Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · May 2007
Review Meta Analysis Comparative StudyUnloaded movement facilitation exercise compared to no exercise or alternative therapy on outcomes for people with nonspecific chronic low back pain: a systematic review.
The purpose of this study was to determine the effect of unloaded movement facilitation exercises on outcomes for people with nonspecific chronic low back pain (NSCLBP). ⋯ For NSCLBP, there is strong evidence that unloaded movement facilitation exercise, compared to no exercise, improves pain and function. Compared to other types of exercise, including effort-intensive strengthening and time-intensive stabilization exercise, the effects are comparable. This challenges the role of strengthening for NSCLBP.
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J Manipulative Physiol Ther · Mar 2007
ReviewChronic mechanical neck pain in adults treated by manual therapy: a systematic review of change scores in randomized clinical trials.
This study provides a systematic analysis of group change scores in randomized clinical trials of chronic neck pain not due to whiplash and not including headache or arm pain treated with manual therapy. ⋯ There is moderate- to high-quality evidence that subjects with chronic neck pain not due to whiplash and without arm pain and headaches show clinically important improvements from a course of spinal manipulation or mobilization at 6, 12, and up to 104 weeks posttreatment. The current evidence does not support a similar level of benefit from massage.
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J Manipulative Physiol Ther · Oct 2006
ReviewChiropractic treatment of lower extremity conditions: a literature review.
The purpose of this study was to document the quantity and type of research conducted on the chiropractic management of lower extremity conditions. ⋯ Literature on the chiropractic management of lower extremity conditions has a large number of case studies (level 4 evidence) and a smaller number of higher-level publications (level 1-3 evidence). The management available in the peer-reviewed literature is predominantly multimodal and contains combined spinal and peripheral components. Future chiropractic research should use higher-level research designs, such as randomized controlled trials.
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J Manipulative Physiol Ther · Sep 2006
ReviewInconsistent grading of evidence across countries: a review of low back pain guidelines.
The aim of this study was to report clinical treatment recommendations for low back pain (LBP) based on 5 international guidelines and best evidence from the Cochrane database of systematic reviews. ⋯ Treatment recommendations for nonspecific LBP, particularly spinal manipulation, remain inconclusive. Guideline developers need to consider guidelines in neighboring countries and reach consensus on how evidence is graded and incorporated into guidelines. Guidelines should continue to be regularly updated to incorporate new evidence and methods of grading the evidence.
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J Manipulative Physiol Ther · Feb 2006
ReviewTrunk-strengthening exercises for chronic low back pain: a systematic review.
The objective of this systematic review was to determine the effect of lumbar spine-strengthening exercises on outcomes for people with chronic low back pain. ⋯ Trunk strengthening appears effective compared with no exercise. Increasing exercise intensity and adding motivation increase treatment effects. Trunk strengthening, compared with aerobics or McKenzie exercises, showed no clear benefit of strengthening. It is unclear whether observed benefits are due to tissue loading or movement repetition.