Cost-effectiveness of spinal manipulation, exercise, and self-management for spinal pain

This study estimates the cost-effectiveness of SMT, supervised exercise and self-management for spinal pain in the U.S. using an individual participant data meta-analysis approach.

Educational Objectives

Educational Aim:

To estimate the cost-effectiveness of Spinal Manipulative Therapy (SMT), Supervised Exercise Therapy (ET) and Home Exercise and Advice (HEA) for spinal pain in U.S. settings from both societal and healthcare perspectives. 

Educational Outcomes:
Upon completion of this module practitioners should have a clear understanding of:

1. The specific spinal pain populations (e.g., acute neck pain, back-related leg pain) for which SMT is likely cost-effective relative to less intensive care. 
2. The limitations that prevented meta-analysis, including high heterogeneity in cost-effectiveness findings across trials. 
3. The general finding that ET is often not favorable relative to home exercise programs due to consistently higher costs with mixed outcomes. 

Instructions for this Module

• Read the supplied reading material and complete the quiz that follows;
• You have three attempts to pass the quiz;
• The pass grade is 70%;
• You need to pass the quiz to claim your CPD certificate;
• Please click on the CPD certificate link below to claim your CPD certificate and to update your CPD Manager.

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