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

doi:10.1186/2045-709X-22-12

PMC full text:

Chiropr Man Therap. 2014; 22: 12.

Published online 2014 Mar 28. doi: 10.1186/2045-709X-22-12

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Table 7

Comparison of evidence in UK evidence report and current review for non-musculoskeletal conditions

Condition	Intervention	UK evidence report evidence			New/additional evidence			New evidence?
		Inconclusive	Moderate	High	Inconclusive	Moderate	High
Asthma	Spinal manipulation		Negative		Unclear			yes
	Osteopathic manual therapy	Favourable			Favourable			no
	Cranio-sacral therapy				Favourable			yes
Attention deficit hyperactivity disorder	Osteopathic treatment				Unclear			yes
Cancer care	Chiropractic care				Unclear			yes
	Massage including myofascial release/strain/counterstrain					Positive		yes
	Manipulation in osteosarcoma					Negative		yes
Cerebral palsy	Osteopathic manual therapy (cranio-sacral, cranial, myofascial release)				Unclear			yes
Chronic fatigue syndrome/myalgic encephalomyelitis	Osteopathic manual therapy				Favourable			yes
Chronic pelvic pain • interstitial cystitis/painful bladder syndrome/chronic prostatitis	Myofascial therapy				Favourable			yes
• chronic pelvic pain in women	Distension of painful pelvic structures				Favourable			yes
• chronic prostatitis/chronic pelvic pain/female urination disorders	Osteopathic manual therapy				Favourable			yes
Cystic fibrosis	Mobilisation				Unclear			yes
Paediatric dysfunctional voiding	Osteopathic manual therapy				Favourable			yes
Paediatric nocturnal enuresis	Spinal manipulation	Favourable			Favourable			no
Infant colic	Spinal manipulation		Negative		Favourable			yes
	Cranial osteopathic manual therapy	Favourable			Favourable			no
Dysmenorrhoea	Spinal manipulation		Negative			Negative		no
Premenstrual syndrome	Spinal manipulation	Unclear			Unclear			no
Menopausal symptoms	Fox’s low force osteopathic technique plus cranial techniques				Favourable			yes
Gastrointestinal disorders •reflux disease, duodenal ulcer	Spinal manipulation				Unclear			yes
• irritable bowel syndrome	Osteopathic manual therapy				Favourable			yes
Hypertension stage 1 hypertension	Spinal manipulation added to diet		Negative			Negative		no
	Upper cervical (NUCCA) spinal manipulation	Favourable			Favourable			no
	Instrument assisted spinal manipulation	Unclear			Unclear			no
	Osteopathic manual therapy				Unclear			yes
	Gonstead full spine chiropractic care				Unclear			yes
Intermittent claudication	Osteopathic manual therapy				Favourable			yes
Venous insufficiency	Myofascial release manual therapy combined with kinesiotherapy				Favourable
Insomnia	Spinal manipulation				Unclear			yes
Otitis media	Osteopathic manual therapy	Unclear			Unclear			no
Parkinson’s disease	Osteopathic manual therapy				Favourable			yes
Pneumonia in elderly adults	Osteopathic manual therapy	Favourable			Favourable			no
Chronic obstructive pulmonary disease in elderly adults	Osteopathic manual therapy				Favourable			yes
Back pain during pregnancy	Spinal manipulation				Favourable			yes
Care during labour/delivery	Spinal manipulation				Unclear			yes
Care of preterm infants	Physiotherapeutic/osteopathic manual therapy				Unclear			yes
Surgery rehabilitation	Osteopathic manual therapy				Favourable			yes
Stroke rehabilitation	Mobilisation				Unclear			yes
Systemic sclerosis	McMennell joint manipulation				Unclear			yes