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Difference between revisions of "Talk:Chiropractic"

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I have edited out all the sections on the Philosophy an Controversy issues, and tried to leave an article which fairly reflects the profession. Those other sections belong in the articles on Philosophy and History, if anyone still cares. [[User:Дрсйпдц|дрсйпдц]] 19:12, 5 December 2009 (UTC)
 
I have edited out all the sections on the Philosophy an Controversy issues, and tried to leave an article which fairly reflects the profession. Those other sections belong in the articles on Philosophy and History, if anyone still cares. [[User:Дрсйпдц|дрсйпдц]] 19:12, 5 December 2009 (UTC)
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== Conditions ==
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I've removed the effectiveness conditions sections because they need work. [[User:D. Matt|D. Matt]] 01:10, 15 December 2009 (UTC)
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Available evidence covers the following conditions:
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* '''[[Low back pain]]'''. There is continuing conflict of opinion on the efficacy of SMT for nonspecific (i.e., unknown cause) low back pain.<ref name=Murphy>{{cite journal |journal= J Manipulative Physiol Ther |date=2006 |volume=29 |issue=7 |pages=576–81, 581.e1–2 |title= Inconsistent grading of evidence across countries: a review of low back pain guidelines |author= Murphy AYMT, van Teijlingen ER, Gobbi MO |doi=10.1016/j.jmpt.2006.07.005 |pmid=16949948 |url=http://jmptonline.org/article/S0161-4754(06)00186-2/fulltext}}</ref> A 2008 review found strong evidence that SM is similar in effect to medical care with exercise.<ref name=Bronfort-2008>{{cite journal |journal= [[Spine J]] |date=2008 |volume=8 |issue=1 |pages=213–25 |title= Evidence-informed management of chronic low back pain with spinal manipulation and mobilization |author= Bronfort G, Haas M, Evans R, Kawchuk G, Dagenais S |doi=10.1016/j.spinee.2007.10.023 |pmid=18164469}}</ref> A 2007 review found good evidence that SM is moderately effective for low back pain lasting more than 4 weeks;<ref>{{cite journal |journal= Ann Intern Med |year=2007 |volume=147 |issue=7 |pages=492–504 |title= Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline |author= Chou R, Huffman LH; American Pain Society; American College of Physicians |pmid=17909210 |url=http://annals.org/cgi/content/full/147/7/492}}</ref> a 2008 literature synthesis found good evidence supporting SM for low back pain regardless of duration.<ref name=Lawrence-2008>{{cite journal |title= Chiropractic management of low back pain and low back-related leg complaints: a literature synthesis |author= Lawrence DJ, Meeker W, Branson R ''et al.'' |journal= J Manipulative Physiol Ther |volume=31 |issue=9 |pages=659–74 |year=2008 |pmid=19028250 |doi=10.1016/j.jmpt.2008.10.007}} An earlier, freely readable version is in: {{cite web |title= Chiropractic management of low back pain and low back related leg complaints |author= Meeker W, Branson R, Bronfort G ''et al.'' |url=http://ccgpp.org/lowbackliterature.pdf |format=PDF |date=2007 |accessdate=2008-11-28 |publisher= [[Council on Chiropractic Guidelines and Practice Parameters]]}}</ref> Of four systematic reviews published between 2000 and May 2005, only one recommended SM, and a 2004 [[Cochrane Collaboration|Cochrane]] review<ref>{{cite journal |journal= [[Cochrane Database Syst Rev]] |date=2004 |issue=1 |pages=CD000447 |title= Spinal manipulative therapy for low back pain |author= Assendelft WJJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG |doi=10.1002/14651858.CD000447.pub2 |pmid=14973958}}</ref> found that SM or mobilization is no more or less effective than other standard interventions for back pain.<ref name=Ernst-Canter/> Methods for formulating treatment guidelines for low back pain differ significantly between countries, casting some doubt on their reliability.<ref name=Murphy/>
