Di Fabio R P
Phys Ther. 1986 Jan;66(1):51-4. doi: 10.1093/ptj/66.1.51.
The widespread use of manual therapy techniques suggests some degree of success in their application. In this article, I review the applied clinical research on the effectiveness of using manipulation or mobilization of the lumbar spine. The literature reviewed indicates highly equivocal results when the goal of therapy was to decrease pain and increase motion. Because of a high incidence of spontaneous recovery from low back syndromes, performance measures may appear to improve significantly when proper controls are not used. Evaluation of the therapeutic effects of manual therapy is complicated by potentially confounding variables when used with other physical therapy procedures. I discuss the need for further, well-designed studies.
手法治疗技术的广泛应用表明其在应用中取得了一定程度的成功。在本文中，我回顾了关于腰椎手法或松动术有效性的应用临床研究。所回顾的文献表明，当治疗目标是减轻疼痛和增加活动度时，结果具有高度的不确定性。由于下背部综合征自然恢复的发生率很高，如果不使用适当的对照，性能指标可能看起来有显著改善。当与其他物理治疗程序一起使用时，手法治疗的治疗效果评估会因潜在的混杂变量而变得复杂。我讨论了进一步开展精心设计研究的必要性。
