Evidence map›Paper›PMID 40470451›Full record

ReviewCureus2025

Osteopathic Manipulative Treatment for Chronic Low Back Pain and Musculoskeletal Pain in Remote Underserved Populations: A Systematic Literature Review.

Arielle Friedman, Reena Sheth, Jill Wallace-Ross

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Arielle FriedmanOsteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Reena ShethFoundational Sciences, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Jill Wallace-RossFamily Medicine, Nova Southeastern University, Fort Lauderdale, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic musculoskeletal pain, particularly chronic low back pain (CLBP), is a prevalent issue among rural populations, where limited access to healthcare exacerbates the condition and significantly impacts various aspects of daily life. The effects of chronic pain and healthcare barriers extend beyond physical health, influencing mental well-being, physical activity, and overall functionality as rural populations age. This complex healthcare challenge requires further investigation to identify effective, culturally relevant, and cost-efficient solutions. Proposed approaches include osteopathic manipulative treatment (OMT), telehealth, and alternative education models designed to incentivize healthcare professionals to serve these communities while respecting their cultural values and societal needs. Medical missions and volunteer healthcare efforts are already making strides in alleviating the impact of CLBP, which can lead to mental health decline, reduced mobility, and functional impairments. This systematic literature review synthesizes recent research on the effectiveness of OMT in managing chronic musculoskeletal pain, with a particular focus on low back pain (LBP) in underserved and rural populations. It examines how biopsychosocial factors and healthcare access influence treatment outcomes, while also proposing strategies for improving healthcare access through innovative education models and the use of technology. The review also considers the importance of community engagement and cultural sensitivity in these approaches. By analyzing research articles published between 2013 and 2023 from Google Scholar and PubMed, along with additional articles identified through a manual search of the

Indexed as

low back painmedically-underserved areasmusculoskeletal painosteopathic manipulative medicine (omm)osteopathic manipulative treatment (omt)outreach medical campsremote populationsrural and underserved communitiestelehealth

Identifiers

PMID40470451
PMCPMC12136237

What OpenQuestion holds

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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.