No. | A list of patient characteristics that could help predict instantaneous relief from LBP following SMT | Percentage of participants who responded that the item is positively predictive (%) | ||
---|---|---|---|---|
Round 1 | Round 2 | Round 3 | ||
1. | Duration of symptoms < 16 days | 94 | 94 | 88 |
2. | Morning stiffness ⩽ 30 mins | 94 | 69 | – |
3. | A history including a good response to previous spinal manipulation | 94 | 100 | 100 |
4. | Good patient-practitioner relationship | 94 | 94 | 100 |
5. | No symptoms distal to the knee | 88 | 88 | 82 |
6. | Patient has an acute condition (< 14 days) | 88 | 94 | 82 |
7. | Professional opinion of health status - excellent/ very good | 88 | 94 | 94 |
8. | Fear Avoidance Beliefs Questionnaire work scale score less than 19 out of a high of 42 (low fear category) | 81 | 81 | 88 |
9. | Professional opinion of health status – good | 81 | 88 | 82 |
10 | Patient has a comprehensive understanding of condition | 81 | 75 | 82 |
11. | Hypomobility in the lumbar spine | 75 | 69 | – |
12. | Pain improves with exercise, but not rest | 75 | 88 | 88 |
13. | Patient has a sub-acute condition (15 days to 3 months) | 75 | 56 | – |
14. | Age 31–49 | 75 | 63 | – |
15. | Decreased active range of motion | 75 | 81 | 82 |
16. | Pain intermittently during the day | 69 | 63 | – |
17. | Previous episode of non-specific LBP in patient history | 69 | 38 | – |
18. | Decreased passive range of motion | 69 | 75 | 82 |
19. | No symptoms in the lower extremities | 69 | 81 | 94 |
20. | Pain severity rated ⩽ 5/10 | 69 | 69 | – |
21. | Experiences stiffness after rest (gel phenomenon) | 63 | 44 | – |
22. | Pain associated with getting out of a chair | 63 | 44 | – |
23. | Pain affecting activities of daily living | 63 | 44 | – |
24. | Pain associated with bending forward a little | 56 | 38 | – |
25. | Pain associated with arching backwards | 56 | 69 | |
26. | Age 10–30 | 56 | 44 | – |
27. | Recurrent attack of pain | 50 | 38 | – |
28. | First episode of pain | 50 | 25 | – |
29. | Pain associated with standing for a while | 44 | 38 | – |
30. | Pain associated with lifting | 44 | 13 | – |
31. | Pain associated with bending forward as far as they can | 44 | 31 | – |
32. | Age 50+ | 44 | 19 | – |
33. | Pain on waking, duration ⩽ 30 mins | 38 | 13 | – |
34. | At least one hip with > 35 degrees of internal rotation | 31 | 13 | – |
35. | Pain on waking, duration > 30 mins | 31 | 19 | – |
36. | Pain associated with repetitive bending | 31 | 6 | – |
37. | Pain associated with running | 31 | 19 | – |
38. | Patient BMI < 35 | 31 | 13 | – |
39. | Patient responds well to anti-inflammatory medicine | 31 | 25 | – |
40. | Pain severity rated > 5/10 | 31 | 19 | – |
41. | Pain associated with doing or attempting to do a sit up | 25 | – | – |
42. | Pain associated with driving long distances | 25 | – | – |
43. | Female | 25 | – | – |
44. | Male | 25 | – | – |
45. | Pain present at all times | 19 | – | – |
46. | Pain develops later in the day | 19 | – | – |
47. | Pain associated with coughing or sneezing | 19 | – | – |
48. | Morning stiffness > 30 mins | 15 | – | – |
49. | Pain wakes the patient at night | 13 | – | – |
50. | Patient has a chronic condition (> 3 months) | 13 | – | – |
51. | Patient BMI ≥ 35 | 13 | – | – |
52. | Professional opinion of health status – fair/poor | 7 | – | – |
53. | Patient experiencing depression | 7 | – | – |
54. | Patient experiences anxiety | 7 | – | – |
55. | Patient is stressed | 7 | – | – |
56. | Pain onset related to a specific physical activity | n/a | 56 | – |
57. | The production of a clicking sound (cavitation) at the moment of thrust | n/a | 81 | 76 |
58. | Taking a comprehensive history | n/a | 75 | 65 |
59. | Practitioner understanding of patient expectations and goals | n/a | 88 | 94 |
60. | Close reproduction of symptoms on spinal springing and/ or end range loading | n/a | 81 | 76 |
61. | Patient susceptible to placebo effect | n/a | 88 | 88 |
62. | Patient has trust and confidence in the practitioner | n/a | 81 | 100 |