The importance of selecting the correct site to apply spinal manipulation when treating spinal pain: Myth or reality? A systematic review.

ABSTRACT: The concept that spinal manipulation therapy (SMT) outcomes are optimized when the treatment is aimed at a clinically relevant joint is commonly assumed and central to teaching and clinical use (candidate sites). This systematic review investigated whether clinical effects are superior when this is the case compared to SMT applied elsewhere (non-candidate sites). Eligible study designs were randomized controlled trials that investigated the effect of spinal manipulation applied to candidate versus non-candidate sites for spinal pain. We obtained data from four different databases. Risk of bias was assessed using an adjusted Cochrane risk of bias tool, adding four items for study quality. We extracted between-group differences for any reported outcome or, when not reported, calculated effec

SUBMITTER: Nim CG 

PROVIDER: S-EPMC8642385 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature