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PHYS THER
Vol. 74, No. 3, March 1994, pp. 227-233
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Article

Issues in determining treatment effectiveness of manual therapy

GK Fitzgerald, PW McClure, P Beattie, and DL Riddle

Department of Orthopedic Surgery and Rehabilitation, Hahnemann University, Philadelphia, PA 19102.

The purpose of this article is to examine issues pertinent to the study of the clinical effectiveness of manual therapy. The need for complete operational definitions of treatment procedures, criteria for altering treatment, and criteria for subject selection is discussed. The need for studies that examine the relationship among impairment, functional limitations, and disability is also discussed. Considerations for selecting relevant outcome measures are presented. The use of a clinical decision-making model to direct the design of clinical studies on manual therapy is described. This article concludes with a discussion of alternative ways for clinicians to contribute to the manual therapy literature.


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J. L. Hoving, B. W. Koes, H. C.W. de Vet, D. A.W.M. van der Windt, W. J.J. Assendelft, H. van Mameren, W. L.J.M. Deville, J. J.M. Pool, R. J.P.M Scholten, and L. M. Bouter
Manual Therapy, Physical Therapy, or Continued Care by a General Practitioner for Patients with Neck Pain: A Randomized, Controlled Trial
Ann Intern Med, May 21, 2002; 136(10): 713 - 722.
[Abstract] [Full Text] [PDF]


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Copyright © 1994 by the American Physical Therapy Association.