| PMC full text: | Published online 2014 May 23. doi: 10.1186/2045-709X-22-21
|
Table 2
Treatment interventions
| Intervention | Spinal Manipulative Therapy (SMT) | Exercise Therapy (ET) |
|---|---|---|
| Type | • High velocity, low amplitude SMT preferred | ET Visit |
| Self-care education | ||
| • Other manual therapies if needed | • Supervised exercise | |
| ◦ Low velocity, low amplitude SMT or mobilization | ||
| ◦ Aerobic warm up | ||
| ◦ Flexion-distraction manipulation | ||
| ◦ Drop-table assisted SMT | ◦ Stretching (cat/camel, piriformis, hamstring, laying back rotation) | |
| • Up to 5 minutes adjunct therapies to facilitate SMT: | ||
| ◦ Light soft tissue massage, active and passive stretching, ischemic compression of tender points, ice and heat | ◦ Strengthening (bridge, abdominal curl, back extension, side bridge, quadruped, and squats) with changes in body positioning and addition of labile surface (i.e., gym ball) for progressions | |
| Home Exercise | ||
| • Instructions provided at treatment visits and supplemented by take home materials | ||
| Design & delivery format | • Individualized: number of visits, spinal levels treated, SMT and manual therapy technique used and adjunct therapies determined by provider according to patient needs and tolerance | ET Visit |
| • Supervised | ||
| • Individualized: number of visits, exercise progressions determined by provider | ||
| Home Exercise | ||
| • Unsupervised | ||
| Delivery method | • One-on-one treatment visit | ET Visit |
| • Treatment provided by licensed chiropractor | • One-on-one exercise therapy visit | |
| • Instructions and supervision provided by licensed chiropractor or exercise therapist | ||
| Home Exercise | ||
| • Instructions provided at treatment visits | ||
| • Instructions supplemented by take home materials (exercise photos, modified Back in Action[26] book) | ||
| Dose | • 8 to 16 treatment visits | ET Visit |
| • 10 to 20 minutes per visit | • 8 to 16 visits | |
| • Maximum frequency: 2 times/week | ||
| • 45 minutes per visit | ||
| ◦ 10 minutes self-care education | ||
| ◦ 5 minutes aerobic exercise warm up | ||
| ◦ 30 minutes supervised exercise | ||
| ▪ Stretching: 1 set; 3 reps | ||
| ▪ cat/camel; 1 rep each side for other stretches | ||
| ▪ Strengthening: 2 sets; 16 to 20 repetitions each exercise | ||
| Home Exercise | ||
| • Maximum frequency: 2 times/week |