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Table 4 Frequency of Therapeutic Approaches by VA Chiropractors for Patients with Prior Lumbar Fusion Surgery (%) (n = 59)

From: Management of patients with prior lumbar fusion: a cross-sectional survey of Veterans Affairs chiropractors’ attitudes, beliefs, and practices

Intervention Always Frequently Sometimes Rarely Never
Patient History 59 (100) 0 (0) 0 (0) 0 (0) 0 (0)
Physical Examination 59 (100) 0 (0) 0 (0) 0 (0) 0 (0)
Healthy Lifestyle Advice 41 (69.5) 15 (25.4) 2 (3.4) 1 (1.7) 0 (0)
Education on chronic pain and/or pain neurophysiology 37 (62.7) 16 (27.1) 6 (10.2) 0 (0) 0 (0)
Mobilization 14 (23.7) 19 (32.2) 20 (33.9) 6 (10.2) 0 (0)
Flexion-Distraction 11 (18.6) 21 (35.6) 9 (15.3) 4 (6.8) 14 (23.7)
Pelvic Blocking 0 (0) 0 (0) 8 (13.8) 12 (22.4) 37 (63.8)
Acupuncture/Dry Needling 1 (1.7) 19 (32.2) 12 (20.3) 1 (1.7) 26 (44.1)
Thoracic HVLA 5 (8.5) 29 (49.2) 24 (40.7) 0 (0) 1 (1.7)
Lumbar HVLA 0 (0) 10 (16.9) 17 (28.8) 17 (28.8) 15 (25.4)
Pelvic HVLA 3 (5.1) 20 (33.9) 20 (33.9) 9 (15.3) 7 (11.9)
Muscle Stretches 11 (18.6) 28 (47.5) 14 (23.7) 4 (6.8) 2 (3.4)
Myofascial Therapy (Instrument or Manual) 6 (10.2) 31 (52.5) 14 (23.7) 4 (6.8) 4 (6.8)
Mechanical Diagnosis and Therapy (McKenzie) 5 (8.5) 9 (15.3) 16 (27.1) 12 (20.3) 17 (28.8)
Lumbopelvic/Abdominal Stabilization Exercises 10 (16.9) 28 (47.5) 15 (25.4) 5 (8.5) 1 (1.7)
Neurodynamic Mobilizations 1 (1.7) 9 (15.3) 18 (30.5) 11 (18.6) 20 (33.9)
Cognitive Behavioral Therapy 1 (1.7) 13 (22.0) 18 (30.5) 7 (11.9) 20 (33.9)
Mindfulness Meditation 0 (0) 6 (10.3) 17 (29.3) 19 (32.8) 16 (27.6)
Instrument Assisted Manipulation (Activator, etc.…) 3 (5.2) 13 (22.4) 12 (20.7) 7 (12.1) 23 (39.7)
Advice General Condition and Physical Activity 36 (61.0) 21 (35.6) 2 (3.4) 0 (0) 0 (0)
Specific Exercise Recommendations 25 (42.4) 27 (45.8) 5 (8.5) 2 (3.4) 0 (0)
  1. Write-in interventions: passive modalities (n = 3), Proprioceptive Taping (n = 1), Home self-traction (n = 1), Aquatic Therapy (n = 1), Complementary and Natural Medicine (n = 1)
  2. HVLA = High Velocity, Low Amplitude Manipulation