Effectiveness of manual therapies: the UK evidence report

Brønfort, Gert; Haas, M.; Evans, Roni; Leininger, Brent; Triano, Jay

doi:10.1186/1746-1340-18-3

Cited by 336 publications

(284 citation statements)

References 245 publications

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“…We used criteria for determining strength of evidence modified from that described in the UK report 20,21 and detailed in Table 1: high quality, positive or negative; moderate quality, positive or negative; and inconclusive, favorable or unfavorable.…”

Section: Strength Of Evidencementioning

confidence: 99%

“…14 For SIS, 2 reviews 95,96 reported that MT combined with exercise was effective. Bronfort et al 20 concluded that combining MT with medical care was beneficial, and another review 97 found evidence to suggest massage was superior to no treatment. Our results contrasted with several reviews that reported that passive therapies such as LLLT and PEMF were not effective or that results were inconclusive for the treatment of RCs, AC, and SIS.…”

Section: Nonspecific Spmentioning

confidence: 99%

“…97 Another review reported MT was inconclusive but favorable for RCs. 20 The differences noted in our systematic review are likely due to the inclusion of more recent studies, as all of the mentioned reviews included studies that are about 10 years or older.…”

Section: Nonspecific Spmentioning

confidence: 99%

See 2 more Smart Citations

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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Objective: The purpose of this review was to evaluate the effectiveness of conservative nondrug, nonsurgical interventions, either alone or in combination, for conditions of the shoulder. Methods: The review was conducted from March 2016 to November 2016 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and was registered with PROSPERO. Eligibility criteria included randomized controlled trials (RCTs), systematic reviews, or meta-analyses studying adult patients with a shoulder diagnosis. Interventions qualified if they did not involve prescription medication or surgical procedures, although these could be used in the comparison group or groups. At least 2 independent reviewers assessed the quality of each study using the Scottish Intercollegiate Guidelines Network checklists. Shoulder conditions addressed were shoulder impingement syndrome (SIS), rotator cuff-associated disorders (RCs), adhesive capsulitis (AC), and nonspecific shoulder pain. Results: Twenty-five systematic reviews and 44 RCTs met inclusion criteria. Low-to moderate-quality evidence supported the use of manual therapies for all 4 shoulder conditions. Exercise, particularly combined with physical therapy protocols, was beneficial for SIS and AC. For SIS, moderate evidence supported several passive modalities. For RC, physical therapy protocols were found beneficial but not superior to surgery in the long term. Moderate evidence supported extracorporeal shockwave therapy for calcific tendinitis RC. Low-level laser was the only modality for which there was moderate evidence supporting its use for all 4 conditions. Conclusion: The findings of this literature review may help inform practitioners who use conservative methods (eg, doctors of chiropractic, physical therapists, and other manual therapists) regarding the levels of evidence for modalities used for common shoulder conditions. (J Manipulative Physiol Ther 2017;40:293-319)

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Section: Strength Of Evidencementioning

confidence: 99%

Section: Nonspecific Spmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Hawk

Minkalis

Khorsan

et al. 2017

Journal of Manipulative and Physiological Therapeutics

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“…[19][20][21] The scientific evidence on SMT for the relief of chronic LBP has been well discussed in systematic reviews. 22,23 Previously reported data for our trial showed a sustainable within dose-group treatment effect across multiple dose groups to 52 weeks and, while 12 SMT visits were favored, this was not well distinguished from 6 and 18 visits. 24 The purpose of this analysis is to report the incremental cost of treatment and lost productivity as well as the benefit in terms of pain-free and disability-free days.…”

Section: Introductionmentioning

confidence: 99%

Cost-Analysis Related to Dose-Response for Spinal Manipulative Therapy for Chronic Low Back Pain: Outcomes from a Randomized Controlled Trial

