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Bon courage (talk | contribs) →Effectiveness: We have a recent strong source which considers the earlier work, so it's cruft: slimming-down |
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Available evidence covers the following conditions:
* '''[[Low back pain]]'''. A 2013 [[Cochrane review]] found that spinal manipulation therapy was no more effective than inert interventions, sham SMT or as an adjunct therapy for acute low back pain.<ref name=Cochrane-2013/><ref name=update-Cochrane-2013>{{cite journal |author=Rubinstein SM, van Middelkoop M, Assendelft WJ, de Boer MR, van Tulder MW |title=Spinal manipulative therapy for chronic low-back pain: an update of a Cochrane review |journal=Spine |volume=36 |issue=13 |pages=E825–46 |year=2011 |month=June |pmid=21593658 |doi=10.1097/BRS.0b013e3182197fe1 |type=Systematic review}}</ref> The same review found that SMT appears to be no better than other recommended therapies.<ref name=Cochrane-2013>{{cite pmid | 23169072}}</ref> A 2012 overview of systematic reviews found that collectively, spinal manipulation failed to show it is an effective intervention for pain.<ref>{{cite journal |author=Posadzki P |title=Is spinal manipulation effective for pain? An overview of systematic reviews |journal=Pain Med |volume=13 |issue=6 |pages=754–61 |year=2012 |pmid=22621391 |doi=10.1111/j.1526-4637.2012.01397.x}}</ref> A 2011 Cochrane review found strong evidence that suggests there is no clinically meaningful difference between spinal manipulation and other treatments for reducing pain and improving function for chronic low back pain.<ref>{{cite journal |author=Rubinstein SM, van Middelkoop M, Assendelft WJ, de Boer MR, van Tulder MW |title=Spinal manipulative therapy for chronic low-back pain |journal=Cochrane Database Syst Rev |volume= |issue=2 |pages=CD008112 |year=2011 |pmid=21328304 |doi=10.1002/14651858.CD008112.pub2 |editor1-last=Rubinstein |editor1-first=Sidney M}}</ref> A 2010 Cochrane review found no current evidence to support or refute a clinically significant difference between the effects of combined chiropractic interventions and other interventions for chronic or mixed duration low back pain.<ref>{{cite journal |author=Walker BF, French SD, Grant W, Green S |title=Combined chiropractic interventions for low-back pain |journal=Cochrane Database Syst Rev |volume= |issue=4 |pages=CD005427 |year=2010 |pmid=20393942 |doi=10.1002/14651858.CD005427.pub2 |editor1-last=Walker |editor1-first=Bruce F}}</ref> A 2010 systematic review found that most studies suggest spinal manipulation achieves equivalent or superior improvement in pain and function when compared with other commonly used interventions for short, intermediate, and long-term follow-up.<ref name=Dagenais-2010>{{cite journal |author=Dagenais S, Gay RE, Tricco AC, Freeman MD, Mayer JM |title=NASS Contemporary Concepts in Spine Care: spinal manipulation therapy for acute low back pain |journal=Spine J |volume=10 |issue=10 |pages=918–40 |date=October 2010 |pmid=20869008 |doi=10.1016/j.spinee.2010.07.389}}</ref> A 2008 review found strong evidence that SM is similar in effect to medical care with exercise.<ref name=Bronfort-2008>{{cite journal |author=Bronfort G, Haas M, Evans R, Kawchuk G, Dagenais S |title=Evidence-informed management of chronic low back pain with spinal manipulation and mobilization |journal=Spine J |volume=8 |issue=1 |pages=213–25 |year=2008 |pmid=18164469 |doi=10.1016/j.spinee.2007.10.023}}</ref> A 2008 literature synthesis found good evidence supporting SM for low back pain regardless of duration.<ref name=Lawrence-2008>{{cite journal |author=Lawrence DJ, Meeker W, Branson R, ''et al.'' |title=Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis |journal=J Manipulative Physiol Ther |volume=31 |issue=9 |pages=659–74 |year=2008 |pmid=19028250 |doi=10.1016/j.jmpt.2008.10.007}} An earlier, freely readable version is in: {{cite web|title= Chiropractic management of low back pain and low back related leg complaints|author= Meeker W, Branson R, Bronfort G ''et al.''|url=http://ccgpp.org/lowbackliterature.pdf|format=PDF|year=2007|accessdate=2008-11-28|publisher= [[Council on Chiropractic Guidelines and Practice Parameters]]}}</ref> Methods for formulating treatment guidelines for low back pain differ significantly between countries, casting some doubt on their reliability.<ref name=Murphy>{{cite journal |author=Murphy AY, van Teijlingen ER, Gobbi MO |title=Inconsistent grading of evidence across countries: a review of low back pain guidelines |journal=J Manipulative Physiol Ther |volume=29 |issue=7 |pages=576–81, 581.e1–2 |date=September 2006 |pmid=16949948 |doi=10.1016/j.jmpt.2006.07.005}}</ref>
* '''[[Radiculopathy]]'''. A 2013 systematic review and meta-analysis found a statistically significant improvement in overall recovery from sciatica following [[spinal manipulation]], when compared to usual care, and suggested that spine manipulation may be considered.<ref>{{cite journal |author=Lewis RA, Williams NH, Sutton AJ, ''et al.'' |title=Comparative clinical effectiveness of management strategies for sciatica: systematic review and network meta-analyses. |journal=Spine Journal |volume= |issue= |pages= |year=2013 |month= |pmid= 24412033 |url= |doi=10.1016/j.spinee.2013.08.049}}</ref> There is moderate quality evidence to support the use of spinal manipulation for the treatment of acute [[Sciatica|lumbar radiculopathy]]<ref name="Leininger 2011">{{cite journal |author=Leininger B, Bronfort G, Evans R, Reiter T |title=Spinal manipulation or mobilization for radiculopathy: a systematic review |journal=Phys Med Rehabil Clin N Am |volume=22 |issue=1 |pages=105–25 |date=February 2011 |pmid=21292148 |doi=10.1016/j.pmr.2010.11.002}}</ref> and acute lumbar [[disc herniation]] with associated radiculopathy.<ref>{{cite journal |author=Hahne AJ, Ford JJ, McMeeken JM |title=Conservative management of lumbar disc herniation with associated radiculopathy: a systematic review |journal=Spine |volume=35 |issue=11 |pages=E488–504 |date=May 2010 |pmid=20421859 |doi=10.1097/BRS.0b013e3181cc3f56}}</ref> The evidence for chronic lumbar spine-related extremity symptoms and cervical spine-related extremity symptoms of any duration is low or very low and no evidence exists for the treatment of thoracic radiculopathy.<ref name="Leininger 2011"/>
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