Abstract
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.
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References
Abeles AM, Pillinger MH, Solitar BM, Abeles M (2007) Narrative review: the pathophysiology of fibromyalgia. Ann Intern Med 146:726–734
Mease P, Arnold LM, Bennett R, Boonen A, Buskila D, Carville S (2007) Fibromyalgia syndrome. J Rheumatol 34:1415–1425
Pioro-Boisset M, Esdaile JM, Fitzcharles M-A (1996) Alternative medicine use in fibromyalgia syndrome. Arthritis Care Res 9:13–17
Fibromyalgia-symptoms.org. Treatments for fibromyalgia: chiropractic care. www fibromyalgia-symptoms org/fibromyalgia_chiropractic html 2008. Accessed 31-10-08.
Barbour C (2000) Use of complementary and alternative treatments by individuals with fibromyalgia syndrome. J Am Academy of Dermatol 12(8):311–316
Lorig KR, Ritter PL, Laurent DD, Plant K (2008) The Internet-based arthritis self-management program: a one-year randomized trial for patients with arthritis or fibromyalgia. Arthritis Rheum 59(7):1009–1017
Wahner-Roedler DL, Elkin PL, Vincent A, Thompson JM, Oh TH, Loehrer LL et al (2005) Use of complementary and alternative medical therapies by patients referred to a fibromyalgia treatment program at a tertiary care centre. Mayo Clin Proc 80(1):55–60
Busse JW, Kulkarni AV, Badwall P, Guyatt GH (2008) Attitudes towards fibromyalgia: a survey of Canadian chiropractic, naturopathic, physical therapy and occupational therapy students. BMC Complement Altern Med 8:24
Langhorst J, Hauser W, Irnich D, Speeck N, Felde E, Winkelmann A et al (2008) Komplementare undalternative Verfahren beim Fibrobyalgiesyndrom. Der Schmerz . doi:10.1007/s00482-008-0677-1
Carville SF, Arendt-Nielsen S, Bliddal H, Blotman F, Branco JC, Buskilla D et al (2008) EULAR evidence based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis 67:536–541
Ernst E, Pittler MH, Wider B, Boddy K (2006) The desktop guide to complementary and alternative medicine, 2nd edn. Mosby, Edinburgh
Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ et al (1996) Assessing the quality of reports of randomized clinical trials: is blinding necessary? Contr Clin Trials 17:1–12
Blunt KL, Rajwani MH, Guerriero RC (1997) The effectiveness of chiropractic management of fibromyalgia patients: a pilot study. J Manipul Physiol Ther 20:389–399
Tyers S, Smith RB (2001) A comparison of cranial electrotherapy stimulation alone or with chiropractic therapies in the treatment of fibromyalgia. Am Chiropractor 23:39–41
Wise P, Walsh M, Littlejohn G (2002) Efficacy of chiropractic treatment on fibromyalgia syndrome: a randomized controlled trial. Eur J Chiropract 49:198–199
Panton LB, Figueroa A, Kingsley JD, Hornbuckle L, Wilson J, StJohn N et al (2009) Effects of resistance training and chiropractic treatment in women with fibromyalgia. J Alt Comp Med 15(3):321–328
Ernst E (2008) Chiropractic: a critical evaluation. J Pain Sympt Man 35(5):544–562
Ernst E, Canter PH (2003) Investigator bias and false positive findings in medical research. TRENDS in Pharmacol Sci 24:219–221
Ernst E (2007) Understanding Research in Complementary and Alternative Medicine. A guide to reading and analysing research in healthcare. EMS, Cambridge
Grod JP, Sikorski D, Keating JC (2001) Unsubstantiated claims in patient brochures from the largest state, provincial and national chiropractic associations and research agencies. J Manipul Physiol Ther 24:514–519
Ernst E (2008) Chiropractic for children. Pediatrics 122:1161
Ernst E (2001) Prospective investigations into the safety of spinal manipulation. J Pain Sympt Manage 21:238–242
Ernst E (2007) Adverse effects of spinal manipulation: a systematic review. J Roy Soc Med 100:330–338
Craig P, Dieppe P, Macintyre S, Mitchie S, Nazareth I, Petticrew M (2008) Developing the evaluating complex interventions: the new Medical Research Council guidance. BMJ 337:979–983
Ernst E, Pittler MH, Wider B, Boddy K (2007) Complementary therapies for pain management. Mosby, Edinburgh
Acknowledgement
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.
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Ernst, E. Chiropractic treatment for fibromyalgia: a systematic review. Clin Rheumatol 28, 1175–1178 (2009). https://doi.org/10.1007/s10067-009-1217-9
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DOI: https://doi.org/10.1007/s10067-009-1217-9