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JAMA: Spinal Manipulation Treatment for Low Back Pain Associated with Modest Improvement in Pain, Function




The Journal of American Medical Association performed a systemic review of 26 RCT or randomized clinical trials and found the spinal manipulative treatment was statistically significant in improving acute low back pain for up to 6 weeks.  This is also compared to sham treatments or other "alternative" treatments.  Alternative in this case means "analgesics, muscle relaxants, exercises, physical therapy." The results were comparable to "analgesics, muscle relaxants, exercises, physical therapy" in efficacy and "modest." These studies did include "blind" studies which means that the experiment tried to eliminated experimenter or patient subject bias in removing labels while the experiment is performed.


Key Points
Question  Is the use of spinal manipulative therapy in the management of acute (≤6 weeks) low back pain associated with improvements in pain or function?
Findings  In this systematic review and meta-analysis of 26 randomized clinical trials, spinal manipulative therapy was associated with statistically significant benefits in both pain and function, of on average modest magnitude, at up to 6 weeks. Minor transient adverse events such as increased pain, muscle stiffness, and headache were reported in more than half of patients in the large case series.
Meaning  Among patients with acute low back pain, spinal manipulative therapy was associated with modest improvements in pain and function and with transient minor musculoskeletal harms. JAMA. 2017;317(14):1451-1460. doi:10.1001/jama.2017.3086






ChiroWorks Care Center
Anthony Tsai, D.C.
Chiropractor in San Jose, CA
Graston Technique Certified
FAKTR Certified

Disclaimer: The content in this blog is for informational purposes only and an opinion for specific individualized circumstances. It is not a prescription for therapy or diagnosis for you. All opinions expressed and any referenced articles are solely those of the particular author and do not necessarily represent the opinions of Anthony Tsai, Graston Technique®, its employees, providers or affiliates. Any opinions of the author on the site are or have been rendered based on scientific facts and/or anecdotal evidence, under certain conditions, and subject to certain assumptions, and may not and should not be used or relied upon for any other purpose, including but not limited to for use in or in connection with any legal proceeding. If there is any issue with the content or images on this blog, contact us an we will remove it immediately. Please refer to http://fairuse.stanford.edu/Copyright_and_Fair_Use_Overview/ for more information.


References:
http://jamanetwork.com/journals/jama/article-abstract/2616395

http://media.jamanetwork.com/news-item/spinal-manipulation-treatment-for-low-back-pain-associated-with-modest-improvement-in-pain-function/


https://www.sciencedaily.com/releases/2017/04/170411130833.htm

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