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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