professional entities (DC, DO, PhD, PT, and NIH/NCCAM), will be asked to present their point of view about future needs and directions of research in manual medicine for low back pain (LBP).  Some of the specific questions posed to the presenters are:  - What diagnostic tests should be performed to describe or sub-classify LBP population studied?  - How can we standardize manual techniques and their taxonomy to be reproducible by other   researchers?  - What is the minimum duration and frequency of manual medicine treatment to be employed in clinical   trials?  - What outcome measures are possible and necessary in clinical trials to make them relevant?  Following the presentations, there will be 25 minutes allocated for the discussion between the audience and the panelists and 5 minutes for the closing remarks of the session chair.  This Featured Discussion will serve as a prelude to a larger symposium to be organized in the future with the specific goal of developing standards and publishing the recommendations for future research on manual therapies for LBP.  The proposed discussion session will advertise this initiative to a large number of colleagues who will then be invited to participate actively in the larger symposium.