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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