Evidence map›Paper›PMID 24679336›Full record

ArticleChiropractic & manual therapies2014

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report.

Christine Clar, Alexander Tsertsvadze, Rachel Court, Gillian Lewando Hundt, Aileen Clarke, Paul Sutcliffe

3 registry-linked trialsOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Chiropractic & manual therapies, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 74 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 12 pooled it
14.7field-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.

NCT06533345 narecruitingnot on this mapstarted 2024, after this paper: background citation

MERCI Chronic Pain Research Clinic (Medical Education and Research in Compassionate Integration/Intervention)

TypeinterventionalSponsorEdward Via Virginia College of Osteopathic MedicineRan2024 to 2027Enrolled120ConditionsChronic PainArmsBehavior Change Coaching, Nutrition, Autonomic Recalibration, Dry Needling, Osteopathic Manipulative Treatment
NCT06603168 nacompletednot on this mapstarted 2023, after this paper: background citation

Autonomic Recalibration Approach to Myofascial Pain Elimination

TypeinterventionalSponsorEdward Via Virginia College of Osteopathic MedicineRan2023 to 2024Enrolled20ConditionsChronic Pain (Back / Neck), Autonomic DysregulationArmsAutonomic Recalibration Treatment
NCT06950541 nacompletednot on this mapstarted 2023, after this paper: background citation

The Impact of Myofascial Therapy on Connective Tissue

TypeinterventionalSponsorJózef Piłsudski University of Physical EducationRan2023 to 2024Enrolled295ConditionsPainful, Fascial Manipulation, Fascia, PainArmsMyofascial therapy, Deep Tissue Massage
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 12 syntheses or guidelines pooled it, 187 citations in OpenAlex.

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  5. Manual therapy for the pediatric population: a systematic review.BMC complementary and alternative medicine · 2019
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  12. Exercises for mechanical neck disorders.The Cochrane database of systematic reviews · 2015
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Christine Clar
Alexander Tsertsvadze
Rachel Court
Gillian Lewando Hundt
Aileen Clarke
Paul SutcliffePopulations, Evidence and Technologies, Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry CV4 7AL, England. p.a.sutcliffe@warwick.ac.uk.
University of Warwick · GB

Funding

Department of Health WMCLAHRC-2014-1
6 · The paper itself

Abstract

backgroundThis systematic review updated and extended the "UK evidence report" by Bronfort et al. (Chiropr Osteopath 18:3, 2010) with respect to conditions/interventions that received an 'inconclusive' or 'negative' evidence rating or were not covered in the report.

methodsA literature search of more than 10 general medical and specialised databases was conducted in August 2011 and updated in March 2013. Systematic reviews, primary comparative studies and qualitative studies of patients with musculoskeletal or non-musculoskeletal conditions treated with manual therapy and reporting clinical outcomes were included. Study quality was assessed using standardised instruments, studies were summarised, and the results were compared against the evidence ratings of Bronfort. These were either confirmed, updated, or new categories not assessed by Bronfort were added.

results25,539 records were found; 178 new and additional studies were identified, of which 72 were systematic reviews, 96 were randomised controlled trials, and 10 were non-randomised primary studies. Most 'inconclusive' or 'moderate' evidence ratings of the UK evidence report were confirmed. Evidence ratings changed in a positive direction from inconclusive to moderate evidence ratings in only three cases (manipulation/mobilisation [with exercise] for rotator cuff disorder; spinal mobilisation for cervicogenic headache; and mobilisation for miscellaneous headache). In addition, evidence was identified on a large number of non-musculoskeletal conditions not previously considered; most of this evidence was rated as inconclusive.

conclusionsOverall, there was limited high quality evidence for the effectiveness of manual therapy. Most reviewed evidence was of low to moderate quality and inconsistent due to substantial methodological and clinical diversity. Areas requiring further research are highlighted.

Identifiers

PMID24679336
PMCPMC3997823
OpenAlexW2137278995

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.