Spinal Manipulative Therapy for Chronic Low-Back Pain: An Update of a Cochrane Review

@article{Rubinstein2011SpinalMT,
  title={Spinal Manipulative Therapy for Chronic Low-Back Pain: An Update of a Cochrane Review},
  author={Sidney M Rubinstein and Marienke van Middelkoop and Willem Jj Assendelft and Michiel Robert de Boer and Maurits W. van Tulder},
  journal={Spine},
  year={2011},
  volume={36},
  pages={E825–E846}
}
Study Design. Systematic review of interventions. Objective. To assess the effects of spinal manipulative therapy (SMT) for chronic low-back pain. Summary of Background Data. SMT is one of the many therapies for the treatment of low-back pain, which is a worldwide, extensively practiced intervention. Methods. Search methods. An experienced librarian searched for randomized controlled trials (RCTs) in multiple databases up to June 2009. Selection criteria. RCTs that examined manipulation or… 
Does the inclusion of spinal manipulative therapy in multimodal treatment regimens result in better outcomes in chronic low back pain? A systematic review
TLDR
There is moderate quality evidence that the addition of SMT to multimodal treatment regimens for chronic LBP results in better outcomes in terms of pain and function as compared to other conservative interventions.
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TLDR
Clinically relevant effects of OMT were found for reducing pain and improving functional status in patients with acute and chronic nonspecific LBP and for LBP in pregnant and postpartum women at 3 months posttreatment.
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TLDR
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Spinal Manipulative Therapy and Other Conservative Treatments for Low Back Pain: A Guideline From the Canadian Chiropractic Guideline Initiative
TLDR
A multimodal approach including SMT, other commonly used active interventions, self‐management advice, and exercise is an effective treatment strategy for acute and chronic back pain, with or without leg pain.
Is manipulative therapy more effective than sham manipulation in adults?: a systematic review and meta-analysis
TLDR
Manipulative therapy has a clinical relevant effect on pain, but not on disability or perceived (asthma) recovery, and there is very low level of evidence that manipulative therapy has no statistically significant effect on disability and perceived (alleged) recovery.
Short-Term Usual Chiropractic Care for Spinal Pain: A Randomized Controlled Trial
TLDR
Short-term chiropractic treatment was superior to sham; however, treatment effects were not clinically important, and awareness of treatment assignment and clinically important reductions in pain were associated with chiropractor treatment satisfaction.
Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis
TLDR
Protocols using painful exercises offer a small but significant benefit over pain-free exercises in the short term, with moderate quality of evidence, and in the medium and long term there is no clear superiority of one treatment over another.
Spinal Manipulative Therapy for Chronic Lower Back Pain in Older Veterans
TLDR
The SMT did not result in greater improvement in pain when compared to the authors' sham intervention; however,SMT did demonstrate a slightly greater improved in disability at 12 weeks, suggesting the presence of a nonspecific therapeutic effect.
Dose-response and efficacy of spinal manipulation for care of chronic low back pain: a randomized controlled trial.
TLDR
The number of spinal manipulation visits had modest effects on cLBP outcomes above those of 18 hands-on visits to a chiropractor, and 12 visits yielded the most favorable results but was not well distinguished from other dose levels.
Manipulative therapy for lower extremity conditions: update of a literature review.
TLDR
There is a level of B for short-term and C for long-term treatment of knee osteoarthritis, patellofemoral pain syndrome, and ankle inversion sprain and further research is needed on MT as a treatment of lower extremity conditions, specifically larger trials with improved methodology.
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TLDR
It is concluded that spinal manipulation does not producing clinically worthwhile decreases in pain compared with sham treatment, and does not produce clinically worthwhile reductions in disability compared with NSAIDs for patients with chronic low back pain.
Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials
TLDR
Overall, OMT significantly reduced low back pain and the level of pain reduction is greater than expected from placebo effects alone and persists for at least three months.
Osteopathic Manipulative Treatment for Chronic Low Back Pain: A Randomized Controlled Trial
TLDR
Osteopathic manipulative treatment and sham manipulation both appear to provide some benefits when used in addition to usual care for the treatment of chronic nonspecific low back pain.
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TLDR
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TLDR
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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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