Tags

Type your tag names separated by a space and hit enter

Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis.
J Manipulative Physiol Ther. 2008 Nov-Dec; 31(9):659-74.JM

Abstract

OBJECTIVES

The purpose of this project was to review the literature for the use of spinal manipulation for low back pain (LBP).

METHODS

A search strategy modified from the Cochrane Collaboration review for LBP was conducted through the following databases: PubMed, Mantis, and the Cochrane Database. Invitations to submit relevant articles were extended to the profession via widely distributed professional news and association media. The Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) was charged with developing literature syntheses, organized by anatomical region, to evaluate and report on the evidence base for chiropractic care. This article is the outcome of this charge. As part of the CCGPP process, preliminary drafts of these articles were posted on the CCGPP Web site www.ccgpp.org (2006-8) to allow for an open process and the broadest possible mechanism for stakeholder input.

RESULTS

A total of 887 source documents were obtained. Search results were sorted into related topic groups as follows: randomized controlled trials (RCTs) of LBP and manipulation; randomized trials of other interventions for LBP; guidelines; systematic reviews and meta-analyses; basic science; diagnostic-related articles, methodology; cognitive therapy and psychosocial issues; cohort and outcome studies; and others. Each group was subdivided by topic so that team members received approximately equal numbers of articles from each group, chosen randomly for distribution. The team elected to limit consideration in this first iteration to guidelines, systematic reviews, meta-analyses, RCTs, and coh ort studies. This yielded a total of 12 guidelines, 64 RCTs, 13 systematic reviews/meta-analyses, and 11 cohort studies.

CONCLUSIONS

As much or more evidence exists for the use of spinal manipulation to reduce symptoms and improve function in patients with chronic LBP as for use in acute and subacute LBP. Use of exercise in conjunction with manipulation is likely to speed and improve outcomes as well as minimize episodic recurrence. There was less evidence for the use of manipulation for patients with LBP and radiating leg pain, sciatica, or radiculopathy.

Authors+Show Affiliations

Center for Teaching and Learning, Palmer College of Chiropractic, Davenport, Iowa, USA. dana.lawrence@palmer.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

19028250

Citation

Lawrence, Dana J., et al. "Chiropractic Management of Low Back Pain and Low Back-related Leg Complaints: a Literature Synthesis." Journal of Manipulative and Physiological Therapeutics, vol. 31, no. 9, 2008, pp. 659-74.
Lawrence DJ, Meeker W, Branson R, et al. Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis. J Manipulative Physiol Ther. 2008;31(9):659-74.
Lawrence, D. J., Meeker, W., Branson, R., Bronfort, G., Cates, J. R., Haas, M., Haneline, M., Micozzi, M., Updyke, W., Mootz, R., Triano, J. J., & Hawk, C. (2008). Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis. Journal of Manipulative and Physiological Therapeutics, 31(9), 659-74. https://doi.org/10.1016/j.jmpt.2008.10.007
Lawrence DJ, et al. Chiropractic Management of Low Back Pain and Low Back-related Leg Complaints: a Literature Synthesis. J Manipulative Physiol Ther. 2008 Nov-Dec;31(9):659-74. PubMed PMID: 19028250.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis. AU - Lawrence,Dana J, AU - Meeker,William, AU - Branson,Richard, AU - Bronfort,Gert, AU - Cates,Jeff R, AU - Haas,Mitch, AU - Haneline,Michael, AU - Micozzi,Marc, AU - Updyke,William, AU - Mootz,Robert, AU - Triano,John J, AU - Hawk,Cheryl, PY - 2008/04/25/received PY - 2008/06/03/revised PY - 2008/09/08/accepted PY - 2008/11/26/pubmed PY - 2009/2/13/medline PY - 2008/11/26/entrez SP - 659 EP - 74 JF - Journal of manipulative and physiological therapeutics JO - J Manipulative Physiol Ther VL - 31 IS - 9 N2 - OBJECTIVES: The purpose of this project was to review the literature for the use of spinal manipulation for low back pain (LBP). METHODS: A search strategy modified from the Cochrane Collaboration review for LBP was conducted through the following databases: PubMed, Mantis, and the Cochrane Database. Invitations to submit relevant articles were extended to the profession via widely distributed professional news and association media. The Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) was charged with developing literature syntheses, organized by anatomical region, to evaluate and report on the evidence base for chiropractic care. This article is the outcome of this charge. As part of the CCGPP process, preliminary drafts of these articles were posted on the CCGPP Web site www.ccgpp.org (2006-8) to allow for an open process and the broadest possible mechanism for stakeholder input. RESULTS: A total of 887 source documents were obtained. Search results were sorted into related topic groups as follows: randomized controlled trials (RCTs) of LBP and manipulation; randomized trials of other interventions for LBP; guidelines; systematic reviews and meta-analyses; basic science; diagnostic-related articles, methodology; cognitive therapy and psychosocial issues; cohort and outcome studies; and others. Each group was subdivided by topic so that team members received approximately equal numbers of articles from each group, chosen randomly for distribution. The team elected to limit consideration in this first iteration to guidelines, systematic reviews, meta-analyses, RCTs, and coh ort studies. This yielded a total of 12 guidelines, 64 RCTs, 13 systematic reviews/meta-analyses, and 11 cohort studies. CONCLUSIONS: As much or more evidence exists for the use of spinal manipulation to reduce symptoms and improve function in patients with chronic LBP as for use in acute and subacute LBP. Use of exercise in conjunction with manipulation is likely to speed and improve outcomes as well as minimize episodic recurrence. There was less evidence for the use of manipulation for patients with LBP and radiating leg pain, sciatica, or radiculopathy. SN - 1532-6586 UR - https://www.unboundmedicine.com/medline/citation/19028250/Chiropractic_management_of_low_back_pain_and_low_back_related_leg_complaints:_a_literature_synthesis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-4754(08)00277-7 DB - PRIME DP - Unbound Medicine ER -