Salehi Alireza, Hashemi Neda, Imanieh Mohammad Hadi, Saber Mahboobeh
Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Medical Ethics, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2015 Oct;3(4):244-54.
Chiropractic is a complementary medicine that has been growing increasingly in different countries over recent decades. It addresses the prevention, diagnosis and treatment of the neuromusculoskeletal system disorders and their effects on the whole body health. This study aims to evaluate the effectiveness of chiropractic in the treatment of different diseases. To gather data, scientific electronic databases, such as Cochrane, Medline, Google Scholar, and Scirus were searched and all systematic reviews in the field of chiropractic were obtained. Reviews were included if they were specifically concerned with the effectiveness of chiropractic treatment, included evidence from at least one clinical trial, included randomized studies and focused on a specific disease. The research data including the article's first author's name, type of disease, intervention type, number and types of research used, meta-analysis, number of participants, and overall results of the study, were extracted, studied and analyzed. Totally, 23 chiropractic systematic reviews were found, and 11 articles met the defined criteria. The results showed the influence of chiropractic on improvement of neck pain, shoulder and neck trigger points, and sport injuries. In the cases of asthma, infant colic, autism spectrum disorder, gastrointestinal problems, fibromyalgia, back pain and carpal tunnel syndrome, there was no conclusive scientific evidence. There is heterogeneity in some of the studies and also limited number of clinical trials in the assessed systematic reviews. Thus, conducting comprehensive studies based on more reliable study designs are highly recommended.
整脊疗法是一种补充医学，近几十年来在不同国家日益发展。它涉及神经肌肉骨骼系统疾病的预防、诊断和治疗及其对全身健康的影响。本研究旨在评估整脊疗法在治疗不同疾病方面的有效性。为收集数据，检索了科学电子数据库，如考克兰图书馆、医学期刊数据库、谷歌学术和Scirus，并获取了整脊疗法领域的所有系统评价。如果这些评价特别关注整脊疗法治疗的有效性、包含至少一项临床试验的证据、包含随机研究且聚焦于特定疾病，则将其纳入。提取、研究和分析了研究数据，包括文章第一作者姓名、疾病类型、干预类型、所用研究的数量和类型、荟萃分析、参与者数量以及研究的总体结果。总共发现了23篇整脊疗法系统评价，11篇文章符合既定标准。结果显示了整脊疗法对改善颈部疼痛、肩颈触发点和运动损伤的影响。在哮喘、婴儿腹绞痛、自闭症谱系障碍、胃肠道问题、纤维肌痛、背痛和腕管综合征的病例中，没有确凿的科学证据。一些研究存在异质性，且评估的系统评价中的临床试验数量有限。因此，强烈建议基于更可靠的研究设计进行全面研究。
