Spinal manipulative therapy in older adults with chronic low back pain: an individual participant data meta-analysis

Jenks, Alan; Zoete, Annemarie de; Tulder, Maurits van; Rubinstein, Sidney M.; Brønfort, Gert; Cecchi, Francesca; Ferreira, ML; Gudavalli, MR; Hidalgo, Benjamin; Hondras, MA; Hsieh, CJ; Petersen, Tue Hvass; Rasmussen-Barr, Eva; Skillgate, Eva

doi:10.1007/s00586-022-07210-1

Cited by 2 publications

(1 citation statement)

References 48 publications

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“…Elderly patients can suffer from chronic pain, deformity, and dysfunction, which can affect their psychological health, and psychological disorders can affect their pain relief. [ 25 , 26 ] The impact of psychological status on the patient’s quality of life is even greater than that of the physical illness itself, while depression itself can manifest itself as somatic pain, numbness, weakness and other discomforts, which should be distinguished during treatment. [ 27 ] Moreover, elderly patients often have reduced respiratory function, and preoperative respiratory exercises can improve lung function.…”

Section: Discussionmentioning

confidence: 99%

Mapping knowledge structure and themes trends in geriatric spine surgery: A bibliometric analysis

Lin,

Chen,

Liu

et al. 2023

Medicine

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To analyze the status, hotspots, and frontiers of spine surgery in the geriatric using bibliometric method, the Web of Science Core Collection was searched for all papers concerning the use of spine surgery in the elderly from January 1, 1982 to August 3, 2022. VOSviewer and R software were used to perform the bibliometric analysis, which included retrieving the country, institution, author, journal, and keyword. A total of 663 articles were identified. The investigation revealed a growing number of publications over the past 20 years. The country with the highest number of publications was the United States (195 papers). The institution with the highest number of publications was the University of California (31 papers). H. Hassanzadeh and A. Jain were the most productive authors (14 publications), while R. A. Deyo was the most co-cited author. The journal with the most published papers was Spine (67 papers). According to Bradford Low, Spine, World Neurosurgery, and European Spine Journal were core journals in the field of geriatric spine surgery. The most recent trend topic was “readmission,” “vertebroplasty,” “kyphoplasty,” “risk,” “osteoporosis,” “outcomes,” “surgery,” “complications,” “scoliosis,” and “management.” In particular, osteoporosis has been a topic of attention in the field of geriatric spine surgery since 2005. Over time, research on spinal surgery in the elderly and allied topics has grown in importance and scope, indicating a tendency toward globalization. Researchers should pay more attention to the outcomes, complications, and management associated with spine surgery in the elderly.

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Section: Discussionmentioning

confidence: 99%

Mapping knowledge structure and themes trends in geriatric spine surgery: A bibliometric analysis

Lin,

Chen,

Liu

et al. 2023

Medicine

View full text Add to dashboard Cite

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The effectiveness of spinal manipulative therapy procedures for spine pain: protocol for a systematic review and network meta-analysis

et al. 2023

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Background Spinal manipulative therapy (SMT) is a guideline-recommended treatment option for spinal pain. The recommendation is based on multiple systematic reviews. However, these reviews fail to consider that clinical effects may depend on SMT “application procedures” (i.e., how and where SMT is applied). Using network meta-analyses, we aim to investigate which SMT “application procedures” have the greatest magnitude of clinical effectiveness for reducing pain and disability, for any spinal complaint, at short-term and long-term follow-up. We will compare application procedural parameters by classifying the thrust application technique and the application site (patient positioning, assisted, vertebral target, region target, Technique name, forces, and vectors, application site selection approach and rationale) against: 1. Waiting list/no treatment; 2. Sham interventions not resembling SMT (e.g., detuned ultrasound); 3. Sham interventions resembling SMT; 4. Other therapies not recommended in clinical practice guidelines; and 5. Other therapies recommended in clinical practice guidelines. Secondly, we will examine how contextual elements, including procedural fidelity (whether the SMT was delivered as planned) and clinical applicability (whether the SMT is similar to clinical practice) of the SMT. Methods We will include randomized controlled trials (RCT) found through three search strategies, (i) exploratory, (ii) systematic, and (iii) other known sources. We define SMT as a high-velocity low-amplitude thrust or grade V mobilization. Eligibility is any RCT assessing SMT against any other type of SMT, any other active or sham intervention, or no treatment control on adult patients with pain in any spinal region. The RCTs must report on continuous pain intensity and/or disability outcomes. Two authors will independently review title and abstract screening, full-text screening, and data extraction. Spinal manipulative therapy techniques will be classified according to the technique application and choice of application sites. We will conduct a network-meta analysis using a frequentist approach and multiple subgroup and sensitivity analyses. Discussion This will be the most extensive review of thrust SMT to date, and will allow us to estimate the importance of different SMT application procedures used in clinical practice and taught across educational settings. Thus, the results are applicable to clinical practice, educational settings, and research studies. PROSPERO registration: CRD42022375836.

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Spinal manipulative therapy in older adults with chronic low back pain: an individual participant data meta-analysis

Cited by 2 publications

References 48 publications

Mapping knowledge structure and themes trends in geriatric spine surgery: A bibliometric analysis

Mapping knowledge structure and themes trends in geriatric spine surgery: A bibliometric analysis

The effectiveness of spinal manipulative therapy procedures for spine pain: protocol for a systematic review and network meta-analysis

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