Evidence map›Paper›PMID 41074110›Full record

ArticleChiropractic & manual therapies2025

Exploring the use of manual therapy in the management of traumatic brain injury: a scoping review.

Tristan Delion, Aurelien Noyer, Matthieu Gonzalès-Bandrès, Loïc Treffel, Gerard Farrell, Hélène Cassoudesalle, Mathieu Ménard

Abstract readScoping Review
In one paragraph

Article in Chiropractic & manual therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Concussion: A Comprehensive Review of Current Evidence.Current reviews in musculoskeletal medicine · 2026
    Review
  2. 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

7 authors.

Tristan DelionCollège Ostéopathique de Bordeaux, 33700, Mérignac, France. tristan.delion@cob-osteopathie.fr.
Aurelien NoyerThe UCO School of Osteopathy, Health Science University, London, UK.
Matthieu Gonzalès-BandrèsInstitut Dauphine d'Ostéopathie, 75005, Paris, France.
Loïc TreffelInstitut Toulousain d'Ostéopathie, Pôle Recherche, 31670, Toulouse, France.
Gerard FarrellCentre for Health, Activity, and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
Hélène CassoudesalleUniversité de Bordeaux, INSERM, BPH, U1219, ACTIVE Team, Bordeaux, France.
Mathieu MénardUniversité Rennes, IO-RB, INRIA, M2S, Rennes, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo comprehensively map the literature on the use of manual therapy (MT) in the management of traumatic brain injury (TBI).

backgroundTBI is a leading cause of long-term disability worldwide, often resulting in persistent physical, cognitive, and emotional symptoms. MT, which is commonly used by chiropractors, osteopaths and physiotherapists (COPs), has been proposed as a nonpharmacological intervention for post-TBI symptom management. However, the scope of supporting evidence remains unclear.

designScoping Review.

methodsFour databases and Google Scholar were searched for peer-reviewed studies published in English or French from 2010 onwards. The inclusion criteria targeted all severities of TBI, with MT interventions delivered by COPs. Data extraction and assessment of methodological reporting were conducted independently by two reviewers via standardised tools.

resultsForty-two articles were included, comprising primarily case reports, case series, and randomised controlled trials. Most studies have investigated mild, sport-related TBI and described MT interventions targeting headache, neck pain, and dizziness-often delivered within multimodal care frameworks. A subset of studies has also explored the impact of MT on cognitive, emotional, or sleep-related symptoms, suggesting potential benefits beyond physical outcomes. Moderate to severe TBI has rarely been examined. Reporting limitations were common, particularly regarding adverse events.

conclusionThe literature reflects a growing interest in the use of MT for mild, sport related TBI, primarily for managing physical symptoms. Further research is needed to explore broader applications across different populations and TBI severities, investigate underlying MT mechanisms and improve the reporting of safety outcomes.

Indexed as

Brain Injuries, TraumaticMusculoskeletal ManipulationsHumansChiropracticMusculoskeletal manipulationsOsteopathyPhysiotherapyPost-concussion syndromeTraumatic brain injury

Identifiers

PMID41074110
PMCPMC12512715

What OpenQuestion holds

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LicenceCC BY
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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.