Evidence map›Paper›PMID 38353102›Full record

SynthesisThe Journal of manual & manipulative therapy2024

Efficacy of manual therapy for sacroiliac joint pain syndrome: a systematic review and meta-analysis of randomized controlled trials.

Robert J Trager, Anthony N Baumann, Hudson Rogers, Joshua Tidd, Kevin Orellana, Gordon Preston, Keith Baldwin

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of manual & manipulative therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Guideline
  2. Management of sacroiliac joint pain: current concepts.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
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

7 authors at 4 institutions in 1 country.

Robert J TragerConnor Whole Health, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Anthony N BaumannCollege of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA.ORCID 0000-0002-4175-3135
Hudson RogersCollege of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA.
Joshua TiddCollege of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA.
Kevin OrellanaDepartment of Orthopedic Surgery, Children's Hospital of Philadelphia, Philadelphia, OH, USA.
Gordon PrestonDepartment of Orthopedic Surgery, Cleveland Clinic Akron General, Akron, OH, USA.
Keith BaldwinDepartment of Orthopedic Surgery, Children's Hospital of Philadelphia, Philadelphia, OH, USA.
Northeast Ohio Medical University · USChildren's Hospital of Philadelphia · USCleveland Clinic · USDuke University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study examined the efficacy of manual therapy for pain and disability measures in adults with sacroiliac joint pain syndrome (SIJPS).

methodsWe searched six databases, including gray literature, on 24 October 2023, for randomized controlled trials (RCTs) examining sacroiliac joint (SIJ) manual therapy outcomes via pain or disability in adults with SIJPS. We evaluated quality via the Physiotherapy Evidence Database scale and certainty via Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Standardized mean differences (SMDs) in post-treatment pain and disability scores were pooled using random-effects models in meta-regressions.

resultsWe included 16 RCTs (421 adults; mean age = 37.7 years), with 11 RCTs being meta-analyzed. Compared to non-manual physiotherapy (i.e. exercise ± passive modalities; 10 RCTs) or sham (1 RCT) interventions, SIJ manual therapy did not significantly reduce pain (SMD: -0.88; 95%-CI: -1.84; 0.08,

conclusionSIJ manual therapy appears efficacious for improving disability in adults with SIJPS, while its efficacy for pain is uncertain. It is unclear which specific manual therapy techniques may be more efficacious. These findings should be interpreted cautiously until further high-quality RCTs are available examining manual therapy against control groups such as exercise. REGISTRATION: PROSPERO (CRD42023394326).

Indexed as

Musculoskeletal ManipulationsRandomized Controlled Trials as TopicSacroiliac JointAdultArthralgiaDisability EvaluationFemaleHumansMalePain MeasurementTreatment Outcomechiropracticchiropractic manipulationlow back painManual Therapymeta-analysismusculoskeletal manipulationsosteopathic manipulationPhysical therapysacroiliac joint

Identifiers

PMID38353102
PMCPMC11578406
OpenAlexW4391815115

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.