[Algor]

Сообщение от EVP

Доказательная медицина не отрицает мануальную терапию, эффективность манипуляций при хронической боли внизу спины доказана, включена в гайды (последний гайдлайн по боли внизу спины в medscape) эффективность постизометрической релаксации доказана.

Neither diclofenac nor spinal manipulative therapy gave
clinically useful eff ects on the primary outcome of time
to recovery. Findings from the secondary analyses support
the primary analyses, showing no signifi cant eff ects on
pain, disability, or global perceived eff ect at 1, 2, 4, or
12 weeks, when diclofenac or spinal manipulative
(c)
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Thirteen original studies were found, in which maintenance care was investigated. The relative paucity of studies, the obvious bias in many of these, the lack of exhaustive information, and the diversity of findings made it impossible to answer any of the questions.
(c)
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There was little or no difference in pain reduction or the ability to perform everyday activities between people with low-back pain who received spinal manipulation and those who received other advocated therapies.
(c)
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Conclusions: Collectively these data do not demonstrate that spinal manipulation is an effective intervention for any condition. Given the possibility of adverse effects, this review does not suggest that spinal manipulation is a recommendable treatment.
(c)
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Twenty-nine reviews met the inclusion criteria. Sixteen reached an overall positive conclusion, 7 a negative conclusion and 6 a neutral conclusion regarding therapeutic effectiveness. There were statistically significant pairwise correlations between each of the three factors: direction of conclusion, methodological quality and authorship by osteopaths or chiropracters. This indicates an association between authorship by osteopaths or chiropractors and low methodological quality and positive conclusion. We conclude that the outcomes of reviews of this subject are strongly influenced by both scientific rigour and profession of authors. The effectiveness of spinal manipulation for back pain is less certain than many reviews suggest; most high quality reviews reach negative conclusions.
(c)
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