Evidence map›Paper›PMID 16574972›Full record

SynthesisJournal of the Royal Society of Medicine2006

A systematic review of systematic reviews of spinal manipulation.

E Ernst, P H Canter

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of the Royal Society of Medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04082065 (Cyriax Manipulation in Lumbar Internal Derangement Syndrome), which is not on this map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
70.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04082065 nacompletednot on this mapstarted 2018, after this paper: background citation

Cyriax Manipulation in Lumbar Internal Derangement Syndrome

TypeinterventionalSponsorRiphah International UniversityRan2018 to 2018Enrolled43ConditionsDerangement, Low BackArmsconventional physical therapy, cyriax lumber manipulation group
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 154 citations in OpenAlex.

  1. Colic in infants.BMJ clinical evidence · 2010
    Pooled it
  2. Guideline
  3. Adverse effects of spinal manipulation: a systematic review.Journal of the Royal Society of Medicine · 2007
    Pooled it
  4. Pooled it
  5. Trial
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  8. Review
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  10. Review
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  13. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

E ErnstComplementary Medicine, Peninsula Medical School, Universities of Exeter & Plymouth, 25 Victoria Park Road, Exeter EX2 4NT, UK. Edzard.Ernst@pms.ac.uk
P H Canter

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo systematically collate and evaluate the evidence from recent systematic reviews of clinical trials of spinal manipulation.

designLiterature searches were carried out in four electronic databases for all systematic reviews of the effectiveness of spinal manipulation in any indication, published between 2000 and May 2005. Reviews were defined as systematic if they included an explicit and repeatable inclusion and exclusion criteria for studies.

resultsSixteen papers were included relating to the following conditions: back pain (n=3), neck pain (n=2), lower back pain and neck pain (n=1), headache (n=3), non-spinal pain (n=1), primary and secondary dysmenorrhoea (n=1), infantile colic (n=1), asthma (n=1), allergy (n=1), cervicogenic dizziness (n=1), and any medical problem (n=1). The conclusions of these reviews were largely negative, except for back pain where spinal manipulation was considered superior to sham manipulation but not better than conventional treatments.

conclusionsCollectively these data do not demonstrate that spinal manipulation is an effective intervention for any condition. Given the possibility of adverse effects, this review does not suggest that spinal manipulation is a recommendable treatment.

Indexed as

AsthmaClinical Trials as TopicDizzinessHumansHypersensitivityManipulation, SpinalPain ManagementReview Literature as TopicTreatment Outcome

Identifiers

PMID16574972
PMCPMC1420782
OpenAlexW1969591259

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.