Abstract:
OBJECTIVE:To investigate the question whether or not spinal manipulation is associated with specific treatment effects. METHODS:Literature searches were carried out in Medline, Embase and The Cochrane Library. All sham-controlled trials of spinal manipulation were considered. RESULTS:Seven such studies were located. Their methodological quality was variable but three trials adhered to the highest standards of scientific rigour. Collectively these data do not show therapeutic effects beyond placebo. In particular, the three most rigorous studies were negative. CONCLUSION:The few sham-controlled trials that do exist show that this methodology is, in principle, applicable also to spinal manipulation. The results available to date suggest that the therapeutic success of spinal manipulation is largely due to a placebo effect.
journal_name
Fam Practjournal_title
Family practiceauthors
Ernst Edoi
10.1093/fampra/17.6.554subject
Has Abstractpub_date
2000-12-01 00:00:00pages
554-6issue
6eissn
0263-2136issn
1460-2229journal_volume
17pub_type
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