Spinal manipulative therapy for chronic low-back pain

Rubinstein, Sidney M.; Middelkoop, Marienke van; Assendelft, W.J.J.; Boer, Michiel R. de; Tulder, Maurits W. van

doi:10.1002/14651858.cd008112.pub2

Cited by 139 publications

(61 citation statements)

References 128 publications

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“…1–4 Because SM involves the application of physical force, there is a potential risk of traumatic injury, should the manipulation be lacking in technical skill or precision, provided to individuals particularly vulnerable to injury, or otherwise misapplied. However, the risk of injury to the head, neck or trunk following SM remains uncertain, particularly for older adults.…”

Section: Introductionmentioning

confidence: 99%

Risk of Traumatic Injury Associated With Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66 to 99 Years

Whedon

MacKenzie

Phillips³

et al. 2015

Spine

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Study Design Retrospective cohort study. Objective In older adults with a neuromusculoskeletal complaint, to evaluate risk of injury to the head, neck or trunk following an office visit for chiropractic spinal manipulation, as compared to office visit for evaluation by primary care physician. Summary of Background Data The risk of physical injury due to spinal manipulation has not been rigorously evaluated for older adults, a population particularly vulnerable to traumatic injury in general. Methods We analyzed Medicare administrative data on Medicare B beneficiaries aged 66–99 with an office visit in 2007 for a neuromusculoskeletal complaint. Using a Cox proportional hazards model, we evaluated for adjusted risk of injury within 7 days, comparing two cohorts: those treated by chiropractic spinal manipulation vs. those evaluated by a primary care physician. We used direct adjusted survival curves to estimate the cumulative probability of injury. In the chiropractic cohort only, we used logistic regression to evaluate the effect of specific chronic conditions on likelihood of injury. Results The adjusted risk of injury in the chiropractic cohort was lower as compared to the primary care cohort (hazard ratio 0.24; 95% CI 0.23–0.25). The cumulative probability of injury in the chiropractic cohort was 40 injury incidents per 100,000 subjects, as compared to 153 incidents per 100,000 subjects in the primary care cohort. Among subjects who saw a chiropractic physician, the likelihood of injury was increased in those with a chronic coagulation defect, inflammatory spondylopathy, osteoporosis, aortic aneurysm and dissection, or long-term use of anticoagulant therapy. Conclusions Among Medicare beneficiaries aged 66–99 with an office visit risk for a neuromusculoskeletal problem, risk of injury to the head, neck or trunk within 7 days was 76% lower among subjects with a chiropractic office visit as compared to those who saw a primary care physician.

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Section: Introductionmentioning

confidence: 99%

Risk of Traumatic Injury Associated With Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66 to 99 Years

Whedon

MacKenzie

Phillips³

et al. 2015

Spine

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show abstract

“…Risk factors for falls in older adults include increasing age, medication use, unsteady gaits, confusion, cognitive impairment, and sensory deficits. However, research has shown that attention to these risk factors can significantly reduce the rates of falls [4]. Therefore, to develop quality fall prevention strategies, an assessment of balance among the persons concerned is essential.…”

Section: Introductionmentioning

confidence: 99%

“…Few studies on fall prevention currently include middle-aged participants. However, new study data confirm the effectiveness of numerous interventions in preventing falls, including fall-risk assessments related to interventions, exercise, environmental inspection and modification, and combined interventions [4,14]. Physical exercise and balance training have benefited older adults, which may also extend to middle-aged adults.…”

Section: Introductionmentioning

confidence: 99%

Eight Forms of Moving Meditation for Preventing Falls in Community-Dwelling Middle-Aged and Older Adults

Chang

Lin

et al. 2013

Complement Med Res

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Background: In numerous countries worldwide, fall prevention among older adults is a major public health issue. For older adults, regular participation in moderate physical activity or exercise lowers the risks of falls. However, scant information is available regarding the prevention strategies that the most at-risk groups may undertake. The purpose of this study is to examine the effects of a fall prevention strategy, eight forms of moving meditation (EFMM), on community-dwelling middle-aged and older adults in Taiwan. Methods: This was a quasi-experimental study; 84 participants were recruited from Taipei in Taiwan. For 12 weeks, participants in the experimental group performed 30-min EFMM 3 times per week. The measurements included a Functional Reach Test (FRT), Timed Get-up-and-Go Test (TGUG), and a One-Leg Stance Test (OLST) with eyes both opened and closed. All were conducted at the baseline and 12 weeks after intervention. Results: The participants who performed EFMM showed a significant and positive performance on FRT, TGUG, and OLST with eyes opened and eyes closed compared to those in the control group. Conclusion: The results suggest that EFMM is an effective strategy for enhancing balance and functional mobility and preventing falls among community-dwelling middle-aged and older adults.

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“…In contrast, acupuncture, yoga, and spinal manipulation showed significant effects for treating back pain [9, 24, 25]. Evidence from systematic reviews shows that spinal manipulation has small effects short term, but unclear effects long term [26, 27]. Pharmacotherapies are only evaluated for short-term use up to 3 months and have medium (opiates) to small effects (nonsteroidal anti-inflammatory drugs [NSAIDs], SSRIs, tricyclic antidepressants) vis-à-vis placebo, and long-term use is neither well researched nor recommended [28].…”

Section: Introductionmentioning

confidence: 99%

Power Point Therapy: An Effective and Simple Treatment for Subacute Back Pain – A Randomized Controlled Trial

Ofner

Liebhauser²,

Walach

2019

Complement Med Res

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Objective: Subacute low back pain is a frequent problem with the danger of chronification. Conventional treatment options are not always effective. Power Point therapy (PPT) is a novel approach that uses reflexological insights and can be easily applied by practitioners and patients. Methods: Randomized, active controlled study comparing 10 units of PPT of 10 min each, with 10 units of standard physiotherapy of 30 min each. Outcomes were functional scores (Roland Morris Disability, Oswestry, McGill Pain Questionnaire, Linton-Halldén – primary outcome) and health-related quality of life (SF-36), as well as blinded assessments by clinicians (secondary outcome). Results: Eighty patients consented and were randomized, 41 to PPT, 39 to physiotherapy. Measurements were taken at baseline, after the first and after the last treatment (approximately 5 weeks after enrolment). Multivariate linear models of covariance showed significant effects of time and group (p < 0.001) and for the quality of life variables also a significant interaction of time by group (p < 0.001). Clinician-documented variables showed significant differences at follow-up (p = 0.05 to p < 0.0001). Discussion: Both physiotherapy and PPT improve subacute low back pain significantly. PPT is likely more effective and should be studied further.

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Spinal manipulative therapy for chronic low-back pain

Cited by 139 publications

References 128 publications

Risk of Traumatic Injury Associated With Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66 to 99 Years

Risk of Traumatic Injury Associated With Chiropractic Spinal Manipulation in Medicare Part B Beneficiaries Aged 66 to 99 Years

Eight Forms of Moving Meditation for Preventing Falls in Community-Dwelling Middle-Aged and Older Adults

Power Point Therapy: An Effective and Simple Treatment for Subacute Back Pain – A Randomized Controlled Trial

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