Spinal manipulation: Difference between revisions

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In [[health care]], '''spinal manipulation''' is a type of [[musculoskeletal manipulation]] that is an "adjustment and manipulation of the vertebral column."<ref>{{MeSH}}</ref>
In [[health care]], '''spinal manipulation''' is a type of [[musculoskeletal manipulation]] that is an "adjustment and manipulation of the vertebral column."<ref>{{MeSH}}</ref>


Spinal manipulation may help [[lumbalgia]] according to a [[systematic review]] of studies<ref name="pmid12779300">{{cite journal| author=Cherkin DC, Sherman KJ, Deyo RA, Shekelle PG| title=A review of the evidence for the effectiveness, safety, and cost of acupuncture, massage therapy, and spinal manipulation for back pain. | journal=Ann Intern Med | year= 2003 | volume= 138 | issue= 11 | pages= 898-906 | pmid=12779300 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12779300  }} </ref>; however, a more recent trial disputes this finding by suggesting a [[placebo]] response."The results of this study indicate attenuation of pain sensitivity is greater in response to SMT than the expectation of receiving an SMT". <ref name="pmid24361109">{{cite journal| author=Bialosky JE, George SZ, Horn ME, Price DD, Staud R, Robinson ME| title=Spinal Manipulative Therapy-Specific Changes in Pain Sensitivity in Individuals With Low Back Pain (NCT01168999). | journal=J Pain | year= 2013 | volume= | issue= | pages= | pmid=24361109 | doi=10.1016/j.jpain.2013.10.005 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24361109 }} </ref>
Spinal manipulation may help [[lumbalgia]] according to a [[systematic review]] of studies<ref name="pmid12779300">{{cite journal| author=Cherkin DC, Sherman KJ, Deyo RA, Shekelle PG| title=A review of the evidence for the effectiveness, safety, and cost of acupuncture, massage therapy, and spinal manipulation for back pain. | journal=Ann Intern Med | year= 2003 | volume= 138 | issue= 11 | pages= 898-906 | pmid=12779300 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12779300  }} </ref>
 
More recent trails have conflicting results with one trial showing some benefit<ref name="pmid25222385">{{cite journal| author=Bronfort G, Hondras MA, Schulz CA, Evans RL, Long CR, Grimm R| title=Spinal manipulation and home exercise with advice for subacute and chronic back-related leg pain: a trial with adaptive allocation. | journal=Ann Intern Med | year= 2014 | volume= 161 | issue= 6 | pages= 381-91 | pmid=25222385 | doi=10.7326/M14-0006 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25222385  }} </ref> and a second trial suggesting a [[placebo]] response."The results of this study indicate attenuation of pain sensitivity is greater in response to SMT than the expectation of receiving an SMT". <ref name="pmid24361109">{{cite journal| author=Bialosky JE, George SZ, Horn ME, Price DD, Staud R, Robinson ME| title=Spinal Manipulative Therapy-Specific Changes in Pain Sensitivity in Individuals With Low Back Pain (NCT01168999). | journal=J Pain | year= 2013 | volume= | issue= | pages= | pmid=24361109 | doi=10.1016/j.jpain.2013.10.005 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24361109 }} </ref>


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Revision as of 16:13, 5 October 2014

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In health care, spinal manipulation is a type of musculoskeletal manipulation that is an "adjustment and manipulation of the vertebral column."[1]

Spinal manipulation may help lumbalgia according to a systematic review of studies[2]

More recent trails have conflicting results with one trial showing some benefit[3] and a second trial suggesting a placebo response."The results of this study indicate attenuation of pain sensitivity is greater in response to SMT than the expectation of receiving an SMT". [4]

References