TY - JOUR T1 - Review: spinal manipulative therapy is not better than standard treatments for low back pain JF - Evidence Based Medicine JO - Evid Based Med SP - 171 LP - 171 DO - 10.1136/ebm.9.6.171 VL - 9 IS - 6 A2 - , Y1 - 2004/11/01 UR - http://ebm.bmj.com/content/9/6/171.abstract N2 - Assendelft WJ, Morton SC, Yu EI, et al. Spinal manipulative therapy for low back pain. Cochrane Database Syst Rev 2004;(1):CD000447. 
 
 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 ★★★★★★☆ Data sources: 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. Outcomes: 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 … ER -