Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain.
low back pain
manual therapy
neck pain
placebo
spinal manipulative therapy
Journal
Frontiers in pain research (Lausanne, Switzerland)
ISSN: 2673-561X
Titre abrégé: Front Pain Res (Lausanne)
Pays: Switzerland
ID NLM: 9918227269806676
Informations de publication
Date de publication:
2021
2021
Historique:
received:
27
08
2021
accepted:
27
09
2021
entrez:
17
3
2022
pubmed:
18
3
2022
medline:
18
3
2022
Statut:
epublish
Résumé
Spine pain is a highly prevalent condition affecting over 11% of the world's population. It is the single leading cause of activity limitation and ranks fourth in years lost to disability globally, representing a significant personal, social, and economic burden. For the vast majority of patients with back and neck pain, a specific pathology cannot be identified as the cause for their pain, which is then labeled as non-specific. In a growing proportion of these cases, pain persists beyond 3 months and is referred to as chronic primary back or neck pain. To decrease the global burden of spine pain, current data suggest that a conservative approach may be preferable. One of the conservative management options available is spinal manipulative therapy (SMT), the main intervention used by chiropractors and other manual therapists. The aim of this narrative review is to highlight the most relevant and up-to-date evidence on the effectiveness (as it compares to other interventions in more pragmatic settings) and efficacy (as it compares to inactive controls under highly controlled conditions) of SMT for the management of neck pain and low back pain. Additionally, a perspective on the current recommendations on SMT for spine pain and the needs for future research will be provided. In summary, SMT may be as effective as other recommended therapies for the management of non-specific and chronic primary spine pain, including standard medical care or physical therapy. Currently, SMT is recommended in combination with exercise for neck pain as part of a multimodal approach. It may also be recommended as a frontline intervention for low back pain. Despite some remaining discrepancies, current clinical practice guidelines almost universally recommend the use of SMT for spine pain. Due to the low quality of evidence, the efficacy of SMT compared with a placebo or no treatment remains uncertain. Therefore, future research is needed to clarify the specific effects of SMT to further validate this intervention. In addition, factors that predict these effects remain to be determined to target patients who are more likely to obtain positive outcomes from SMT.
Identifiants
pubmed: 35295422
doi: 10.3389/fpain.2021.765921
pmc: PMC8915715
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
765921Informations de copyright
Copyright © 2021 Gevers-Montoro, Provencher, Descarreaux, Ortega de Mues and Piché.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Rheumatology (Oxford). 2010 Dec;49(12):2346-56
pubmed: 20713495
BMJ. 2017 Jan 6;356:i6748
pubmed: 28062522
Acta Orthop. 2006 Feb;77(1):132-7
pubmed: 16534713
Spine (Phila Pa 1976). 2013 Apr 1;38(7):540-8
pubmed: 23026869
JAMA. 2016 Jun 14;315(22):2415-23
pubmed: 27299617
J Manipulative Physiol Ther. 2018 Jul - Aug;41(6):445-455
pubmed: 30121129
BMJ. 2019 Mar 13;364:l689
pubmed: 30867144
Joint Bone Spine. 2021 Dec;88(6):105227
pubmed: 34051387
Eur Spine J. 2016 Jul;25(7):2000-22
pubmed: 26984876
J Electromyogr Kinesiol. 2012 Oct;22(5):632-42
pubmed: 22513367
BMJ Open. 2021 May 4;11(5):e045106
pubmed: 33947735
Arch Phys Med Rehabil. 2014 Sep;95(9):1613-9
pubmed: 24862763
Spine (Phila Pa 1976). 2011 Aug 15;36(18):1427-37
pubmed: 21245790
