Spinal Manipulative Therapy for Nonspecific Low Back Pain: Targeting Specific Vertebral Level or Not .
Spinal Manipulative Therapy for Nonspecific Low Back Pain: Does Targeting a Specific Vertebral Level Make a Difference?: A Systematic Review With Meta-analysis.
J Orthop Sports Phys Ther . 2023 Sep;53(9):529–539.Ten studies with a total of 931 patients who suffer from nonspecific low back pain (LBP) were included in this systematic review and meta-analysis which compares targeted spinal manipulative therapy (SMT) versus nontargeted SMT. Pooled outcomes of interest included pain intensity and self-reported disability. The incidence of adverse events was also recorded. Overall, the analysis revealed no significant difference in pain intensity or disability between the targeted and nontargeted SMT groups, which means that there is no clinical benefit to utilizing targeted SMT in LBP.
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