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* '''[[Whiplash (medicine)|Whiplash]] and other [[neck pain]]'''. There is no overall consensus on manual therapies for neck pain.<ref name=Vernon>{{cite journal |journal= [[Eura Medicophys]] |date=2007 |volume=43 |issue=1 |pages=91–118 |title= Manual therapy for neck pain: an overview of randomized clinical trials and systematic reviews |author= Vernon H, Humphreys BK |pmid=17369783 |url=http://www.minervamedica.it/en/getfreepdf.php?cod=R33Y2007N01A0091 |format=PDF}}</ref> A 2009 systematic review of controlled clinical trials found no evidence that chiropractic spinal manipulation is effective for whiplash injury.<ref>{{cite journal |journal=Focus Altern Complement Ther |year=2009 |volume=14 |pages=85–6 |title=Chiropractic spinal manipulation for whiplash injury? A systematic review of controlled clinical trials |author=Ernst E |url=http://www.medicinescomplete.com/journals/fact/current/fact1402a05t01.htm }}</ref> A 2008 review found evidence that educational videos, mobilization, and exercises appear more beneficial for whiplash than alternatives; that SM, mobilization, supervised exercise, low-level laser therapy and perhaps [[acupuncture]] are more effective for non-whiplash neck pain than alternatives but none of these treatments is clearly superior; and that there is no evidence that any intervention improves [[prognosis]].<ref name=Hurwitz-2008/> A 2007 review found that SM and mobilization are effective for neck pain.<ref name=Vernon/> Of three systematic reviews of SM published between 2000 and May 2005, one reached a positive conclusion, and a 2004 Cochrane review<ref>{{cite journal |journal= Cochrane Database Syst Rev |date=2004 |issue=1 |pages=CD004249 |title= Manipulation and mobilisation for mechanical neck disorders |author= Gross AR, Hoving JL, Haines TA ''et al.'' |doi=10.1002/14651858.CD004249.pub2 |pmid=14974063}}</ref> found that SM and mobilization are beneficial only when combined with exercise.<ref name=Ernst-Canter/> A 2005 review found consistent evidence supporting mobilization for acute whiplash, and limited evidence supporting SM for whiplash.<ref>{{cite journal |journal= [[Pain Res Manag]] |date=2005 |volume=10 |issue=1 |pages=21–32 |title= Treatment of whiplash-associated disorders—part I: non-invasive interventions |author= Conlin A, Bhogal S, Sequeira K, Teasell R |pmid=15782244}}</ref>
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* '''[[Headache]]'''. A 2006 review found no rigorous evidence supporting SM or other manual therapies for [[tension headache]].<ref>{{cite journal |journal= [[Clin J Pain]] |date=2006 |volume=22 |issue=3 |pages=278–85 |title= Are manual therapies effective in reducing pain from tension-type headache?: a systematic review |author= Fernández-de-las-Peñas C, Alonso-Blanco C, Cuadrado ML, Miangolarra JC, Barriga FJ, Pareja JA |doi=10.1097/01.ajp.0000173017.64741.86 |pmid=16514329}}</ref> A 2005 review found that the evidence was weak for effectiveness of chiropractic manipulation for tension headache, and that it was probably more effective for tension headache than for [[migraine]].<ref>{{cite journal |journal=[[Headache (journal)|Headache]] |date=2005 |volume=45 |issue=6 |pages=738–46 |title= Physical treatments for headache: a structured review |doi=10.1111/j.1526-4610.2005.05141.x |author= Biondi DM |pmid=15953306}}</ref> A 2004 review found that SM may be effective for migraine and tension headache, and SM and neck exercises may be effective for cervicogenic headache.<ref>{{cite journal |journal= Cochrane Database Syst Rev |date=2004 |issue=3 |pages=CD001878 |title= Non-invasive physical treatments for chronic/recurrent headache |author= Bronfort G, Nilsson N, Haas M ''et al.'' |doi=10.1002/14651858.CD001878.pub2 |pmid=15266458}}</ref> Two other systematic reviews published between 2000 and May 2005 did not find conclusive evidence in favor of SM.<ref name=Ernst-Canter/>
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* '''Other'''. There is a small amount of research into the efficacy of chiropractic treatment for [[upper limb]]s,<ref>{{cite journal |journal= J Manipulative Physiol Ther |date=2008 |volume=31 |issue=2 |pages=146–59 |title= Chiropractic treatment of upper extremity conditions: a systematic review |author= McHardy A, Hoskins W, Pollard H, Onley R, Windsham R |doi=10.1016/j.jmpt.2007.12.004 |pmid=18328941}}</ref> and limited or fair evidence supporting chiropractic management of [[Human leg|leg]] conditions.<ref>{{cite journal |author= Brantingham JW, Globe G, Pollard H, Hicks M, Korporaal C, Hoskins W |title= Manipulative therapy for lower extremity conditions: expansion of literature review |journal= J Manipulative Physiol Ther |volume=32 |issue=1 |pages=53–71 |year=2009 |pmid=19121464 |doi=10.1016/j.jmpt.2008.09.013}}</ref> There is very weak evidence for chiropractic care for adult [[scoliosis]] (curved or rotated spine)<ref>{{cite journal |journal=Spine |date=2007 |volume=32 |issue= 19 Suppl |pages=S130–4 |title= A systematic literature review of nonsurgical treatment in adult scoliosis |author= Everett CR, Patel RK |doi=10.1097/BRS.0b013e318134ea88 |pmid=17728680}}</ref> and no scientific data for [[idiopathic]] adolescent scoliosis.