Spine (Phila Pa 1976). 2017 May 15;42(10):740-747
pubmed: 27820794
Joint Bone Spine. 2013 Oct;80(5):508-15
pubmed: 23165183
Spine J. 2010 Jun;10(6):514-29
pubmed: 20494814
Br J Sports Med. 2022 Jan;56(1):41-50
pubmed: 33849907
Ann Rheum Dis. 2009 Sep;68(9):1420-7
pubmed: 18775942
J Orthop Sports Phys Ther. 2012 Aug;42(8):724-30
pubmed: 22523090
JAMA. 2017 Apr 11;317(14):1418-1419
pubmed: 28399236
Man Ther. 2014 Jun;19(3):215-21
pubmed: 24467843
J Orthop Sports Phys Ther. 2011 Jun;41(6):389-99
pubmed: 21471653
PLoS One. 2016 Aug 03;11(8):e0160037
pubmed: 27487116
Clin Rehabil. 2010 Jan;24(1):26-36
pubmed: 20053720
Spine J. 2018 May;18(5):866-879
pubmed: 29371112
J Orthop Sports Phys Ther. 2013 Mar;43(3):118-27
pubmed: 23221367
Eur J Pain. 2006 May;10(4):287-333
pubmed: 16095934
Spine J. 2016 Dec;16(12):1598-1630
pubmed: 26707074
J Chiropr Med. 2016 Sep;15(3):165-83
pubmed: 27660593
J Orthop Sports Phys Ther. 2012 Jan;42(1):5-18
pubmed: 21979312
Spine (Phila Pa 1976). 2011 Nov 15;36(24):1999-2010
pubmed: 21358492
Eur Spine J. 2018 Sep;27(Suppl 6):796-801
pubmed: 29480409
Phys Ther. 2010 Sep;90(9):1239-50
pubmed: 20634268
BMC Complement Altern Med. 2017 Jan 5;17(1):14
pubmed: 28056964
Chiropr Man Therap. 2012 Apr 05;20:11
pubmed: 22480304
Spine (Phila Pa 1976). 2015 Feb 15;40(4):209-17
pubmed: 25423308
Pain. 2008 Oct 31;139(3):670-680
pubmed: 18774225
J Electromyogr Kinesiol. 2012 Oct;22(5):648-54
pubmed: 22289432
Spine J. 2017 Mar;17(3):445-456
pubmed: 27888138
J Pain. 2014 Feb;15(2):136-48
pubmed: 24361109
J Manipulative Physiol Ther. 2016 Jun;39(5):319-329
pubmed: 27180949
Man Ther. 2011 Apr;16(2):141-7
pubmed: 20813577
Spine (Phila Pa 1976). 2021 Oct 1;46(19):1344-1353
pubmed: 34517404
Arthritis Rheum. 2012 Jun;64(6):2028-37
pubmed: 22231424
Man Ther. 2010 Oct;15(5):415-33
pubmed: 20538501
Ann Transl Med. 2020 Mar;8(6):299
pubmed: 32355743
Chiropr Man Therap. 2013 Oct 02;21(1):34
pubmed: 24274314
J Orthop Sports Phys Ther. 2011 Sep;41(9):633-42
pubmed: 21885904
BMC Musculoskelet Disord. 2019 Jan 18;20(1):29
pubmed: 30658622
Pain. 1998 Jul;77(1):1-13
pubmed: 9755013
Pain. 2020 Sep;161 Suppl 1:S57-S64
pubmed: 33090740
J Orthop Sports Phys Ther. 2003 Apr;33(4):163-5
pubmed: 12723672
Pain. 2019 Jan;160(1):19-27
pubmed: 30586067
Eur J Phys Rehabil Med. 2018 Dec;54(6):880-889
pubmed: 29687966
Chiropr Osteopat. 2005 Jul 06;13:9
pubmed: 16000175
Eur J Appl Physiol. 2021 Oct;121(10):2675-2720
pubmed: 34164712
J Manipulative Physiol Ther. 2021 Mar;44(3):177-185
pubmed: 33849727
Spine J. 2012 Nov;12(11):1021-8
pubmed: 23158966
Chiropr Man Therap. 2020 Aug 7;28(1):38
pubmed: 32762708
Man Ther. 2010 Aug;15(4):334-54
pubmed: 20593537
Spine J. 2016 Dec;16(12):1503-1523
pubmed: 24534390
J Manipulative Physiol Ther. 2014 Jun;37(5):312-9
pubmed: 24880778
Eur Spine J. 2008 Jul;17(7):889-904
pubmed: 18421484
Spine (Phila Pa 1976). 2015 Sep 1;40(17):1329-37
pubmed: 26020851
Eur Spine J. 2018 Jan;27(1):60-75
pubmed: 28429142
PLoS One. 2015 Nov 04;10(11):e0140967
pubmed: 26536471
Lancet. 2018 Nov 10;392(10159):1789-1858
pubmed: 30496104
BMJ. 2020 Mar 26;368:m791
pubmed: 32217608
Pain. 2019 Jan;160(1):28-37
pubmed: 30586068
Spine (Phila Pa 1976). 2012 May 15;37(11):903-14
pubmed: 22024905
J Man Manip Ther. 2014 Aug;22(3):141-53
pubmed: 25125936
Cochrane Database Syst Rev. 2015 Sep 23;(9):CD004249
pubmed: 26397370
Spine (Phila Pa 1976). 2016 Jun;41(12):E702-E709
pubmed: 26656041
J Manipulative Physiol Ther. 2009 Jun;32(5):330-43
pubmed: 19539115
BMC Musculoskelet Disord. 2021 Jan 6;22(1):23
pubmed: 33407345
J Phys Ther Sci. 2013 Jul;25(7):865-71
pubmed: 24259872
Eur Spine J. 2008 Jul;17(7):936-43
pubmed: 18427840
J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169
