Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis

Brønfort, Gert; Haas, Mitchell; Evans, Roni; Bouter, Lex M.

doi:10.1016/j.spinee.2003.06.002

Cited by 466 publications

(296 citation statements)

References 94 publications

(14 reference statements)

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“…Any perceived lumbar segmental hypomobility was treated with grades III to IV central posterior-anterior mobilizations/manipulations. The effectiveness of hip and lumbar mobilizations/manipulations to address hip dysfunction and lumbar pain has been well documented 6,7,11,17,70 ; but these techniques have not been utilized to address groin pain associated with a sports hernia.…”

Section: Sij and Hip Mobilization/manipulationmentioning

confidence: 99%

“…The other 3 athletes reached this outcome after surgical repair and a mean of 6.7 sessions of physical therapy. The overall mean number of physical therapy sessions for all participants was 7.2 (range, [3][4][5][6][7][8][9][10][11][12][13][14][15] over an average of 6 weeks. It is important to note that the successful outcomes noted in these athletes may be attributed to the surgical repair in 3 of the athletes and/or may be secondary to the positive effects of time in all of the athletes.…”

Section: Neuromuscular Reeducation and Stretching Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Proposed Algorithm for the Management of Athletes With Athletic Pubalgia (Sports Hernia): A Case Series

Kachingwe¹,

Grech²

2008

J Orthop Sports Phys Ther

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Section: Sij and Hip Mobilization/manipulationmentioning

confidence: 99%

Section: Neuromuscular Reeducation and Stretching Techniquesmentioning

confidence: 99%

Proposed Algorithm for the Management of Athletes With Athletic Pubalgia (Sports Hernia): A Case Series

Kachingwe¹,

Grech²

2008

J Orthop Sports Phys Ther

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“…[2][3][4][5][6] Current SMT theories are based on an earlier understanding of spine anatomy and neurophysiology. 7,8 The human body functions through various specialized cells working in concert.…”

Section: Introductionmentioning

confidence: 99%

The Physiological Role of Tumor Necrosis Factor in Human Immunity and Its Potential Implications in Spinal Manipulative Therapy: A Narrative Literature Review

Zhang

Yao

2016

Journal of Chiropractic Medicine

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Objective: Although tumor necrosis factor (TNF) is a well-known inflammatory cytokine in the pathological development of various human diseases, its physiological roles are not widely understood nor appreciated. The molecular mechanisms underlying spinal manipulation therapy (SMT) remain elusive. The relationship between TNF and SMT is unclear. Thus, we performed this literature review to better understand TNF physiology and its potential relationship with SMT, and we propose a novel mechanism by which SMT may achieve clinical benefits by using certain beneficial features of TNF. Methods: We searched several databases for relevant articles published between 1975 and 2015 and then reexamined the studies from current immunophysiological perspectives. Results: The history and recent progresses in TNF physiology research were explored. Conflicting reports on the relationship between TNF and SMT were identified. Based on the newly discovered interaction between TNF and regulatory T cells, we proposed a putative biphasic TNF response to SMT, which may resolve the conflicts in the reported observations and interpretations. Conclusion: The current literature about TNF informed our discussion of new physiological roles for TNF, which may help to better understand the physiological effects of SMT. (J Chiropr Med 2016;15:190-196)

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“…Guidelines already exist supporting the evidence of conservative treatment, claiming different therapies for the treatment of acute, subacute and chronic LBP [5,9,19,51].…”

Section: Introductionmentioning

confidence: 99%

“…Although the majority of published studies-on patientbased surveys-presents the therapeutic success, yet a standardised documentation is lacking [9,10,14,47]. Consequently, interpretation and comparison of studies becomes complicated.…”

Section: Introductionmentioning

confidence: 99%

Development of a documentation instrument for the conservative treatment of spinal disorders in the International Spine Registry, Spine Tango

et al. 2010

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Spine Tango is the first and only International Spine Registry in operation to date. So far, only surgical spinal interventions have been recorded and no comparable structured and comprehensive documentation instrument for conservative treatments of spinal disorders is available. This study reports on the development of a documentation instrument for the conservative treatment of spinal disorders by using the Delphi consensus method. It was conducted with a group of international experts in the field. We also assessed the usability of this new assessment tool with a prospective feasibility study on 97 outpatients and inpatients with low back or neck pain undergoing conservative treatment. The new 'Spine Tango conservative' questionnaire proved useful and suitable for the documentation of pathologies, conservative treatments and outcomes of patients with low back or neck problems. A follow-up questionnaire seemed less important in the predominantly outpatient setting. In the feasibility study, between 43 and 63% of patients reached the minimal clinically important difference in pain relief and Core Outcome Measures Index at 3 months after therapy; 87% of patients with back pain and 85% with neck pain were satisfied with the received treatment. With 'Spine Tango conservative' a first step has been taken to develop and implement a complementary system for documentation and evaluation of non-surgical spinal interventions and outcomes within the framework of the International Spine Registry. It proved useful and feasible in a first pilot study, but it will take the experience of many more cases and therapists to develop a version similarly mature as the surgical instruments of Spine Tango.

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Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis

Cited by 466 publications

References 94 publications

Proposed Algorithm for the Management of Athletes With Athletic Pubalgia (Sports Hernia): A Case Series

Proposed Algorithm for the Management of Athletes With Athletic Pubalgia (Sports Hernia): A Case Series

The Physiological Role of Tumor Necrosis Factor in Human Immunity and Its Potential Implications in Spinal Manipulative Therapy: A Narrative Literature Review

Development of a documentation instrument for the conservative treatment of spinal disorders in the International Spine Registry, Spine Tango

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