Review finds limited value for spinal manipulation in acute LBP

February 6, 2013
Review finds limited value for spinal manipulation in acute LBP
Spinal manipulative therapy (SMT) is no more effective a treatment for acute low back pain than inert interventions, sham SMT, or as adjunct therapy, according to the results of an updated systematic literature review published in the Feb. 1 issue of Spine.

(HealthDay)—Spinal manipulative therapy (SMT) is no more effective a treatment for acute low back pain than inert interventions, sham SMT, or as adjunct therapy, according to the results of an updated systematic literature review published in the Feb. 1 issue of Spine.

Sidney M. Rubinstein, Ph.D., of the VU University Medical Center in Amsterdam, and colleagues conducted a systematic review of 20 randomized, controlled trials, involving 2,674 patients, to assess the effects of SMT on acute . The effects of SMT were compared with inert interventions, sham SMT, other interventions, and adjunct SMT.

Twelve of the trials were not included in a previous review. The researchers found that six trials had a low risk of bias. Low- to very-low quality evidence suggested no difference for SMT compared with inert interventions, sham SMT, or adjunct SMT for the outcomes of and functional status. Variable quality of evidence suggested no difference in the effect of SMT versus other interventions. Sparse data were identified to show any impact of SMT on recovery, return-to-work, , or cost of care. SMT was not associated with any serious complications.

"SMT is no more effective for acute low back pain than inert interventions, sham SMT, or as adjunct therapy. SMT also seems to be no better than other recommended therapies," the authors write. "Our evaluation is limited by the few numbers of studies; therefore, future research is likely to have an important impact on these estimates."

Explore further: Samsung, STMicroelectronics, Metalink Unveil Wireless HD IPTV Set-Top Box at CeBIT

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Self-management has small effect on low back pain

June 5, 2012

(HealthDay) -- Compared to minimal interventions, self-management has a small effect on pain and disability in non-specific low back pain (LBP), according to a review published online May 23 in Arthritis Care & Research.

Spine education seems ineffective in pain prevention

December 10, 2012

(HealthDay)—Educational interventions, mainly focused on a biomechanical/biomedical model, do not seem to be effective in preventing low back pain, according to a review published in the December issue of the European Spine ...

Recommended for you

In sub-Saharan Africa, cancer can be an infectious disease

August 26, 2016

In 1963, Irish surgeon Denis Parson Burkitt airmailed samples of an unusual jaw tumor found in Ugandan children to his colleague, Anthony Epstein, at Middlesex Hospital in London. Epstein, an expert in chicken viruses and ...

Zika virus may persist in the vagina days after infection

August 25, 2016

The Zika virus reproduces in the vaginal tissue of pregnant mice several days after infection, according to a study by Yale researchers. From the genitals, the virus spreads and infects the fetal brain, impairing fetal development. ...

Team discovers how Zika virus causes fetal brain damage

August 24, 2016

Infection by the Zika virus diverts a key protein necessary for neural cell division in the developing human fetus, thereby causing the birth defect microcephaly, a team of Yale scientists reported Aug. 24 in the journal ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.