pubmed: 28826164
Best Pract Res Clin Rheumatol. 2010 Apr;24(2):193-204
pubmed: 20227641
Eur J Pain. 2021 Aug;25(7):1429-1448
pubmed: 33786932
Aust J Physiother. 2006;52(2):135-8
pubmed: 16764551
Ann Intern Med. 2017 Apr 4;166(7):493-505
pubmed: 28192793
Chiropr Osteopat. 2010 Jul 09;18:20
pubmed: 20618936
Br J Sports Med. 2020 Nov;54(21):1279-1287
pubmed: 31666220
Pain Physician. 2019 Mar;22(2):E55-E70
pubmed: 30921975
Spine (Phila Pa 1976). 2011 Oct 1;36(21 Suppl):S120-30
pubmed: 21952184
Ann Intern Med. 2017 Apr 4;166(7):514-530
pubmed: 28192789
Nat Rev Dis Primers. 2018 Dec 13;4(1):52
pubmed: 30546064
Spine (Phila Pa 1976). 2021 Apr 15;46(8):E505-E517
pubmed: 33186277
BMC Musculoskelet Disord. 2021 Jan 18;22(1):91
pubmed: 33461514
J Orthop Sports Phys Ther. 2009 Jan;39(1):20-7
pubmed: 19209478
Spine (Phila Pa 1976). 2011 Oct 1;36(21):1772-81
pubmed: 21358568
Man Ther. 2013 Jun;18(3):191-8
pubmed: 23040656
Eur J Pain. 2017 Feb;21(2):201-216
pubmed: 27712027
Spine J. 2011 Jul;11(7):585-98
pubmed: 21622028
Med Hypotheses. 2006;66(2):258-62
pubmed: 16242852
J Back Musculoskelet Rehabil. 2018 Feb 6;31(1):133-145
pubmed: 28826170
Lancet. 2018 Jun 9;391(10137):2356-2367
pubmed: 29573870
Eur Spine J. 2018 Nov;27(11):2791-2803
pubmed: 29971708
Can Fam Physician. 2018 Nov;64(11):832-840
pubmed: 30429181
PLoS One. 2020 Nov 24;15(11):e0242831
pubmed: 33232379
Eur J Pain. 2021 Feb;25(2):275-295
pubmed: 33064878
JAMA Netw Open. 2020 Aug 3;3(8):e2012589
pubmed: 32756930
Can Fam Physician. 2021 Jan;67(1):31-34
pubmed: 33483394
Physiotherapy. 2021 Sep;112:121-134
pubmed: 34049207
Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S123-52
pubmed: 18204386
Spine (Phila Pa 1976). 2013 Apr 15;38(8):627-34
pubmed: 23060056
Ann Intern Med. 2014 Sep 16;161(6):381-91
pubmed: 25222385
Clin Rehabil. 2013 Jun;27(6):504-12
pubmed: 23129812
JAMA. 2011 Apr 6;305(13):1315-21
pubmed: 21467284
J Bodyw Mov Ther. 2017 Oct;21(4):798-803
pubmed: 29037630
Ann Intern Med. 2002 Feb 5;136(3):216-27
pubmed: 11827498
Spine (Phila Pa 1976). 2011 Feb 1;36(3):230-42
pubmed: 21248591
Spine (Phila Pa 1976). 2013 Feb 1;38(3):E158-77
pubmed: 23169072
JAMA. 2017 Apr 11;317(14):1451-1460
pubmed: 28399251
Chiropr Man Therap. 2011 Jan 11;19(1):3
pubmed: 21247413
Pain. 2016 Feb;157(2):329-338
pubmed: 26447703
PLoS One. 2019 Feb 13;14(2):e0211877
pubmed: 30759118
J Manipulative Physiol Ther. 2018 May;41(4):265-293
pubmed: 29606335
Eur J Pain. 2021 Oct;25(9):1876-1897
pubmed: 34051018
Lancet. 2018 Jun 9;391(10137):2368-2383
pubmed: 29573872
BMJ Clin Evid. 2008 Aug 04;2008:
pubmed: 19445809
Eur Spine J. 2018 Sep;27(Suppl 6):851-860
pubmed: 29460009
Sci Rep. 2015 Jul 06;5:11774
pubmed: 26145718
Chiropr Man Therap. 2017 Nov 22;25:35
pubmed: 29201346
Spine J. 2014 Jul 1;14(7):1106-16
pubmed: 24139233
Arch Intern Med. 2011 Apr 11;171(7):686-91
pubmed: 21482846
Lancet. 2021 May 29;397(10289):2082-2097
pubmed: 34062143
Ann Intern Med. 2012 Jan 3;156(1 Pt 1):1-10
pubmed: 22213489
Spine J. 2018 Oct;18(10):1741-1754
pubmed: 29481979
Eur Spine J. 2017 Sep;26(9):2242-2257
pubmed: 28523381
Pain Physician. 2009 Jul-Aug;12(4):E35-70
pubmed: 19668291
Musculoskelet Sci Pract. 2017 Oct;31:62-71
pubmed: 28750310
Healthcare (Basel). 2020 Feb 24;8(1):
pubmed: 32102417
J Electromyogr Kinesiol. 2012 Oct;22(5):670-91
pubmed: 22534288
J Man Manip Ther. 2014 May;22(2):59-74
pubmed: 24976749
Rheumatology (Oxford). 2009 May;48(5):520-7
pubmed: 19109315
Am J Med. 2021 Jan;134(1):135-141
pubmed: 32931763
J Chiropr Humanit. 2016 Nov 04;23(1):14-21
pubmed: 27920614
Chiropr Man Therap. 2019 May 22;27:23
pubmed: 31139346
J Orthop Sports Phys Ther. 2018 Mar;48(3):137-145
pubmed: 29406835