Index to Chiropractic Literature
Index to Chiropractic Literature
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Saturday, April 27, 2024
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ID 27666
  Title Narrative systematic review of studies of NSAIDS and LBP
URL https://www.apcj.net/site_files/4725/upload_files/GarciaSRLBPNSAIDS(1).pdf?dl=1
Journal Asia-Pac Chiropr J. 2023 Jul-Sep;4(1):28
Author(s)
Subject(s)
Peer Review Yes
Publication Type Systematic Review
Abstract/Notes

Background: Spinal manipulation therapists such as chiropractors emphasise, they are quintessential primary carers of low back pain (LBP) sufferers however, the most common and primary treatment in managing this pain are analgesics.

Introduction: This systematic narrative review aims to answer the clinical question regarding what treatment intervention is suitable in pain management in both adults and geriatric populations suffering from either subacute, acute or chronic LBP with the interventions being high velocity low amplitude spinal manipulation therapy (HVLA-SMT) compared to over the counter (OTC) medications such as non-steroidal anti-inflammatory drugs (NSAIDS) or muscle relaxants.

Method: An online search through six databases yielding 236 possible results used with key terms and exclusion and inclusion criteria for relevance to the clinical question leaving for a filtered twenty research papers consisting of nine randomised control trials, five systematic reviews, one observational study, one cross sectional study, one case study and three professional guidelines which were graded for quality control against clinical appraisal and risk of bias tools.

Results: The published literatures LBP outcome measures of pain indexes were extrapolated into comparable tables and where assessed concluding with mixed results regarding the efficacy of pain management of HVLA-SMT when compared to OTC medications being either minimal, same or none.

Conclusion: Although the vast majority of data demonstrates SMT as having a similar pain management effects as OTC medication a necessary review is needed into the quality of experiments conducted as the bias tools have demonstrated many inconsistencies with how data was obtained and handled.

Author keywords: Chiropractic; SMT; LBP; NSAIDS; OTC; geriatrics

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. Online access only.

 
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