Work

Efficacy of spinal manipulative therapy in older adults with chronic spinal conditions: an updated systematic review.

Year: 2026

Type: review

Abstract: 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).

Source: PubMed

Authors: Alec L Schielke, Robert J Trager, Joel M Stevans, Morgan R Price, Ronald D Wilcox, Sheryl A Walters, Clinton J Daniels

Institutions: VA Palo Alto Health Care System, University Hospitals Cleveland Medical Center, Case Western Reserve University, University of Pittsburgh, VA Puget Sound Health Care System, Logan University, University of Washington

Language: English

Topic: Musculoskeletal pain and rehabilitation

Subfield: Physical Therapy, Sports Therapy and Rehabilitation

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W7163594897

FWCI:

Cites: 2

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Related to: 10