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Q In patients with low back pain, is spinal manipulative therapy (SMT) effective for reducing pain and improving function?
Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Rheumatology ★★★★★★☆
Medline, CINAHL, EMBASE/Excerpta Medica, the Cochrane Central Register of Controlled Trials (to 2000), and reference lists.
Study selection and assessment:
randomised controlled trials (RCTs) that evaluated manipulation or mobilisation in patients with back pain. Cointerventions were allowed. 2 reviewers assessed the quality of study methods.
pain (visual analogue or other scales) and functional status (back pain specific scales).
39 studies (5486 patients) met the selection criteria. Acute low back pain (<3 wk duration). SMT led to short term improvement in pain when compared with sham therapy and to …
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