Spinal manipulation and mobilization for the treatment of back and neck pain have been the topic of several systematic reviews, with some suggesting that the evidence in support of the view that spinal manipulative therapy is superior to other standard treatments for chronic low back pain is sparse. On the other hand, more recent systematic reviews have reported that spinal manipulation and mobilization are ‘viable’ options for treating pain. The effectiveness of spinal manipulation and mobilization may be variable in certain circumstances, such as when there are differences in subjects’ duration of symptoms, in the way the intervention is administered, the comparator, as well as the types of outcomes reported. Despite this degree of variability among studies, manipulation and mobilization are still considered to be effective treatments when compared with other therapies. The purpose of this systematic review (e-published ahead of print in The Spine Journal) was to unravel these differences and inconsistent findings by evaluating the research on the effectiveness of mobilization and manipulation for chronic non-specific low back pain according to: 1) different symptom durations across the spectrum of chronicity, 2) variations in treatment techniques, 3) variations in comparators, and 4) the impact on important patient-reported outcomes…LOG IN OR SUBSCRIBE TO ACCESS THIS REVIEW!
 
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