Chiropractic treatment for fibromyalgia: a systematic review
- 538 Downloads
Many patients use chiropractic as a treatment of fibromyalgia, and many chiropractors seem to be convinced that it is effective for that condition. The aim of the study was to conduct a systematic review of randomised clinical trials testing the effectiveness of chiropractic care for fibromyalgia. Six electronic literature searches were conducted. No language restrictions were applied. Data extraction and validation were carried out by two independent reviewers. Three studies met the inclusion criteria. Their methodological quality was poor. They generated no evidence to suggest that chiropractic care is effective for fibromyalgia. Currently, there is insufficient evidence to conclude that chiropractic is an effective treatment for fibromyalgia.
KeywordsAlternative medicine Effectiveness Fibromyalgia Rheumatic pain Systematic review
I thank Katherine Hunt for helping with the data extraction and the Jadad scores as well as Kate Boddy for conducting the electronic literature searches.
- 4.Fibromyalgia-symptoms.org. Treatments for fibromyalgia: chiropractic care. www fibromyalgia-symptoms org/fibromyalgia_chiropractic html 2008. Accessed 31-10-08.Google Scholar
- 5.Barbour C (2000) Use of complementary and alternative treatments by individuals with fibromyalgia syndrome. J Am Academy of Dermatol 12(8):311–316Google Scholar
- 11.Ernst E, Pittler MH, Wider B, Boddy K (2006) The desktop guide to complementary and alternative medicine, 2nd edn. Mosby, EdinburghGoogle Scholar
- 13.Blunt KL, Rajwani MH, Guerriero RC (1997) The effectiveness of chiropractic management of fibromyalgia patients: a pilot study. J Manipul Physiol Ther 20:389–399Google Scholar
- 14.Tyers S, Smith RB (2001) A comparison of cranial electrotherapy stimulation alone or with chiropractic therapies in the treatment of fibromyalgia. Am Chiropractor 23:39–41Google Scholar
- 15.Wise P, Walsh M, Littlejohn G (2002) Efficacy of chiropractic treatment on fibromyalgia syndrome: a randomized controlled trial. Eur J Chiropract 49:198–199Google Scholar
- 18.Ernst E, Canter PH (2003) Investigator bias and false positive findings in medical research. TRENDS in Pharmacol Sci 24:219–221Google Scholar
- 19.Ernst E (2007) Understanding Research in Complementary and Alternative Medicine. A guide to reading and analysing research in healthcare. EMS, CambridgeGoogle Scholar
- 25.Ernst E, Pittler MH, Wider B, Boddy K (2007) Complementary therapies for pain management. Mosby, EdinburghGoogle Scholar