Skip Navigation
Menu
Letters |17 May 2005

Treatments for Back Pain

John D. Childs, PT, PhD; Julie M. Fritz, PhD, PT; Timothy W. Flynn, PhD, PT

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From Wilford Hall Medical Center, Schertz, TX 78154; University of Utah, Salt Lake City, UT 84108; and Regis University, Denver, CO 80221-1099.

    Potential Financial Conflicts of Interest: None disclosed.

×
FULL TEXT
TO THE EDITOR:
Dr. Deyo raises several interesting considerations regarding the interpretation of our results (1) in his editorial (2). Numerous previous studies, particularly those examining the outcomes of spinal manipulation, have resulted in relatively small effect sizes of modest clinical importance (3). Had we simply compared the outcomes of manipulation versus an exercise intervention, our results would have favored manipulation by a statistically significant but clinically trivial amount. However, the treatment effects were about 70% greater in the subgroup of patients who fit the rule for predicting a favorable response to manipulation, supporting the notion that the solution to small treatment effects lies in the development of subgrouping mechanisms that match patients to the treatment (or nontreatment) most likely to benefit them.
FULL TEXT
PDF
Not Available
Citations
Citation

Childs JD, Fritz JM, Flynn TW. Treatments for Back Pain. Ann Intern Med. 2005;142:874. doi: 10.7326/0003-4819-142-10-200505170-00023

Download citation file:

© 2018

×
Permissions

Published: Ann Intern Med. 2005;142(10):874.

DOI: 10.7326/0003-4819-142-10-200505170-00023

©
2005 American College of Physicians
3 Citations
CONTINUE WITH LIMITED ACCESS
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
acp link acp
silverchair link silverchair

Copyright © 2018 American College of Physicians. All Rights Reserved.

Print ISSN: 0003-4819 | Online ISSN: 1539-3704

Privacy Policy

|

Conditions of Use

×

You need a subscription to this content to use this feature.

×
PDF Downloads Require Access to the Full Article.
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
Access to this Free Content Requires Users to be Registered and Logged In. Please Choose One of the Following Options
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×