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Systematic review of spinal manipulation : a balanced review of evidence?
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The Musculoskeletal Process of Care Collaboration (Including: Breen, Alan, Vogel, Steven, Pincus, Tamar, Foster, Nadine and Underwood, Martin). (2006) Systematic review of spinal manipulation : a balanced review of evidence? Journal of the Royal Society of Medicine, 99 (6). p. 277. doi:10.1258/jrsm.99.6.277 ISSN 0141-0768.
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Official URL: http://dx.doi.org/10.1258/jrsm.99.6.277
Abstract
Objectives: To systematically collate and evaluate the evidence from recent systematic reviews of clinical trials of spinal manipulation.
Design: Literature searches were carried out in four electronic databases for all systematic reviews of the effectiveness of spinal manipulation in any indication, published between 2000 and May 2005. Reviews were defined as systematic if they included an explicit and repeatable inclusion and exclusion criteria for studies.
Results: Sixteen papers were included relating to the following conditions: back pain (n=3), neck pain (n=2), lower back pain and neck pain (n=1), headache (n=3), non-spinal pain (n=1), primary and secondary dysmenorrhoea (n=1), infantile colic (n=1), asthma (n=1), allergy (n=1), cervicogenic dizziness (n=1), and any medical problem (n=1). The conclusions of these reviews were largely negative, except for back pain where spinal manipulation was considered superior to sham manipulation but not better than conventional treatments.
Conclusions: Collectively these data do not demonstrate that spinal manipulation is an effective intervention for any condition. Given the possibility of adverse effects, this review does not suggest that spinal manipulation is a recommendable treatment.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > R Medicine (General) | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Journal of the Royal Society of Medicine | ||||
Publisher: | Royal Society of Medicine Press Ltd. | ||||
ISSN: | 0141-0768 | ||||
Official Date: | 1 June 2006 | ||||
Dates: |
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Volume: | 99 | ||||
Number: | 6 | ||||
Page Range: | p. 277 | ||||
DOI: | 10.1258/jrsm.99.6.277 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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