Efficacy of spinal manipulative therapy for low back pain of less than three months' duration

Predictors of Improvement in Patients With Acute and Chronic Low Back Pain Undergoing Chiropractic Treatment

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] The point prevalence of LBP is stated to be between 15% and 30%, the 1-year period prevalence between 15% and 45%, and a life-time prevalence of 50% to 80%. 7,18,19 It is also expensive to treat, with billions of dollars and billions of Euros spent per year in Western societies.…”

“…19 Although LBP remains the most common musculoskeletal complaint presenting to physicians and other therapists, controversy remains surrounding the precise cause of the pain in many patients, appropriate therapies, subgroups of patients likely to improve with treatment and/or have more favorable prognoses, and associated medical costs. [1][2][3][4][5][6][7][8][9][10] To date, there is more evidence supporting chiropractic treatment of chronic LBP and LBP without concomitant radiating leg pain than for patients with acute or subacute pain and those with radiculopathy or sciatica. [10][11][12]2 In chronic LBP, recent studies indicate that significant improvement is often fairly rapid, usually by the fourth visit, and that patients initially receiving treatment 3 to 4 times a week have better outcomes.…”

Does Clinician Treatment Choice Improve the Outcomes of Manual Therapy for Nonspecific Low Back Pain? A Metaanalysis

“…[1][2][3][4][5][6] The most recent systematic reviews have concluded that manual therapy offers some benefit over no intervention or sham intervention for LBP, but is no more effective than other therapies. [7][8][9][10][11] These systematic reviews have summarized the findings of randomized controlled trials (RCTs). In the context of the widespread practice of manual therapy for LBP and anecdotal support for its use, has criticized both the generalizability of findings of manual therapy RCTs and the validity of conclusions of systematic reviews on the basis of summaries of these trials.…”

The Chiropractic Hospital-Based Interventions Research Outcomes Study: Consistency of Outcomes Between Doctors of Chiropractic Treating Patients With Acute Lower Back Pain

“…Although these confidence limits did not exclude a clinically negligible effect, they clearly included magnitudes of effects on RDQ scores that equaled or exceeded those reported in published systematic reviews of RCTs comparing SMT with other treatments for acute LBP. 36,37 We acknowledge that none of our effect sizes was large; however, half of our pairwise comparisons of the marginal effects on RDQ change met the threshold for a minimum clinically important difference. Moreover, our modest effect sizes should be given due consideration in light of the fact that typically reported effect sizes for SMT are already only generally moderate at best.…”