Spinal Manipulation and Clinician-Supported Self-Management for Preventing Chronic Low Back Pain Impact: The PACBACK Randomized Clinical Trial.

A randomized clinical trial published in JAMA Internal Medicine examined whether spinal manipulation combined with clinician-supported self-management could prevent acute low back pain from progressing to a chronic condition. The PACBACK trial compared this combined early intervention approach against usual care to assess long-term outcomes in patients with subacute low back pain. Findings from this study are directly relevant to physical therapists seeking evidence-based strategies for early management of low back pain to reduce chronicity.

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