United Kingdom back pain exercise and manipulation (UK BEAM) trial

doi:10.1136/bmj.330.7492.674-a

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Is manipulation the most cost effective addition to “best care”?

Torill H Tveito, research fellow (Torill.Tveito@psych.uib.no),
Hege R Eriksen, professor

Department of Biological and Medical Psychology, University of Bergen, Jonas Liesvei 91, N-5009 Bergen, Norway
Department of Biological and Medical Psychology, University of Bergen, Jonas Liesvei 91, N-5009 Bergen, Norway

EDITOR—We are surprised by the conclusions of the two papers by the UK BEAM Trial Team.12 The authors compared three interventions: manipulation, exercise, and the combination of manipulation and exercise. In the recently published European guidelines for treatment of chronic low back pain (http://www.backpaineurope.org/) the trial is rated as of …