Manipulative and manual therapies in the management of patients with prior lumbar surgery: A systematic review. Complement Ther Clin Pract 2021 Feb;42:101261
Date
12/05/2020Pubmed ID
33276229DOI
10.1016/j.ctcp.2020.101261Scopus ID
2-s2.0-85097207025 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
BACKGROUND AND PURPOSE: Pain and disability may persist following lumbar spine surgery and patients may subsequently seek providers trained in manipulative and manual therapy (MMT). This systematic review investigates the effectiveness of MMT after lumbar surgery through identifying, summarizing, assessing quality, and grading the strength of available evidence. Secondarily, we synthesized the impact on medication utilization, and reports on adverse events.
METHODS: Databases and grey literature were searched from inception through August 2020. Article extraction consisted of principal findings, pain and function/disability, medication consumption, and adverse events.
RESULTS: Literature search yielded 2025 articles,117 full-text articles were screened and 51 citations met inclusion criteria.
CONCLUSION: There is moderate evidence to recommend neural mobilization and myofascial release after lumbar fusion, but inconclusive evidence to recommend for or against most manual therapies after most surgical interventions. The literature is primarily limited to low-level studies. More high-quality studies are needed to make recommendations.
Author List
Daniels CJ, Cupler ZA, Gliedt JA, Walters S, Schielke AL, Hinkeldey NA, Golley DJ, Hawk CAuthor
Jordan Gliedt DC Associate Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
HumansMusculoskeletal Manipulations
