Kramer CD,et al.
J Man Manip Ther. 2013 Nov;21(4):177-86. doi: 10.1179/2042618613Y.0000000036.

Abstract
OBJECTIVES: To describe a program to translate evidence into practice for the use of manipulation with a sub-group of patients with low back pain and report the program’s outcomes following implementation. We compared outcomes based on appropriate inclusion in the program and compliance with the evidence being translated.

METHODS: The evidence translation program was based on evidence that patients meeting two criteria (duration of symptoms

RESULTS: A total of 577 patients entered the evidence translation program (mean age  =  43.0, 56.8% female); 79.5% were appropriate inclusions and 83.0% received manipulation. The use of manipulation was associated with fewer visits (mean difference  =  0.54 visits, 95% CI: 0.037, 1.04, P  =  0.035), and appropriate inclusion was associated with greater Oswestry change (mean difference at the final visit  =  6.6 points, 95% CI: 1.6, 11.6; P  =  0.010).

DISCUSSION: Implementing evidence into practice is difficult; however, barriers can be anticipated and overcome. Tracking the outcomes of an implementation program is critical to evaluating its benefit to patients. Additional research using experimental designs are necessary to evaluate the effectiveness of various treatments implemented in physical therapy practice.

PubMed Reference: http://www.ncbi.nlm.nih.gov/m/pubmed/24421630/