Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis.
OBJECTIVES: The purpose of this project was to review the literature for the use of spinal manipulation for low back pain (LBP). METHODS: A search strategy modified from the Cochrane Collaboration review for LBP was conducted through the following databases: PubMed, Mantis, and the Cochrane Database...
| Publicado en: | Journal of Manipulative & Physiological Therapeutics Vol. 31; no. 9; pp. 659 - 675 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Nov/Dec2008
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105607891&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105607891 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01614754 8GE jtl: Journal of Manipulative & Physiological Therapeutics issn: 01614754 maglogo: N pubinfo: dt: Nov/Dec2008 vid: 31 iid: 9 pid: 1265 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 105607891 105607891 2010146844 10.1016/j.jmpt.2008.10.007 NLM19028250 105607891 ppf: 659 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis. aug: au: Lawrence DJ Meeker W Branson R Bronfort G Cates JR Haas M Haneline M Micozzi M Updyke W Mootz R Triano JJ Hawk C affil: Center for Teaching and Learning, Palmer College of Chiropractic, Davenport, Iowa, USA. dana.lawrence@palmer.edu sug: subj: Low Back Pain Therapy Manipulation, Chiropractic Radiculopathy Therapy Sciatica Therapy Chronic Pain Rehabilitation Chronic Pain Therapy Descriptive Statistics Exercise Low Back Pain Drug Therapy Low Back Pain Rehabilitation Meta Analysis Physical Therapy Treatment Outcomes Human ab: OBJECTIVES: The purpose of this project was to review the literature for the use of spinal manipulation for low back pain (LBP). METHODS: A search strategy modified from the Cochrane Collaboration review for LBP was conducted through the following databases: PubMed, Mantis, and the Cochrane Database. Invitations to submit relevant articles were extended to the profession via widely distributed professional news and association media. The Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) was charged with developing literature syntheses, organized by anatomical region, to evaluate and report on the evidence base for chiropractic care. This article is the outcome of this charge. As part of the CCGPP process, preliminary drafts of these articles were posted on the CCGPP Web site www.ccgpp.org (2006-8) to allow for an open process and the broadest possible mechanism for stakeholder input. RESULTS: A total of 887 source documents were obtained. Search results were sorted into related topic groups as follows: randomized controlled trials (RCTs) of LBP and manipulation; randomized trials of other interventions for LBP; guidelines; systematic reviews and meta-analyses; basic science; diagnostic-related articles, methodology; cognitive therapy and psychosocial issues; cohort and outcome studies; and others. Each group was subdivided by topic so that team members received approximately equal numbers of articles from each group, chosen randomly for distribution. The team elected to limit consideration in this first iteration to guidelines, systematic reviews, meta-analyses, RCTs, and coh ort studies. This yielded a total of 12 guidelines, 64 RCTs, 13 systematic reviews/meta-analyses, and 11 cohort studies. CONCLUSIONS: As much or more evidence exists for the use of spinal manipulation to reduce symptoms and improve function in patients with chronic LBP as for use in acute and subacute LBP. Use of exercise in conjunction with manipulation is likely to speed and improve outcomes as well as minimize episodic recurrence. There was less evidence for the use of manipulation for patients with LBP and radiating leg pain, sciatica, or radiculopathy. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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