Osteopathy for musculoskeletal pain patients: a systematic review of randomized controlled trials
- 1.3k Downloads
The objective of this systematic review was to assess the effectiveness of osteopathy as a treatment option for musculoskeletal pain. Six databases were searched from their inception to August 2010. Only randomized clinical trials (RCTs) were considered if they tested osteopathic manipulation/mobilization against any control intervention or no therapy in human with any musculoskeletal pain in any anatomical location, and if they assessed pain as an outcome measure. The selection of studies, data extraction, and validation were performed independently by two reviewers. Studies of chiropractic manipulations were excluded. Sixteen RCTs met the inclusion criteria. Their methodological quality ranged between 1 and 4 on the Jadad scale (max = 5). Five RCTs suggested that osteopathy compared to various control interventions leads to a significantly stronger reduction of musculoskeletal pain. Eleven RCTs indicated that osteopathy compared to controls generates no change in musculoskeletal pain. Collectively, these data fail to produce compelling evidence for the effectiveness of osteopathy as a treatment of musculoskeletal pain.
KeywordsMusculoskeletal pain Osteopathy Systematic review
- 1.Foster NE, Pincus T, Underwood MR, Vogel S, Breen A, Harding G (2003) Understanding the process of care for musculoskeletal conditions—why a biomedical approach is inadequate. Rheumatol (Oxf) 42(3):401–404Google Scholar
- 2.Jordan JL, Holden MA, Mason EE, Foster NE (2010) Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev (1):CD005956Google Scholar
- 20.Martínez-Segura R, Fernández-de-las-Peñas C, Ruiz-Sáez M, López-Jiménez C, Rodríguez-Blanco C (2006) Immediate effects on neck pain and active range of motion after a single cervical high-velocity low-amplitude manipulation in subjects presenting with mechanical neck pain: a randomized controlled trial. J Manipulative Physiol Ther 29(7):511–517CrossRefPubMedGoogle Scholar
- 25.Chou R, Qaseem A, Snow V, Casey D, Cross JT Jr, Shekelle P, Owens DK (2007) Clinical efficacy assessment subcommittee of the American college of physicians; American college of physicians; American pain society low back pain guidelines panel. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American college of physicians and the American pain society. Ann Intern Med 147(7):478–491, Erratum in: Ann Intern Med. 2008 Feb 5;148(3):247–248PubMedGoogle Scholar