Efficacy of spinal manipulative therapy in older adults with chronic spinal conditions: an updated systematic review
Alec L Schielke1, Robert J Trager2,3, Joel M Stevans4
1Integrated Primary Care, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Background:
This systematic review evaluated the efficacy of SMT for chronic spinal conditions in adults aged 55 years and older.
Methods:
We searched multiple databases for randomized controlled trials (RCTs) on SMT for older adults with chronic spinal conditions (≥ 12 weeks) published from February 2016 through October 2024. Additionally, studies from the prior article being updated were included as appropriate. Eligible studies compared SMT to active or inert comparators, measuring pain, function, or quality of life.
Results:
Nine reports were included, evaluating SMT for chronic low back pain (5 RCTs, n=544), chronic neck pain (2 RCTs, n=241), lumbar spinal stenosis (1 RCT, n=259), and combined neck/back disability (1 RCT, n=182).
Conclusion:
SMT may offer comparable or modestly greater benefit than other treatments for chronic spinal conditions in older adults, particularly for neck pain and LSS. Evidence certainty remains very low to moderate.
Registration:
PROSPERO (CDR42024615084).
