Efficacy of Spinal Manipulative Therapy for Conditions Other Than Neck and Back Pain: A Systematic Review and Best Evidence Synthesis

Assendelft WJ, Bouter LM, Bronfort GProceedings of the Int’l Conference of Spinal Manipulation 1996 Oct: 105-6

Background and Objective: To critically appraise and systematically review clinical journal articles reporting on the efficacy of manual spinal manipulative therapy (SMT) in the treatment of conditions other than neck or back pain. In addition to the review and appraisal of randomized clinical trials (RCTs), this study includes brief structured summaries of all prospective and retrospective clinical series with n>10, retrospective comparative studies, and non-randomized prospective comparative studies. Conclusion: The some evidence of efficacy of SMT in the management of tension-type cervicogenic headache. There is limited evidence to suggest that SMT may be efficacious for migraine headaches, but not enough to make recommendations for its use. SMT seems to be non-efficacious in the treatment of hypertension and chronic moderately severe asthma in adults, although, at this point in time there is insufficient basis to advise its use for these conditions. There is insufficient evidence to advise for or against the use of SMT in the treatment of vertigo, nocturnal childhood enuresis, dysmenorhea, chronic obstructive pulmonary disease, duodenal ulcer, and infantile colic.

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