Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain.
Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain.
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DOI：
10.3389/fpain.2021.765921
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Piché M
中科院分区：
文献类型：
--
作者：
Gevers-Montoro C;Provencher B;Descarreaux M;Ortega de Mues A;Piché M
脊柱疼痛是一种非常普遍的疾病，影响世界人口的11%以上。它是活动受限的唯一主要原因，在全球因残疾而损失的年数中排名第四，代表着重大的个人，社会和经济负担。对于绝大多数背部和颈部疼痛的患者来说，无法确定特定的病理学是他们疼痛的原因，然后将其标记为非特异性。在越来越多的病例中，疼痛持续超过3个月，被称为慢性原发性背部或颈部疼痛。为了减少脊柱疼痛的总体负担，目前的数据表明，保守的方法可能是可取的。其中一个保守的管理选项是脊柱推拿治疗（SMT），主要的干预所使用的脊椎按摩师和其他手动治疗师。本叙述性综述的目的是强调SMT用于颈痛和腰痛管理的有效性（与更实用环境中的其他干预措施相比）和疗效（与高度受控条件下的非活性对照相比）的最相关和最新证据。此外，将提供对SMT治疗脊柱疼痛的当前建议和未来研究的需求的观点。总之，对于非特异性和慢性原发性脊柱疼痛的管理，SMT可能与其他推荐的治疗方法一样有效，包括标准医疗护理或物理治疗。目前，SMT被推荐与运动相结合，作为多模式方法的一部分。它也可能被推荐作为下背痛的一线干预措施。尽管存在一些差异，但目前的临床实践指南几乎普遍推荐使用SMT治疗脊柱疼痛。由于证据质量较低，SMT与安慰剂或无治疗相比的疗效仍不确定。因此，未来的研究需要澄清SMT的具体影响，以进一步验证这种干预。此外，预测这些影响的因素仍有待确定，以针对更有可能从SMT获得积极结局的患者。
Spine pain is a highly prevalent condition affecting over 11% of the world's population. It is the single leading cause of activity limitation and ranks fourth in years lost to disability globally, representing a significant personal, social, and economic burden. For the vast majority of patients with back and neck pain, a specific pathology cannot be identified as the cause for their pain, which is then labeled as non-specific. In a growing proportion of these cases, pain persists beyond 3 months and is referred to as chronic primary back or neck pain. To decrease the global burden of spine pain, current data suggest that a conservative approach may be preferable. One of the conservative management options available is spinal manipulative therapy (SMT), the main intervention used by chiropractors and other manual therapists. The aim of this narrative review is to highlight the most relevant and up-to-date evidence on the effectiveness (as it compares to other interventions in more pragmatic settings) and efficacy (as it compares to inactive controls under highly controlled conditions) of SMT for the management of neck pain and low back pain. Additionally, a perspective on the current recommendations on SMT for spine pain and the needs for future research will be provided. In summary, SMT may be as effective as other recommended therapies for the management of non-specific and chronic primary spine pain, including standard medical care or physical therapy. Currently, SMT is recommended in combination with exercise for neck pain as part of a multimodal approach. It may also be recommended as a frontline intervention for low back pain. Despite some remaining discrepancies, current clinical practice guidelines almost universally recommend the use of SMT for spine pain. Due to the low quality of evidence, the efficacy of SMT compared with a placebo or no treatment remains uncertain. Therefore, future research is needed to clarify the specific effects of SMT to further validate this intervention. In addition, factors that predict these effects remain to be determined to target patients who are more likely to obtain positive outcomes from SMT.
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影响因子：
3
作者：
Coggon D;Ntani G;Walker-Bone K;Palmer KT;Felli VE;Harari R;Barrero LH;Felknor SA;Gimeno D;Cattrell A;Vargas-Prada S;Bonzini M;Solidaki E;Merisalu E;Habib RR;Sadeghian F;Kadir MM;Warnakulasuriya SS;Matsudaira K;Nyantumbu B;Sim MR;Harcombe H;Cox K;Sarquis LMM;Marziale MH;Harari F;Freire R;Harari N;Monroy MV;Quintana LA;Rojas M;Harris EC;Serra C;Martinez JM;Delclos G;Benavides FG;Carugno M;Ferrario MM;Pesatori AC;Chatzi L;Bitsios P;Kogevinas M;Oha K;Freimann T;Sadeghian A;Peiris-John RJ;Sathiakumar N;Wickremasinghe AR;Yoshimura N;Kelsall HL;Hoe VCW;Urquhart DM;Derrett S;McBride D;Herbison P;Gray A;Salazar Vega EJ
通讯作者：
Salazar Vega EJ
DOI：
10.1002/ejp.1679
发表时间：
2021-03
期刊：
European journal of pain (London, England)
影响因子：
--
作者：
Corp N;Mansell G;Stynes S;Wynne-Jones G;Morsø L;Hill JC;van der Windt DA
通讯作者：
van der Windt DA
影响因子：
39.2
作者：
Bronfort, Gert;Evans, Roni;Grimm, Richard H.
通讯作者：
Grimm, Richard H.
DOI：
10.1016/j.jmpt.2017.12.004
发表时间：
2018-05-01
影响因子：
1.3
作者：
Bussieres, Andre E.;Stewart, Gregory;Ornelas, Joseph
通讯作者：
Ornelas, Joseph
影响因子：
--
作者：
Adams, Jon;Lauche, Romy;Sibbritt, David
通讯作者：
Sibbritt, David