Inclusion criteria | Rationale |
Acute, sub-acute, or chronic low back pain matching Quebec Task Force classifications 1, 2, 3, or 7 | Low back pain, uncomplicated by known nerve root compression, neurological signs, or prior surgery |
Exclusion criteria | Rationale |
Bleeding disorders | Potential intolerance to biomechanical testing or treatment protocols |
Vascular claudication | Potential intolerance to biomechanical testing protocols |
Bone and joint abnormality | Potential intolerance to biomechanical testing or treatment protocols |
Inflammatory or destructive tissue changes to the spine | Potential intolerance to biomechanical testing or treatment protocols |
Osteoporosis | Potential intolerance to biomechanical testing or treatment protocols |
General poor health | Overall condition is too poor to tolerate treatment and biomechanical testing procedures |
Neuromuscular diseases | Condition may interfere with data collection/interpretation |
Peripheral neuropathies | Condition may interfere with data collection/interpretation |
Prior spinal surgery | Condition may interfere with data collection/interpretation |
Suspicion of drug or alcohol abuse | Condition may interfere with data collection, ability to comply with study protocol, and requires referral |
Contraindication to spinal manipulation | Safety concern for treatment protocols |
Low back pain matching Quebec Task Force classifications 4 to 6 and 8 to 11 | Condition of sufficiently complicated nature to cause intolerance to biomechanical testing procedures or data collection |
Cauda equina syndrome | Requires emergency surgical evaluation |
Further diagnostic procedures other than dipstick urinalysis or X-rays | Advanced diagnostic tests outside study scope |
Compliance concerns | May compromise ability to adhere to study protocol |