Assessing the effects of manual therapy on pain in patients living with persistent non-specific low back pain (PNSLBP): Which evaluation criteria and measurement tools are used in randomised controlled clinical trials? A systematic review
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Abstract
Objective
To identify the evaluation criteria and measurement tools that are used in Randomised Controlled Trials (RCT) to assess the effects of manual therapy on pain in adults living with PNSLBP.
Methods
RCT were included if: participants were adults (18–65 years old) with PNSLBP, experimental group received manual therapies (osteopathy, physiotherapy and chiropractic) and they had been published in English or French since 2010. The search was conducted between May 2021 and April 2023, using the Cochrane Library, Ebscohost, EMBASE, MEDLINE Pubmed, PEDro, ScienceDirect and Scopus databases. Three independent reviewers have checked eligibility. The PEDro scale have been used for quality appraisal.
Results
In the 29 studies included, 131 measurement tools were identified in three main areas: 76 % of the measurement tools were related to life impact (which 24 % related to pain intensity and 23 % to functional difficulties) and 24 % were related to pathophysiological manifestations (which 8 % related to Range of motion).
Conclusion
Most measurement tools focus on pain intensity and physical functioning using scales and questionnaires. Two perspectives must be considered: responding to current recommendations by standardizing the measurement tools relating to life impact and physiopathological manifestations, and using biomechanical markers making it possible to evaluate patients in daily life situations.
期刊介绍：
The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine.
The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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