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Physiotherapy Research Reviews — 12 Studies Reviewed Monthly

Key Points

A general, non-specific spinal manipulative therapy approach was more effective than a specific, targeted approach to reduce pain and improve function.

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BACKGROUND & OBJECTIVE

Low back pain continues to be the leading cause of years lived with disability in the world. People suffering from low back pain may seek the advice or care of a healthcare clinician such as physiotherapists or chiropractors. Spinal manipulative therapy (SMT) is an intervention recommended by clinical practice guidelines (1,2).

The objective of this systematic review and network meta-analysis was to identify the most clinically effective SMT application procedures for reducing spinal pain and disability at short- and long-term disability.

Spinal manipulative therapy is an intervention recommended by clinical practice guidelines.

The effectiveness of spinal manipulative therapy is not dependent on treating a specific location in a particular way.

METHODS

Systematic review and network meta-analysis was prospectively registered with PROSPERO, and reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist, and any deviation from the protocol was reported.

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The effectiveness of spinal manipulative therapy in treating spinal pain does not depend on the application procedures: a systematic review and network meta-analysis

Key Points

BACKGROUND & OBJECTIVE

METHODS