Journal of Manipulative and Physiological Therapeutics
Council on Chiropractic Guidelines and Practice ParametersChiropractic Management of Low Back Pain and Low Back-Related Leg Complaints: A Literature Synthesis
Section snippets
Methods
Process development was guided by experience of commission members with the RAND consensus process,1 Cochrane collaboration, Agency for Health Care and Policy Research,2 and published recommendations3 modified to the needs of the council.
Results and Discussion
A total of 887 source documents were initially obtained. This included a total of 12 guidelines, 64 RCTs, 20 systematic reviews/meta-analyses, and 12 cohort studies. Table 1 provides an overall summary of the number of studies evaluated.
Conclusion
Existing research evidence regarding the usefulness of spinal adjusting/manipulation/mobilization indicates the following:
- 1.
As much or more evidence exists for the use of SMT to reduce symptoms and improve function in patients with chronic LBP as for use in acute and subacute LBP.
- 2.
Use of exercise in conjunction with manipulation is likely to speed and improve outcomes as well as minimize episodic recurrence.
- 3.
There was less evidence for the use of manipulation for patients with LBP and radiating leg
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All authors participated without compensation from any organization. There were no declared conflicts of interest.