Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline

doi:10.1089/acm.2020.0181

PMC full text:

J Altern Complement Med. October 2020; 26(10): 884–901.

Published online 2020 Oct 8. doi: 10.1089/acm.2020.0181

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Table 8.

Quality of Evidence for Targeted (Procedure/Topic Specific) Searches

	CLBP	CNP	CTTH	KOA	HOA	FM
SM/MT	C	B	C	B	C; B	*C (MT)*
SM/MT	C	B	C	B	C; B	C (SM)
TENS/IFC	B	C		B		C
LLL	C	B		B		B
ACU	C	C	C	*B-C;* B		C
MB/L	*B-C*		B			C

Strength of evidence rated by the AHRQ systematic review is in bold italics. Strength of evidence is otherwise based on rating of literature published 2018–2019, including clinical practice guidelines, systematic review/meta-analyses, and randomized controlled trials. GRADE classifications: (see Table 5 for details): A = high; B = moderate; C = low; D = very low.

ACU, acupuncture; CLBP, chronic low-back pain; CNP, chronic neck pain; CTTH, chronic tension-type headache; FM, fibromyalgia; HOA, hip osteoarthritis; KOA, knee osteoarthritis; LLL, low-level laser therapy; MB/L, mind–body, psychological therapies and lifestyle counseling; MT, manual therapy; SM/MT, spinal manipulation/manual therapy; SM, spinal manipulation; TENS/IFC, transcutaneous nerve stimulation/interferential current.