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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.117 SNIP: 0.228 CiteScore™: 0.17

ISSN Imprimer: 0896-2960
ISSN En ligne: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v20.i1.30
pages 39-53

Spinal Manipulative Therapy: Translating from Research to Clinical Practice

Cesar Fernandez-de-las-Penas
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos (URJC), Alcorcón, Madrid; Escuela de Osteopatía de Madrid, Madrid, Spain 28807
Joshua A. Cleland
Department of Physical Therapy, Franklin Pierce University, Concord, NH 03301; Rehabilitation Services, Concord Hospital, NH 03301; Manual Therapy Fellowship Program, Regis University, Denver, CO 80221, USA
Paul Glynn
Manual Therapy Fellowship Program, Regis University, Denver, CO 80221; Staff Development and Clinical Education, Department of Rehabilitation Services, Newton-Wellesley Hospital, Newton, MA 02462; Glynn Physical Therapy, Sudbury, MA 01776, USA


Interest and research surrounding the use of spinal manual manipulative therapy has grown substantially over the last 5 years. Despite this advancement, the majority of research continues to remain focused on statistical levels of significance rather than on clinical decision making and clinically meaningful changes in patient status. The present article discusses the clinical research surrounding manipulative therapy of the cervical, thoracic, and lumbar spine and the need for implementation into clinical practice. This article is devoted to presenting an understanding of the current evidence in support of manipulation and the translation of this evidence to clinical practice. Through an understanding of recently developed clinical prediction rules, the reader will gain the ability to recognize patient variables identifying an individual as a likely responder to spinal manipulation.