Efficacy of spinal manipulation/mobilization therapy. A meta-analysis.

摘要: A quantitative review (meta-analysis) was undertaken to synthesize existing evidence on the efficacy of joint mobilization and manipulation expose consumers rehabilitation research methods procedures reviewing. Potentially relevant studies were obtained through a computer-assisted bibliographic search Index Medicus data base examination references contained in retrieved studies. total 57 titles potentially manipulation/mobilization, but only nine met prespecified criteria for inclusion review. Data analysis indicated that not employing random assignment more likely produce results supporting use manipulation/mobilization therapies. The effects favor greater when manual therapy provided conjunction with other forms treatment also measured immediately following therapy. In addition, hypotheses tests appearing journals published United States showed less effective comparison reports English language outside States. limited empirical support spinal used treat pain, flexibility limitations, impairment physical activity.