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Chiropractic management of low back disorders: report from a consensus process.
Gary A Globe1, Craig E Morris, Wayne M Whalen
1Cleveland Chiropractic College Los Angeles, Los Angeles, CA, USA.
Journal of Manipulative and Physiological Therapeutics
|November 26, 2008
Summary
Chiropractic experts reached an 80% consensus on standardized care parameters for low back pain. This document provides practical guidelines for treatment frequency, duration, and outcome assessment in chiropractic practice.
Area of Science:
- Chiropractic Care
- Evidence-Based Practice
- Clinical Guidelines
Background:
- Existing chiropractic guidelines lack consensus from mainstream experts.
- A need exists for standardized parameters in chiropractic professional care.
- Manipulation is a key component of chiropractic treatment.
Framework:
- A Delphi panel of 40 experienced doctors of chiropractic was convened.
- The panel represented diverse chiropractic colleges and professional organizations.
- Consensus was defined as agreement by at least 80% of panelists.
Implementation:
- Seed statements were developed and circulated electronically.
- Two rounds of electronic circulation were required to reach consensus.
- The panel achieved 80% consensus on 27 seed statements.
Implications:
- The developed document offers standardized parameters for chiropractic care.
- Recommendations cover treatment frequency, duration, and outcome assessment.
- This consensus provides a practical guide for chiropractors treating low back pain.
