03.07.11

Effectiveness of manual therapies: the UK evidence report

Posted in Manual Therapy Works at 11:22 AM by Dr. Greathouse

Effectiveness of manual therapies: the UK evidence report

Chiropractic & Osteopathy 2010, 18:3 doi:10.1186/1746-1340-18-3

Conclusions

Spinal manipulation/mobilization is effective in adults for:

Ø    Acute, subacute, and chronic low back pain.

Ø    Migraine and cervicogenic headache; cervicogenic dizziness.

Manipulation/mobilization is effective for several extremity joint conditions; and thoracic manipulation/mobilization is effective for acute/subacute neck pain.

The evidence is inconclusive for cervical manipulation/mobilization alone for neck pain of any duration, and for manipulation/mobilization for mid back pain, sciatica, tension-type headache, coccydynia, temporomandibular joint disorders, fibromyalgia, premenstrual syndrome, and pneumonia in older adults. Spinal manipulation is not effective for asthma and dysmenorrhea when compared to sham manipulation, or for Stage 1 hypertension when added to an antihypertensive diet. In children, the evidence is inconclusive regarding the effectiveness for otitis media (ear aches) and enuresis (bedwetting), and it is not effective for infantile colic and asthma when compared to sham manipulation.

Massage is effective in adults for chronic low back pain and chronic neck pain. The evidence is inconclusive for knee osteoarthritis, fibromyalgia, myofascial pain syndrome, migraine headache, and premenstrual syndrome. In children, the evidence is inconclusive for asthma and infantile colic.

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