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Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

Clar, C., Tsertsvadze, A., Court, R., Hundt, G., Clarke, A., & Sutcliffe, P. (2014). Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report. Chiropractic & Manual Therapies, 22(1), 12–12“.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997823/.

This systematic review is an update to a previous systematic review on the effectiveness of manual therapy for several different conditions. 178 studies are included in the review. The review includes systematic reviews, randomized controlled trials, and non-randomized controlled trials. Conditions that are evaluated in the review include: neck pain, non-specific mid-back pain, ankle and foot conditions, carpal tunnel syndrome, lateral epicondylitis, shoulder conditions, temporomandibular disorders, cervicogenic headache, tension-type headache, miscellaneous headaches, fibromyalgia, asthma, ADD/ADHD, cancer care, cerebral palsy in children, cervicogenic dizziness/balance, chronic fatigue syndrome, cystic fibrosis, paediatric disfunctional voiding, gastrointestinal disorders, hypertension, infantile colic, insomnia, menopausal symptoms, myofascial pain syndrome, otitis media, parkinson’s disease, paediatric nocturnal enuresis, peripheral arterial disease, pneumonia and COPD, pregnancy/obstetric care/neonatal care, rehabilitation, and systemic sclerosis. Each condition includes a rating of inconclusive, moderate, or high level of evidence and a rating of favourable, non-favourable, positive, or unclear results. Review ends with recommendations that further high quality studies should be conducted.

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Does Nonsurgical Treatment Improve Longitudinal Outcomes of Lateral Epicondylitis Over No Treatment? A Meta-analysis

Sayegh, E. T., & Strauch, R. J. (2015). Does Nonsurgical Treatment Improve Longitudinal Outcomes of Lateral Epicondylitis Over No Treatment? A Meta-analysis. Clinical Orthopaedics and Related Research®, 473(3), 1093–1107Access full text online at: http://link.springer.com/article/10.1007/s11999-014-4022-y#page-1.

This systematic review and meta analysis evaluates the effect of non-surgical treatment for lateral epicondylitis. Evaluated non-surgical treatments include: injections, physiotherapy, shock wave therapy, laser, ultrasound, corticosteroid iontophoresis, topical glyceryl trinitrate, or oral naproxen. 22 randomized controlled trials, encompassing 2280 patients, are included in the review. Findings indicate that there was no benefit to non-surgical treatment verses no treatment for overall improvement, escape treatment, outcome scores, or grip strength. The authors recommend watchful waiting for management of short-term symptoms.

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The effectiveness of manual therapy for the management of musculoskeletal disorders of the upper and lower extremities: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

Southerst, D., Yu, H., Randhawa, K., Côté, P., D’Angelo, K., Shearer, H. M., … Taylor-Vaisey, A. (2015). The effectiveness of manual therapy for the management of musculoskeletal disorders of the upper and lower extremities: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Chiropractic & Manual Therapies, 23(1), 30–30Access full text online at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623271/.

This systematic review evaluates the effectiveness of manual therapy for musculoskeletal disorders of the upper and lower extremities. 3 randomized controlled trials are included in the review. Findings indicate that manual therapy may be effective for non-specific shoulder pain and ankle sprains, but not for subacromial impingement syndrome. These conclusions are based on low quality evidence due to the small number of studies. There was not enough evidence to evaluate other musculoskeletal conditions of the extremities.

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The effectiveness of soft-tissue therapy for the management of musculoskeletal disorders and injuries of the upper and lower extremities: A systematic review by the Ontario Protocol for Traffic Injury management (OPTIMa) collaboration.

Piper, S., Shearer, H. M., Côté, P., Wong, J. J., Yu, H., Varatharajan, S., … Taylor-Vaisey, A. L. (2016). The effectiveness of soft-tissue therapy for the management of musculoskeletal disorders and injuries of the upper and lower extremities: A systematic review by the Ontario Protocol for Traffic Injury management (OPTIMa) collaboration. Manual Therapy, 21, 18–34.

This systematic review evaluates the effectiveness of soft-tissue therapy for musculoskeletal disorders and injuries of the upper and lower extremities. 6 articles are included in the review. Disorders that are evaluated in the review include: shoulder impingement syndrome, carpal tunnel syndrome, and plantar fasciitis. Findings indicate that: 1) myofascial release is effective for plantar heel pain and lateral epicondylitis but not for subacromial impingement syndrome, and 2) trigger point therapy provides very little benefit for plantar heel pain. However, more high quality studies are needed to make further conclusions and recommendations.

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Understanding Mechanobiology: Physical Therapists as a Force in Mechanotherapy and Musculoskeletal Regenerative Rehabilitation.

Thompson, W. R., Scott, A., Loghmani, M. T., Ward, S. R., & Warden, S. J. (2016). Understanding Mechanobiology: Physical Therapists as a Force in Mechanotherapy and Musculoskeletal Regenerative Rehabilitation. Physical Therapy, 96(4), 560–569.

This review paper discusses the regenerative effects of physical therapy at the cellular level. The paper is divided into sections that discuss mechanotransduction at the cellular and molecular levels, and regenerative rehabilitation at the cellular and molecular levels. No specific conclusions or recommendations are presented, only a review of the evidence.

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