Manual therapy interventions for patients with lumbar spinal stenosis: a systematic review.

Objective: The objective of this paper is twofold (1) determine the quality of current available studies regarding the use of manual therapy intervention for the treatment of lumbar spinal stenosis LSS and (2) determine the effectiveness of manual therapy for the treatment of LSS. Data sources: A li...

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Publicado en:New Zealand Journal of Physiotherapy Vol. 37; no. 1; pp. 17 - 29
Autores principales: Reiman MP, Harris JY, Cleland JA
Formato: research systematic review tables/charts Journal Article
Publicado: Physiotherapy New Zealand Inc. Mar2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2009
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      pub: Physiotherapy New Zealand Inc.
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        atl: Manual therapy interventions for patients with lumbar spinal stenosis: a systematic review.
      aug:
        au:
          Reiman MP
          Harris JY
          Cleland JA
        affil: Assistant Professor, Physical Therapy Department, Wichita State University, Wichita, KS; michael.reiman@wichita.edu
      sug:
        subj:
          Manual Therapy
          Physical Therapy Methods
          Spinal Stenosis Therapy
          CINAHL Database
          Clinical Research Evaluation
          Cochrane Library
          Lumbar Vertebrae Pathology
          Medline
          Physical Therapy Practice, Evidence-Based
          Physiotherapy Evidence Database
          Systematic Review
          Human
      ab: Objective: The objective of this paper is twofold (1) determine the quality of current available studies regarding the use of manual therapy intervention for the treatment of lumbar spinal stenosis LSS and (2) determine the effectiveness of manual therapy for the treatment of LSS. Data sources: A literature search was conducted using the MEDLINE, CINAHL, PEDro and Cochrane Controlled Trials databases. Clinical trials and observational studies were also included. Review methods: Abstracts of potentially relevant articles were reviewed and screened for inclusion criteria. The quality of the relevant articles after abstract screening was measured against the nineteen item Maastricht-Amsterdam criteria list. Two reviewers independently assessed the relevant articles using these criteria. Overall methodological quality scores and internal validity scores were determined by adding the positive scores from their respective criteria. Results: Thirty-one relevant studies were identified. Twenty of these studies were excluded, leaving eleven studies meeting inclusion criteria for review. Overall methodological quality of the eleven studies was poor. Only one high quality randomized controlled trial (RCT) was identified. Conclusion: Based on this systematic review, preliminary evidence indicates that manual therapy combined with exercise demonstrates potential benefit in the treatment of LSS, but further evidence of effectiveness is needed.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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