Spinal Manipulative Therapy for Acute Low Back Pain: An Update of the Cochrane Review

@article{Rubinstein2013SpinalMT,
  title={Spinal Manipulative Therapy for Acute Low Back Pain: An Update of the Cochrane Review},
  author={Sidney M. Rubinstein and Caroline B. Terwee and Willem Jj Assendelft and Michiel R de Boer and Maurits W. van Tulder},
  journal={Spine},
  year={2013},
  volume={38},
  pages={E158–E177}
}
Study Design. Systematic review of interventions. Objective. To assess the effects of spinal manipulative therapy (SMT) for acute low back pain. Summary of Background Data. SMT is one of many therapies for the treatment of low back pain, which is a worldwide, extensively practiced intervention. Methods. An experienced librarian searched for randomized controlled trials (RCTs) in multiple databases up to March 13, 2011. RCTs that examined manipulation or mobilization in adults with acute low… 
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The addition of lumbar manipulation to exercise did not benefit adolescents with acute LBP and there was not an increased risk of an adverse reaction noted in this study from lUMar manipulation performed on adolescents.
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TLDR
MTM provides greater short-term reductions in self-reported disability and pain scores compared with UMC or MAM as well as claims that MAM is an effective alternative to MTM have yet to be substantiated.
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TLDR
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Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain
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It is suggested that spinal manipulative therapy may be as effective as other recommended therapies for the management of non-specific and chronic primary spine pain, including standard medical care or physical therapy.
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TLDR
SMT is unlikely to result in relevant early pain reduction in patients with acute low back pain and stratified analyses provided no evidence for potential benefits of SMT in specific patient groups.
Effectiveness of Four Conservative Treatments for Subacute Low Back Pain: A Randomized Clinical Trial
TLDR
For subacute low back pain, combined joint manipulation and myofAscial therapy was as effective as joint manipulation or myofascial therapy alone, and back school was aseffective as three manual treatments.
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TLDR
Comparison of the two groups indicated that patients who received manipulative treatment were much more likely to report immediate relief after the first treatment, and at discharge, there was no significant difference between theTwo groups because both showed substantial improvement.
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TLDR
Manipulative therapy as part of a multidimensional approach may be more effective than standard physical therapy in treating Acute Nonspecific Low Back Pain and no significant effects were found for pain of mobility.
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TLDR
For acute low back pain, there was no difference between the effects of a combined manipulative therapy and interferential Therapy package and either manipulative therapy or interferential therapy alone.
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TLDR
A primary care osteopathy clinic improved short-term physical and longer term psychological outcomes, at little extra cost, and is needed to assess the generalizability of this approach.
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