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Báo cáo y học: "Effectiveness of manual therapies: the UK evidence report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Effectiveness of manual therapies: the UK evidence report. | Bronfort et al. Chiropractic Osteopathy 2010 18 3 http www.chiroandosteo.eom content 18 1 3 CHIROPRACTIC OSTEOPATHY REVIEW Open Access Effectiveness of manual therapies the UK evidence report Gert Bronfort1 Mitch Haas2 Roni Evans1 Brent Leininger1 Jay Triano3 4 Abstract Background The purpose of this report is to provide a succinct but comprehensive summary of the scientific evidence regarding the effectiveness of manual treatment for the management of a variety of musculoskeletal and non-musculoskeletal conditions. Methods The conclusions are based on the results of systematic reviews of randomized clinical trials RCTs widely accepted and primarily UK and United States evidence-based clinical guidelines plus the results of all RCTs not yet included in the first three categories. The strength quality of the evidence regarding effectiveness was based on an adapted version of the grading system developed by the US Preventive Services Task Force and a study risk of bias assessment tool for the recent RCTs. Results By September 2009 26 categories of conditions were located containing RCT evidence for the use of manual therapy 13 musculoskeletal conditions four types of chronic headache and nine non-musculoskeletal conditions. We identified 49 recent relevant systematic reviews and 16 evidence-based clinical guidelines plus an additional 46 RCTs not yet included in systematic reviews and guidelines. Additionally brief references are made to other effective non-pharmacological non-invasive physical treatments. Conclusions Spinal manipulation mobilization is effective in adults for acute subacute and chronic low back pain migraine and cervicogenic headache cervicogenic dizziness manipulation mobilization is effective for several extremity joint conditions and thoracic manipulation mobilization is effective for acute subacute neck pain. The evidence is inconclusive for cervical manipulation mobilization alone for neck pain of any duration and for manipulation mobilization