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CMT for the lower extremity

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CMT - Lower Extremity NB: Attributed to the CCGPP (Rapid Response Resource Center) Article on the "Lower Extremity"

In 2006 researcher Jim Brantingham et al. conducted a literature review [1] and concluded the following:

  • Fair evidence (Grade B) for manipulative therapy (MT) combined with multiple modalities or exercise for knee osteoarthritis, patellofemoral pain syndrome, and ankle inversion sprain [2]
  • Limited evidence (Grade C) for hip osteoarthritis [2]
  • Limted evidence for plantar fasciitis, metatarsalgia and hallux limitus/rigidus [2]
  • Insufficient evidence (Grade I) for hallux abducto valgus [2]
  • Additionally investigators found that range of motion in the lower extremities is increased with MT and stretching in comparison to one or the other [2]

Brantingham et al later updated the previous literature reviews (Hoskins 2006 [1] and Brantingham 2009 [2]:

  • Fair evidence (Grade B) for MT in combination with multiple modalities or exercise therapy for short-term treatment of hip osteoarthritis (OA) and limited evidence (Grade C) for long-term treatment [3]
  • Fair evidence for short-term treatment of knee OA, patellofemoral pain syndrome and and ankle inversion sprain
  • Limited evidence for long-term treatment [3]
  • Fair evidence for short-term treatment of plantar fasciitis [3]
  • Limited evidence (Grade C) for short-term treatment of metatarsalgia and hallux limitus/rigidus and for loss of proprioception and balance [3]
  • Insufficient evidence (Grade I) for hallux abducto valgus [3]

References