Adherence to radiography guidelines for low back pain: a survey of chiropractic schools worldwide

Journal of Manipulative and Physiological Therapeutics
Carlo AmmendoliaClaire Bombardier

Abstract

This study describes instruction provided at chiropractic schools worldwide on the use of spine radiography and compares instruction with evidence-based guidelines for low back pain. Individuals responsible for radiology instruction at accredited chiropractic schools throughout the world were contacted and invited to participate in a Web-based survey. The survey included questions on the role of conventional radiography in chiropractic practice and instruction given to students for its use in patients with acute low back pain. Of the 33 chiropractic schools identified worldwide, 32 (97%) participated in the survey. Consistent with the guidelines, 25 (78%) respondents disagreed that "routine radiography should be used prior to spinal manipulative therapy," 29 (91%) disagreed that there "was a role for full spine radiography for assessing patients with low back pain," and 29 (91%) disagreed that "oblique views should be part of a standard radiographic series for low back pain." However, only 14 (44%) respondents concurred with the guidelines and disagreed with the statement that there "is a role for radiography in acute low back pain in the absence of 'red flags' for serious disease." This survey suggests that many aspects of rad...Continue Reading

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Citations

Jul 12, 2013·Journal of Chiropractic Medicine·Makani Lew, Gregory J Snow
May 25, 2010·The Spine Journal : Official Journal of the North American Spine Society·Simon DagenaisScott Haldeman
Dec 3, 2014·Journal of Manipulative and Physiological Therapeutics·Aaron A PuhlH Stephen Injeyan
Jul 15, 2016·BMC Complementary and Alternative Medicine·André E BussièresAliki Thomas
Feb 14, 2003·Journal of Manipulative and Physiological Therapeutics·Deed E HarrisonBurt Holland
Nov 28, 2018·Chiropractic & Manual Therapies·Hazel J JenkinsSimon D French

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