<ref>{{cite journal |journal=[[Scoliosis (journal)|Scoliosis]]|date=2008 |volume=3 |pages=2 |title= Manual therapy as a conservative treatment for adolescent idiopathic scoliosis: a systematic review |author= Romano M, Negrini S |doi=10.1186/1748-7161-3-2 |pmid=18211702 |url=http://scoliosisjournal.com/content/3/1/2 |pmc=2262872}}</ref> A 2007 systematic review found that few studies of chiropractic care for nonmusculoskeletal conditions are available, and they are typically not of high quality; it also found that the entire clinical encounter of chiropractic care (as opposed to just SM) provides benefit to patients with [[asthma]], cervicogenic dizziness, and [[baby colic]], and that the evidence from reviews is negative, or too weak to draw conclusions, for a wide variety of other nonmusculoskeletal conditions, including [[ADHD]]/[[learning disabilities]], [[dizziness]], [[high blood pressure]], and [[Visual perception|vision]] conditions.<ref>{{cite journal |journal= J Altern Complement Med |date=2007 |volume=13 |issue=5 |pages=491–512 |title= Chiropractic care for nonmusculoskeletal conditions: a systematic review with implications for whole systems research |author= Hawk C, Khorsan R, Lisi AJ, Ferrance RJ, Evans MW |doi=10.1089/acm.2007.7088 |pmid=17604553}}</ref> Other reviews have found no evidence of benefit for asthma,<ref>{{cite journal |author= Hondras MA, Linde K, Jones AP |title= Manual therapy for asthma |journal= Cochrane Database Syst Rev |issue=2 |pages=CD001002 |year=2005 |pmid=15846609 |doi=10.1002/14651858.CD001002.pub2}}</ref> baby colic,<ref name=Gotlib/><ref>{{cite book |author= Husereau D, Clifford T, Aker P, Leduc D, Mensinkai S |title= Spinal Manipulation for Infantile Colic |isbn=1-894978-11-0 |url=http://cadth.ca/media/pdf/177_spinal_manipulation_tr_e.pdf |format=PDF |accessdate=2008-10-06 |location=Ottawa |publisher= Canadian Coordinating Office for Health Technology Assessment |date=2003 |series= Technology report no. 42}}</ref> [[bedwetting]],<ref>{{cite journal |journal= Cochrane Database Syst Rev |date=2005 |issue=2 |pages=CD005230 |title= Complementary and miscellaneous interventions for nocturnal enuresis in children |author= Glazener CM, Evans JH, Cheuk DK |doi=10.1002/14651858.CD005230 |pmid=15846744}}</ref> [[carpal tunnel syndrome]],<ref>{{cite journal |author= O'Connor D, Marshall S, Massy-Westropp N |title= Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome |journal= Cochrane Database Syst Rev |issue=1 |pages=CD003219 |year=2003 |pmid=12535461 |doi=10.1002/14651858.CD003219}}</ref> [[fibromyalgia]],<ref>Fibromyalgia:
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*{{cite journal |journal= [[Curr Pharm Des]] |date=2006 |volume=12 |issue=1 |pages=47–57 |title= Complementary and alternative medical therapies in fibromyalgia |author= Sarac AJ, Gur A |pmid=16454724 |doi= 10.2174/138161206775193262}}
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*{{cite journal |author= Schneider M, Vernon H, Ko G, Lawson G, Perera J |title= Chiropractic management of fibromyalgia syndrome: a systematic review of the literature |journal= J Manipulative Physiol Ther |volume=32 |issue=1 |pages=25–40 |year=2009 |pmid=19121462 |doi=10.1016/j.jmpt.2008.08.012 }}
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*{{cite journal |author=Ernst E |title=Chiropractic treatment for fibromyalgia: a systematic review |journal=Clin Rheumatol |volume= 28|issue= 10|pages= 1175–8|year=2009 |pmid=19544042 |doi=10.1007/s10067-009-1217-9 }}
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</ref> kinetic imbalance due to [[suboccipital]] strain (KISS) in infants,<ref name=Gotlib/><ref>{{cite journal |author= Brand PL, Engelbert RH, Helders PJ, Offringa M |title= [Systematic review of the effects of therapy in infants with the KISS-syndrome (kinetic imbalance due to suboccipital strain)] |language=Dutch |journal= Ned Tijdschr Geneeskd |volume=149 |issue=13 |pages=703–7 |year=2005 |pmid=15819137}}</ref> [[menstrual cramps]],<ref>{{cite journal |journal= Cochrane Database Syst Rev |date=2006 |issue=3 |pages=CD002119 |title= Spinal manipulation for primary and secondary dysmenorrhoea |author= Proctor ML, Hing W, Johnson TC, Murphy PA |doi=10.1002/14651858.CD002119.pub3 |pmid=16855988 }}</ref> or [[pelvic girdle pain|pelvic and back pain during pregnancy]].<ref>{{cite journal |author= Pennick VE, Young G |title= Interventions for preventing and treating pelvic and back pain in pregnancy |journal= Cochrane Database Syst Rev |issue=2 |pages=CD001139 |year=2007 |pmid=17443503 |doi=10.1002/14651858.CD001139.pub2}}</ref>
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Revision as of 20:10, 14 December 2009

