Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain

Paige, Neil M.; Miake-Lye, Isomi M; Booth, Marika; Beroes, Jessica M; Mardian, Aram S.; Dougherty, Paul; Branson, Richard; Tang, Baron; Morton, Sally C.; Shekelle, Paul G

doi:10.1001/jama.2017.3086

Cited by 174 publications

(130 citation statements)

References 64 publications

(155 reference statements)

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“…It appears that the muscle is incapable of returning to a normal resting length as long as this condition exists. While the effective length of the muscle is shortened, it is still capable of reducing further [26].…”

Section: Discussionmentioning

confidence: 99%

Effects of Muscle Energy Technique on Daily Activities and Lumbar Stiffness in Women With Sacroiliac Joint Dysfunction: A Randomized Controlled Clinical Trial Study

et al. 2019

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Introduction: Lumbar stiffness is a common complaint of patients with low back pain. The Muscle Energy Technique (MET) is a common intervention to treat the spine and sacroiliac joint dysfunctions and their resulting disability in daily activities. This research aimed to evaluate the effects of MET on pain, functional disability, and lumbar stiffness of patients with sacroiliac joint dysfunctions by considering the type of dysfunction and the orientation of the correcting maneuver. Materials and Methods:Fifty women with ant innominate or post innominate dysfunctions were recruited for the research and randomly divided into two groups (n=25). One group received one session of MET, and the other group received the sham position. Visual Analogue Scale (VAS), lumbar Stiffness Disability Index (SDI) and Oswestry Disability Index (ODI) were used for the evaluation of the participants before, 24 hours after and one week after the intervention.Results: According to the results, MET significantly decreased the mean range of VAS and ODI, 24 hours, and a week after the intervention (P<0.01). We did not see any significant difference in SDI values before, 24 hours, and one week after MET in the patients (P>0.01). Conclusion:Applying MET regarding the kind of dysfunction may reduce the patient's pain and disability.

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Section: Discussionmentioning

confidence: 99%

Effects of Muscle Energy Technique on Daily Activities and Lumbar Stiffness in Women With Sacroiliac Joint Dysfunction: A Randomized Controlled Clinical Trial Study

et al. 2019

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“…One explanation for these statistics is that, in the majority of LBP cases, the specific nociceptive source of LBP cannot be identified [1,3]. As such, the treatment of nonspecific LBP when the cause is unknown can lead to a wide variety of outcomes if interventions cannot be matched to the underlying etiology [4,5].…”

Section: Introductionmentioning

confidence: 99%

Potential mechanisms for lumbar spinal stiffness change following spinal manipulative therapy: a scoping review

et al. 2020

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Introduction: In individuals having low back pain, the application of spinal manipulative therapy (SMT) has been shown to reduce spinal stiffness in those who report improvements in post-SMT disability. The underlying mechanism for this rapid change in stiffness is not understood presently. As clinicians and patients may benefit from a better understanding of this mechanism in terms of optimizing care delivery, the objective of this scoping review of current literature was to identify if potential mechanisms that explain this clinical response have been previously described or could be elucidated from existing data. Methods: Three literature databases were systematically searched (MEDLINE, CINAHL, and PubMed). Our search terms included subject headings and keywords relevant to SMT, spinal stiffness, lumbar spine, and mechanism. Inclusion criteria for candidate studies were publication in English, quantification of lumbar spinal stiffness before and after SMT, and publication between January 2000 and June 2019. Results: The search identified 1931 articles. Of these studies, 10 were included following the application of the inclusion criteria. From these articles, 7 themes were identified with respect to potential mechanisms described or derived from data: 1) change in muscle activity; 2) increase in mobility; 3) decrease in pain; 4) increase in pressure pain threshold; 5) change in spinal tissue behavior; 6) change in the central nervous system or reflex pathways; and 7) correction of a vertebral dysfunction. Conclusions: This scoping review identified 7 themes put forward by authors to explain changes in spinal stiffness following SMT. Unfortunately, none of the studies provided data which would support the promotion of one theme over another. As a result, this review suggests a need to develop a theoretical framework to explain rapid biomechanical changes following SMT to guide and prioritize future investigations in this important clinical area.

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“…6,7 Chiropractic care is popular among patients, 8,9 with efficacy for treating back and neck pain comparable to usual care in experimental randomized controlled trial (RCT) settings. [10][11][12] However, the effectiveness of chiropractic care as actually delivered in routine conventional and integrative medicine practice remains largely unexplored. Rigorous evaluation of such routine care is complicated by numerous methodological challenges.…”

Section: Introductionmentioning

confidence: 99%

Comparative Effectiveness of Usual Care With or Without Chiropractic Care in Patients with Recurrent Musculoskeletal Back and Neck Pain

et al. 2018

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Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain

Cited by 174 publications

References 64 publications

Effects of Muscle Energy Technique on Daily Activities and Lumbar Stiffness in Women With Sacroiliac Joint Dysfunction: A Randomized Controlled Clinical Trial Study

Effects of Muscle Energy Technique on Daily Activities and Lumbar Stiffness in Women With Sacroiliac Joint Dysfunction: A Randomized Controlled Clinical Trial Study

Potential mechanisms for lumbar spinal stiffness change following spinal manipulative therapy: a scoping review

Comparative Effectiveness of Usual Care With or Without Chiropractic Care in Patients with Recurrent Musculoskeletal Back and Neck Pain

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