Abstract
Objective
To describe the use of manipulative treatment for shoulder and spine conditions among
various provider types.
Design
Retrospective observational cohort.
Setting
Single military hospital.
Participants
Consecutive sample of patients (N=7566) seeking care for an initial spine or shoulder
condition from January 1 to December 31, 2009.
Interventions
Manipulative treatment (eg, manual therapy, spinal and joint manipulation).
Main Outcome Measure
Manipulation treatment was identified with procedure billing codes in the medical
records. Spine and shoulder conditions were identified by using the International Classification of Diseases, 9th Revision codes. All data were abstracted from the Department of Defense Military Health System
Management and Analysis Tool.
Results
Of 7566 total patients seeking care, 2014 (26.6%) received manipulative treatment
at least once, and 1870 of those received this treatment in a military facility (24.7%).
Manipulative treatment was used most often for thoracic conditions and least often
for shoulder conditions (50.8% and 24.2% of all patients). There was a total of 6706
unique medical visits with a manipulative treatment procedure (average of 3.3 manipulative
treatment procedure visits per patient).
Conclusions
Manipulative treatment utilization rates for shoulder and spine conditions ranged
from 26.6% to 50.2%. Chiropractors used manipulation the most and physical therapists
the least.
Keywords
List of abbreviations:
DC (Doctor of Chiropractic), DO (Doctor of Osteopathy), M2 (Military Health System Management Analysis and Reporting Tool)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: July 14, 2017
Footnotes
Current affiliation for Rhon, Center for the Intrepid, Brooke Army Medical Center, San Antonio, TX.
Disclaimer: The view(s) expressed herein are those of the author(s) and do not reflect the official policy or position of Madigan Army Medical Center, Brooke Army Medical Center, the U.S. Army Medical Department, the U.S. Army Office of the Surgeon General, the Department of the Army, Department of Defense, or the U.S. Government.
Disclosures: none.
Identification
Copyright
Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine
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- CorrectionArchives of Physical Medicine and RehabilitationVol. 99Issue 8
- PreviewThe article by Rhon, Greenlee and Fritz, Utilization of Manipulative Treatment for Spine and Shoulder Conditions Between Different Medical Providers in a Large Military Hospital, published in Archives of Physical Medicine and Rehabilitation 2018; 99: 72–81 ( https://doi.org/10.1016/j.apmr.2017.06.010 ), contained errors in the abstract. The value of 1870 is an error. The first sentence of the Results section should have read “and 1883 of those received this treatment in a military facility (24.7%).”
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