I have edited out all the sections on the Philosophy an Controversy issues, and tried to leave an article which fairly reflects the profession. Those other sections belong in the articles on Philosophy and History, if anyone still cares. дрсйпдц 19:12, 5 December 2009 (UTC)

Conditions

I've removed the effectiveness conditions sections because they need work. D. Matt 01:10, 15 December 2009 (UTC)


Available evidence covers the following conditions:

  • Low back pain. There is continuing conflict of opinion on the efficacy of SMT for nonspecific (i.e., unknown cause) low back pain.[1] A 2008 review found strong evidence that SM is similar in effect to medical care with exercise.[2] A 2007 review found good evidence that SM is moderately effective for low back pain lasting more than 4 weeks;[3] a 2008 literature synthesis found good evidence supporting SM for low back pain regardless of duration.[4] Of four systematic reviews published between 2000 and May 2005, only one recommended SM, and a 2004 Cochrane review[5] found that SM or mobilization is no more or less effective than other standard interventions for back pain.[6] Methods for formulating treatment guidelines for low back pain differ significantly between countries, casting some doubt on their reliability.[1]
  • Whiplash and other neck pain. There is no overall consensus on manual therapies for neck pain.[7] A 2009 systematic review of controlled clinical trials found no evidence that chiropractic spinal manipulation is effective for whiplash injury.[8] A 2008 review found evidence that educational videos, mobilization, and exercises appear more beneficial for whiplash than alternatives; that SM, mobilization, supervised exercise, low-level laser therapy and perhaps acupuncture are more effective for non-whiplash neck pain than alternatives but none of these treatments is clearly superior; and that there is no evidence that any intervention improves prognosis.[9] A 2007 review found that SM and mobilization are effective for neck pain.[7] Of three systematic reviews of SM published between 2000 and May 2005, one reached a positive conclusion, and a 2004 Cochrane review[10] found that SM and mobilization are beneficial only when combined with exercise.[6] A 2005 review found consistent evidence supporting mobilization for acute whiplash, and limited evidence supporting SM for whiplash.[11]
  • Headache. A 2006 review found no rigorous evidence supporting SM or other manual therapies for tension headache.[12] A 2005 review found that the evidence was weak for effectiveness of chiropractic manipulation for tension headache, and that it was probably more effective for tension headache than for migraine.[13] A 2004 review found that SM may be effective for migraine and tension headache, and SM and neck exercises may be effective for cervicogenic headache.[14] Two other systematic reviews published between 2000 and May 2005 did not find conclusive evidence in favor of SM.[6]


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