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Epidemiology: spinal manipulation utilization.

Eric L Hurwitz1

  • 1Department of Public Health Sciences, John A. Burns School of Medicine, University of Hawaii, Mānoa, Honolulu, HI 96822, USA. : ehurwitz@hawaii.edu

Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology
|February 1, 2012
PubMed
Summary
This summary is machine-generated.

Spinal manipulation is frequently used for back and neck pain by chiropractors, osteopaths, and physical therapists. Patient satisfaction is very high, though use in children may differ from adults.

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Area of Science:

  • Integrative Medicine
  • Musculoskeletal Health
  • Evidence-Based Practice

Background:

  • Spinal manipulation is a common conservative therapy.
  • Understanding its utilization patterns and predictors is crucial for healthcare providers and patients.
  • Existing literature provides insights into its application primarily in Western countries.

Purpose of the Study:

  • To systematically review and describe the use of spinal manipulation based on time, place, and person.
  • To identify factors that predict the utilization of spinal manipulation therapies.

Main Methods:

  • A systematic review of English-language literature published between 1980 and 2011.
  • Inclusion of 75 primary articles after screening 822 citations, supplemented by 21 additional articles from reference lists.
  • Focus on literature from North America, Europe, and Australia.

Main Results:

  • Spinal manipulation is predominantly delivered by chiropractors, osteopaths, and physical therapists, often alongside other conservative treatments.
  • The primary indications are back and neck pain, with non-musculoskeletal conditions representing a small fraction of uses.
  • While more common in adults, spinal manipulation may be more frequently used for non-musculoskeletal issues in children.
  • Patient satisfaction rates are consistently high across studies.

Conclusions:

  • Spinal manipulation is a widely accepted and highly satisfactory treatment for common musculoskeletal complaints, particularly back and neck pain.
  • Utilization patterns vary by patient demographics and provider type, with specific trends observed in pediatric populations.
  • Further research is needed to understand global utilization and predictors beyond the studied regions.