ArticleInternational journal of sports physical therapy2012
Effectiveness of physical therapist administered spinal manipulation for the treatment of low back pain: a systematic review of the literature.
Article in International journal of sports physical therapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis.British journal of sports medicine · 2022Pooled it
- The risk associated with spinal manipulation: an overview of reviews.Systematic reviews · 2017Pooled it
- Changes in Pain Catastrophizing and Fear-Avoidance Beliefs as Mediators of Early Physical Therapy on Disability and Pain in Acute Low-Back Pain: A Secondary Analysis of a Clinical Trial.Pain medicine (Malden, Mass.) · 2022Trial
- Tissue damage markers after a spinal manipulation in healthy subjects: a preliminary report of a randomized controlled trial.Disease markers · 2014Trial
- An international consensus on gaps in mechanisms of forced-based manipulation research: findings from a nominal group technique.The Journal of manual & manipulative therapy · 2024Article
- Definition and classification for adverse events following spinal and peripheral joint manipulation and mobilization: A scoping review.PloS one · 2022Article
- Use of thrust joint manipulation by student physical therapists in the United States during clinical education experiences.The Journal of manual & manipulative therapy · 2020Article
- Spinal manipulation does not affect pressure pain thresholds in the absence of neuromodulators: a randomized controlled trial.The Journal of manual & manipulative therapy · 2017Article
- Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence.PloS one · 2017Review
- Impact of Spinal Manipulation on Cortical Drive to Upper and Lower Limb Muscles.Brain sciences · 2016Article
- Safety of thrust joint manipulation in the thoracic spine: a systematic review.The Journal of manual & manipulative therapy · 2015Article
- Antinociceptive Effects of Spinal Manipulative Therapy on Nociceptive Behavior of Adult Rats during the Formalin Test.Evidence-based complementary and alternative medicine : eCAM · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background contextLow back pain (LBP) is a prevalent disorder in society that has been associated with increased loss of work time and medical expenses. A common intervention for LBP is spinal manipulation, a technique that is not specific to one scope of practice or profession. PURPOSE: The purpose of this systematic review was to examine the effectiveness of physical therapy spinal manipulations for the treatment of patients with low back pain.
methodsA search of the current literature was conducted using PubMed, CINAHL, SPORTDiscus, Pro Quest Nursing and Allied Health Source, Scopus, and Cochrane Controlled Trials Register. Studies were included if each involved: 1) individuals with LBP; 2) spinal manipulations performed by physical therapists compared to any control group that did not receive manipulations; 3) measurable clinical outcomes or efficiency of treatment measures, and 4) randomized control trials. The quality of included articles was determined by two independent authors using the criteria developed and used by the Physiotherapy Evidence Database (PEDro).
resultsSix randomized control trials met the inclusion criteria of this systematic review. The most commonly used outcomes in these studies were some variation of pain rating scales and disability indexes. Notable results included varying degrees of effect sizes favoring physical therapy spinal manipulations and minimal adverse events resulting from this intervention. Additionally, the manipulation group in one study reported statistically significantly less medication use, health care utilization, and lost work time.
conclusionBased on the findings of this systematic review there is evidence to support the use of spinal manipulation by physical therapists in clinical practice. Physical therapy spinal manipulation appears to be a safe intervention that improves clinical outcomes for patients with low back pain.
Indexed as
Identifiers
23316428PMC3537457W113633989What OpenQuestion holds
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.