Spinal Manipulation for Low Back Pain

Abstract

A randomized clinical trial of rotational manipulation was conducted on 95 patients with low back pain selected for (1) the absence of any contraindications for vertebral manipulation, (2) the absence of any psychosocial problems that might affect the outcome of treatment, (3) the absence of any previous experience with manipulative therapy, and (4) the presence of palpatory cues indicating that manipulation might be successful. Patients were randomly assigned to one of two groups: an experimental group receiving manipulation therapy and a control group receiving soft-tissue massage. Comparison of the two groups indicated that (1) patients who received manipulative treatment were much more likely to report immediate relief after the first treatment, and (2) at discharge, there was no significant difference between the two groups because both showed substantial improvement.

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

“…In 4 trials, treatment duration was at the therapist's discretion, and details of treatment duration were not provided. [22][23][24][25][30][31][32][33][34] Eleven trials analyzed only the efficacy of high-velocity thrust manipulation techniques, 16,26,27,[30][31][32][35][36][37][38][39][40][41][42] 8 trials analyzed the efficacy of high-velocity thrust techniques in association with other techniques, 17,43-49 7 trials assessed a combination of high-velocity thrust manipulation and low-velocity mobilization techniques, [22][23][24][25]28,29,33,34,[50][51][52] and 1 trial compared different techniques of spinal manipulative therapy. 53…”

Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials

“…Overall, seven studies known or purported to involve OMT for low back pain were reviewed and excluded for not meeting all eligibility criteria [34-40]. A subsequent source [41] indicated that an osteopathic manipulation technique was used in the Irvine study [42]. Although several of the six included OMT trials were identified in multiple bibliographic databases, five [42-46] were indexed in MEDLINE.…”

“…A subsequent source [41] indicated that an osteopathic manipulation technique was used in the Irvine study [42]. Although several of the six included OMT trials were identified in multiple bibliographic databases, five [42-46] were indexed in MEDLINE. The Cleary [47] trial was identified exclusively through the Cochrane Central Register of Controlled Trials.…”

Pilot Study of Patient Response to Multiple Impulse Therapy for Musculoskeletal Complaints

“…16,17 However, this finding is not universal. 18,19 Again, the study of van den Hoogen et al 12 may be helpful. Fig 5 is a plot of the results of that study showing the response rates of untreated patients with acute, subacute, and chronic low back pain.…”