Efficacy of manual therapy on central sensitization in subjects with chronic low back pain: A systematic review and meta-analysis.

The present study aims to determine the effects of joint manual therapy (MT) on central sensitization (CS) in individuals with Chronic low back pain (CLBP). A systematic search was performed in PubMed, Scopus, ScienceDirect, Embase/Ovid, CINHAL, CENTRAL, Web of Science and PEDRO, clinicaltrials.gov...

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Detalles Bibliográficos
Publicado en:Journal of Bodywork & Movement Therapies Vol. 44; pp. 672 - 686
Autores principales: Tabatabaei, Abbas, Molaei, Farzan, Mangdow, Mustapha, Sharma, Neena K.
Formato: meta analysis research systematic review Journal Article
Publicado: Churchill Livingstone, Inc. Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
      vid: 44
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      pub: Churchill Livingstone, Inc.
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        10.1016/j.jbmt.2025.06.020
        187944848
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        atl: Efficacy of manual therapy on central sensitization in subjects with chronic low back pain: A systematic review and meta-analysis.
      aug:
        au:
          Tabatabaei, Abbas
          Molaei, Farzan
          Mangdow, Mustapha
          Sharma, Neena K.
        affil: CORR LabDepartment of Physical Therapy, Rehabilitation Science, and Athletic Training, School of Health Professions, University of Kansas Medical Center, Kansas City, KS, USA
      sug:
        subj:
          Low Back Pain Rehabilitation
          Chronic Pain Rehabilitation
          Manual Therapy
          Nervous System Physiology
          Training Effect (Physiology) Evaluation
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          CINAHL Database
          Physiotherapy Evidence Database
          Descriptive Statistics
          Confidence Intervals
      ab: The present study aims to determine the effects of joint manual therapy (MT) on central sensitization (CS) in individuals with Chronic low back pain (CLBP). A systematic search was performed in PubMed, Scopus, ScienceDirect, Embase/Ovid, CINHAL, CENTRAL, Web of Science and PEDRO, clinicaltrials.gov , and ICTRP. All studies included the effect of joint MT on CS in various people with CLBP. The assessment of quality and data synthesis was completed. Standardized mean difference and 95 % confidence intervals were used to conduct a meta-analysis. The systematic review and meta-analysis revealed a small overall effect size of 0.01 (95 % CI: −0.27 to 0.29), indicating a negligible impact of joint MT on CS in individuals with CLBP. A small but significant effect (SMD:0.31 (95 % CI: 0.00, 0.63)) of MT was observed on peripheral sensitization. No significant effect of MT was observed on pressure pain thresholds on various body areas, TS or CPM. Therefore, the neurophysiological effects of joint MT on CS remain unclear. Further research to needed, utilizing a variety of measures to understand the role of MT in managing CS symptoms in individuals with CLBP.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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