The effectiveness of manual therapy for the management of musculoskeletal disorders of the upper and lower extremities: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration.
Background: Musculoskeletal disorders (MSDs) of the upper and lower extremities are common in the general population and place a significant burden on the health care system. Manual therapy is recommended by clinical practice guidelines for the management of these injuries; however, there is limited...
| Publicado en: | Chiropractic & Manual Therapies Vol. 23; pp. 1 - 18 |
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| Autores principales: | , , , , , , , , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
BioMed Central
10/27/2015
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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=110737744&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 110737744 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2045709X BG1Z jtl: Chiropractic & Manual Therapies issn: 2045709X maglogo: N pubinfo: dt: 10/27/2015 vid: 23 pid: 24147 pub: BioMed Central artinfo: ui: 110737744 110737744 110737744 10.1186/s12998-015-0075-6 110737744 ppf: 1 ppct: 17 formats: fmt: @attributes: type: P tig: atl: The effectiveness of manual therapy for the management of musculoskeletal disorders of the upper and lower extremities: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. aug: au: Southerst, Danielle Hainan Yu Randhawa, Kristi Côté, Pierre D'Angelo, Kevin Shearer, Heather M. Wong, Jessica J. Sutton, Deborah Varatharajan, Sharanya Goldgrub, Rachel Dion, Sarah Cox, Jocelyn Menta, Roger Brown, Courtney K. Stern, Paula J. Stupar, Maja Carroll, Linda J. Taylor-Vaisey, Anne affil: Rebecca MacDonald Centre for Arthritis and Autoimmune Disease, Mount Sinai Hospital, 600 University Avenue, Toronto, Ontario, CanadaM5G 1X5 sug: subj: Musculoskeletal Diseases Therapy Manual Therapy Methods Upper Extremity Pathology Lower Extremity Pathology Treatment Outcomes Recovery Systematic Review Human Medline CINAHL Database Embase Psycinfo Cochrane Library Descriptive Statistics Confidence Intervals Sprains and Strains Classification Bias (Research) Meta Synthesis kappa Statistic Interrater Reliability Adolescence Young Adult Adult Middle Age Shoulder Pain Ankle Sprain Shoulder Impingement Syndrome Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years ab: Background: Musculoskeletal disorders (MSDs) of the upper and lower extremities are common in the general population and place a significant burden on the health care system. Manual therapy is recommended by clinical practice guidelines for the management of these injuries; however, there is limited evidence to support its effectiveness. The purpose of our review was to investigate the effectiveness of manual therapy in adults or children with MSDs of the upper or lower extremity. Methods: Randomized controlled trials (RCTs), cohort studies, and case-control studies evaluating the effectiveness of manual therapy were eligible. We searched MEDLINE, EMBASE, PsycINFO, CINAHL, and the Cochrane Central Register of Controlled Trials from 1990 to 2015. Paired reviewers screened studies for relevance and critically appraised relevant studies using the Scottish Intercollegiate Guidelines Network criteria. Studies with low risk of bias were synthesized following best-evidence synthesis principles. Where available, we computed mean changes between groups, relative risks and 95 % CI. Results: We screened 6047 articles. Seven RCTs were critically appraised and three had low risk of bias. For adults with nonspecific shoulder pain of variable duration, cervicothoracic spinal manipulation and mobilization in addition to usual care may improve self-perceived recovery compared to usual care alone. For adults with subacromial impingement syndrome of variable duration, neck mobilization in addition to a multimodal shoulder program of care provides no added benefit. Finally, for adults with grade I-II ankle sprains of variable duration, lower extremity mobilization in addition to home exercise and advice provides greater short-term improvements in activities and function over home exercise and advice alone. No studies were included that evaluated the effectiveness of manual therapy in children or for the management of other extremity injuries in adults. Conclusions: The current evidence on the effectiveness of manual therapy for MSDs of the upper and lower extremities is limited. The available evidence supports the use of manual therapy for non-specific shoulder pain and ankle sprains, but not for subacromial impingement syndrome in adults. Future research is needed to determine the effectiveness of manual therapy and guide clinical practice. pubtype: Academic Journal doctype: research systematic review tables/charts meta synthesis Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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