Cochrane · systematic review · CD008880
Spinal manipulative therapy for acute low‐back pain
Rubinstein, SM, Terwee, CB, Assendelft, WJJ, et al. · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library
Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
23
current version
GRADE rated
18
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 5 · 21.7%Very low 4 · 17.4%Low 11 · 47.8%Moderate 3 · 13%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Spinal manipulative therapy compared to other interventions for acute low‐back pain
Population: Patients with acute low‐back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain at one week 0 (no pain) to 10 (worse pain) Spinal manipulative therapy vs other interventions | no estimate extracted | 3 studies · 383 participants | Low |
Pain at one month 0 (no pain) to 10 (worse pain) Spinal manipulative therapy vs other interventions | no estimate extracted | 3 studies · 606 participants | Moderate |
Functional status at one week Roland Morris Disability Questionnaire. Scale from: 0 (no dysfunction) to 24 (worse function) Spinal manipulative therapy vs other interventions | no estimate extracted | 1 study · 241 participants | Low Downgraded: imprecision, inconsistency |
Functional status at one month Roland Morris Disability Questionnaire. Scale from: 0 (no dysfunction) to 24 (worse function) Spinal manipulative therapy vs other interventions | no estimate extracted | 3 studies · 681 participants | Moderate |
Recovery at one month Spinal manipulative therapy vs other interventions | RR 1.06 [0.94, 1.21] | 2 studies · 117 participants | Low |
Serious adverse events Spinal manipulative therapy vs other interventions | no estimate extracted | 2 studies · 2 participants | Ungraded |
Spinal manipulative therapy plus another intervention compared to the intervention alone for acute low‐back pain
Population: Patients with acute low‐back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain at one week Scale from: 0 (no pain) to 10 (worse pain) Spinal manipulative therapy plus another intervention vs the intervention alone | no estimate extracted | 1 study · 102 participants | Low Downgraded: imprecision, inconsistency |
Pain at 3 to 6 months Scale from: 0 (no pain) to 10 (worse pain) Spinal manipulative therapy plus another intervention vs the intervention alone | no estimate extracted | 1 study · 104 participants | Low Downgraded: imprecision, inconsistency |
Functional status at one week Oswestry Disability Index. Scale from: 0 (no dysfunction) to 100 (worse function). Spinal manipulative therapy plus another intervention vs the intervention alone | no estimate extracted | 2 studies · 225 participants | Low |
Functional status at 3 to 6 months Oswestry Disability Index. Scale from: 0 (no dysfunction) to 100 (worse function) Spinal manipulative therapy plus another intervention vs the intervention alone | no estimate extracted | 2 studies · 225 participants | Low |
Recovery at one week Spinal manipulative therapy plus another intervention vs the intervention alone | RR 0.89 [0.32, 2.47] | 2 studies · 196 participants | Very low |
Recovery at 3 to 6 months Spinal manipulative therapy plus another intervention vs the intervention alone | RR 0.75 [0.51, 1.1] | 2 studies · 195 participants | Very low |
Serious adverse events Spinal manipulative therapy plus another intervention vs the intervention alone | no estimate extracted | 2 studies · 2 participants | Ungraded |
Spinal manipulative therapy compared to inert interventions for acute low‐back pain
Population: Patients with acute low‐back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain at one week Scale from: 0 (no pain) to 10 (worse pain). Spinal manipulative therapy vs inert interventions | no estimate extracted | 3 studies · 311 participants | Low |
Pain at one month Scale from: 0 (no pain) to 10 (worse pain). Spinal manipulative therapy vs inert interventions | no estimate extracted | 1 study · 178 participants | Low Downgraded: imprecision, inconsistency |
Functional status at one week Roland Morris Disability Questionnaire. Scale from: 0 (no dysfunction) to 24 (worse function) Spinal manipulative therapy vs inert interventions | no estimate extracted | 2 studies · 205 participants | Moderate |
Functional status at one month Roland Morris Disability Questionnaire. Scale from: 0 (no dysfunction) to 24 (worse function) Spinal manipulative therapy vs inert interventions | no estimate extracted | 1 study · 178 participants | Low Downgraded: imprecision, inconsistency |
Recovery at one week Spinal manipulative therapy vs inert interventions | RR 0.96 [0.5, 1.85] | 2 studies · 263 participants | Low |
Serious adverse events Spinal manipulative therapy vs inert interventions | no estimate extracted | 2 studies · 2 participants | Ungraded |
Spinal manipulative therapy (SMT) compared to sham SMT for acute low‐back pain
Population: Patients with acute low‐back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain at one month 0 (no pain) to 10 (worse pain) Spinal manipulative therapy (SMT) vs sham SMT | no estimate extracted | 1 study · 74 participants | Very low Downgraded: imprecision, inconsistency |
Functional status at one month Oswestry Disability Index. Scale from: 0 (no dysfunction) to 100 (worse function) Spinal manipulative therapy (SMT) vs sham SMT | no estimate extracted | 1 study · 94 participants | Very low Downgraded: imprecision, inconsistency |
Recovery at one month Spinal manipulative therapy (SMT) vs sham SMT | no estimate extracted | 0 studies · 0 participants | Ungraded |
Serious adverse events Spinal manipulative therapy (SMT) vs sham SMT | no estimate extracted | 0 studies · 0 participants | Ungraded |