VavrekDarcy

SharmaRajiv

HaasMitchell

2014

The Journal of Alternative and Complementary Medicine

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Objective-The purpose of this analysis is to report the incremental costs and benefits of different doses of spinal manipulative therapy (SMT) in patients with chronic low back pain (LBP).Methods-We randomized 400 patients with chronic LBP to receive a dose of 0, 6, 12, or 18 sessions of SMT. Participants were scheduled for 18 visits over 6 weeks and received SMT or light massage control from a doctor of chiropractic. Societal costs in the year following study enrollment were estimated using patient reports of healthcare utilization and lost productivity. The main health outcomes were the number of pain-free days and disability-free days. Multiple regression was performed on outcomes and log-transformed cost data.Results-Lost productivity accounts for a majority of societal costs of chronic LBP. Cost of treatment and lost productivity ranged from $3398 for 12 SMT sessions to $3815 for 0 SMT sessions with no statistically significant differences between groups. Baseline patient characteristics related to increase in costs were greater age (P=0.03), greater disability (P=0.01), lower QALY scores (P=0.01), and higher costs in the period preceding enrollment (P<0.01). Painfree and disability-free days were greater for all SMT doses compared to control, but only SMT 12 yielded a statistically significant benefit of 22.9 pain-free days (P=0.03) and 19.8 disability-free days (P=0.04). No statistically significant group differences in QALYs were noted. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusions-A dose of 12 SMT sessions yielded a modest benefit in pain-free and disabilityfree days. Care of chronic LBP with SMT did not increase the costs of treatment plus lost productivity. NIH Public Access

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“…An article by Cassidy and colleagues, ''Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case control and case-crossover study,'' received 11 submissions as essential literature for chiropractors. 7 Second in ranking was Bronfort et al, 8 ''Effectiveness of manual therapies: the UK evidence report.'' Five articles received 3 recommendations: ''A theoretical model for the development of a diagnosis-based clinical decision rule for the management of patients with spinal pain'' (Murphy 9 ), ''Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: a systematic review and update of the UK evidence report'' (Clar et al .…”

Section: Literature With Multiple Recommendationsmentioning

confidence: 99%

Essential literature for the chiropractic profession: Results and implementation challenges from a survey of international chiropractic faculty

Mansholt¹,

Salsbury²,

Corber³

et al. 2017

Journal of Chiropractic Education

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Objective: Scientific literature applicable to chiropractic practice proliferates in quantity, quality, and source. Chiropractic is a worldwide profession and varies in scope between states or provinces and from country to country. It is logical to consider that the focus and emphasis of chiropractic education varies between programs as well. This original research study endeavored to determine ''essential literature'' recommended by chiropractic faculty. The purpose of this article is (1) to share our results and (2) to promote discussion and explore means for future collaboration of chiropractic faculty through a worldwide platform. Methods: A 2-phase recruitment occurred initially at the institutional level and subsequently at the faculty level. A Web-based survey used qualitative data collection methods to gather bibliographic citations. Descriptive statistics were calculated for demographics, and citation responses were ranked per number of recommendations, grouped into categories, and tabulated per journal source and publication date. Results: Forty-one chiropractic programs were contacted, resulting in 30 participating chiropractic programs (16 US and 14 international). Forty-five faculty members completed the entire survey, submitting 126 peer-reviewed publications and 25 additional citations. Readings emphasized clinical management of spine pain, the science of spinal manipulation, effectiveness of manual therapies, teaching of chiropractic techniques, outcomes assessments, and professional issues. Conclusion: A systematic approach to surveying educators in international chiropractic institutions was accomplished. The results of the survey provide a list of essential literature for the chiropractic profession. We recommend establishing a chiropractic faculty registry for improved communication and collaboration.

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Effectiveness of manual therapies: the UK evidence report

Cited by 336 publications

References 245 publications

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Systematic Review of Nondrug, Nonsurgical Treatment of Shoulder Conditions

Cost-Analysis Related to Dose-Response for Spinal Manipulative Therapy for Chronic Low Back Pain: Outcomes from a Randomized Controlled Trial

Essential literature for the chiropractic profession: Results and implementation challenges from a survey of international chiropractic faculty

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