Regarding back function, there was moderate-quality evidence that manipulation or mobilization was slightly better than other therapies. For both pain and function,. Spinal pain is a highly prevalent condition affecting more than 11% of the world's population. It is the leading cause of activity limitation and ranks fourth in years lost due to disability worldwide, representing a significant personal, social and economic burden. For the vast majority of patients with back and neck pain, a specific pathology cannot be identified as the cause of their pain, which is then labeled as unspecific.
In an increasing proportion of these cases, the pain persists for more than 3 months and is referred to as primary chronic back or neck pain. To reduce the overall burden of spinal pain, current data suggest that a conservative approach may be preferable. One of the available conservative treatment options is spinal manipulative therapy (SMT), the main intervention used by chiropractors and other manual therapists. The objective of this narrative review is to highlight the most relevant and up-to-date evidence on the efficacy (compared to other interventions in more pragmatic settings) and efficacy (compared to inactive controls under highly controlled conditions) of SMT for the treatment of neck pain and low back pain.
In addition, an perspective will be provided on current recommendations for semiconductor therapy for spinal pain and future research needs. In short, SMT may be as effective as other therapies recommended for the treatment of chronic and nonspecific primary spinal pain, including standard medical care or physical therapy. SMT is currently recommended in combination with exercise for neck pain as part of a multimodal approach. It may also be recommended as a first-line intervention for low back pain.
Although some discrepancies persist, current clinical practice guidelines almost universally recommend the use of SMT for spinal pain. Because of the low quality of the evidence, the efficacy of SMT compared to that of a placebo or that of no treatment remains uncertain. Therefore, future research is needed to clarify the specific effects of SMT in order to further validate this intervention. In addition, the factors that predict these effects have not yet been determined to target patients who are more likely to achieve positive results with SMT.
Research shows that spinal manipulation works to treat certain types of low back pain. Some studies also suggest that chiropractic adjustments may work for headaches and other spine-related conditions, such as neck pain. SMT produces effects similar to those of recommended therapies for chronic low back pain, but produces better effects from a clinical point of view, since it improves function in the short term, compared to non-recommended treatments, sham therapy or when added as adjunctive therapy. Physicians should inform their patients about the potential risks of adverse effects associated with SMT.
A spinal manipulation is a controlled mobilization of a specific joint and is usually performed using practical techniques or devices designed specifically for joint manipulation. Some of the benefits include reducing chronic back pain, improving body function, and short-term pain relief. Most studies indicate that spinal manipulation by a trained and licensed health professional is generally safe, although some side effects, such as pain, may occur. Chiropractors are best known for performing spinal manipulations, however, other types of licensed health professionals can also perform them. Chiropractors use practical manipulations to realign joints and alleviate discomfort caused by a wide range of causes.
Conditions and diagnoses for which osteopathic manipulative treatment is used by osteopathic manipulative treatment by primary care physicians and specialists. Manual manipulation of the spine has been used by doctors for thousands of years and is still a technique of common use. SM chiropractic is sometimes referred to as chiropractic or spinal adjustment in the literature (30). However, physical therapists who manipulate the spine have been under the scrutiny of other professions, even though manipulation is not exclusive to any field or profession.
American Osteopathic Association guidelines for osteopathic manipulative treatment (OMT) for patients with low back pain. Chiropractic adjustment is a procedure in which trained specialists, called chiropractors, use their hands or a small instrument to apply controlled force to a spinal joint. Spinal manipulation, often performed by chiropractors, physical therapists, osteopaths, massage therapists and other health professionals, involves applying pressure and moving the joints of the spine. Practitioners: In 16 studies, treatment was administered by a chiropractor, 28293440414445465153545566676970 in 14 by a manual therapist or physical therapist, 2730333639434748505758596364 in six by a medical manipulator or orthomanual therapist, 313552566068 in five by an osteopath, 3283496572 in two by a podopath, 4271 in one by a naprapat,61 and in one by several different disciplines.
Depending on the patient's comfort level, age, size, or preferences, the therapist may decide that spinal mobilization is best.
