• JK

WHAT DID THE EVIDENCE SAY ABOUT THE EFFECTS OF SPINAL MANIPULATION IN CHRONIC LOW BACK PAIN?

Updated: Aug 8



One systematic review found that spinal manipulation produces similar effects to recommended therapies (exercise, cognitive behavioural therapy, drug intervention) of chronic low back pain, whereas spinal manipulation seems to be better than non-recommended interventions (light soft tissue massage, no treatment, wait and see approach, electrotherapies) for improvement in function in the short term (Rubinstein et al., 2019).


A trial that examined the effects between two types of manipulations (therapist manipulated the most painful level vs the therapist manipulated a segment far from the most painful level) revealed that there is no statistical nor clinical difference of import between the two interventions (Oliveira et al., 2020).


Based on the findings, shared decision making in the selection of treatments should be encouraged by considering either the patient's preferences and perspectives as well as the therapist's skills and preferences. The therapist may choose their preferred manipulation.


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