Farì Giacomo, Mariconda Carlo, Dell'Anna Laura, Quarta Francesco, Donati Danilo, Sconza Cristiano, Ricci Vincenzo, Varrassi Giustino, Coco Valeria, Manelli Alessandro, Spadini Ennio, Giglio Maria Teresa, Bernetti Andrea
National Council of the Manual Medicine Section, Italian Society of Physical and Rehabilitation Medicine (SIMFER), 00198 Rome, Italy.
Department of Experimental Medicine (Di.Me.S), University of Salento, 73100 Lecce, Italy.
Clin Pract. 2024 Jul 29;14(4):1478-1495. doi: 10.3390/clinpract14040119.
Spine pain (SP) is the most common musculoskeletal disorder that causes transitional forms of motor disability. Considering its affordability and safety, manipulative therapy (MT) stands as one of the primary therapeutic approaches for SP and the related dysfunctional consequences. However, it is still difficult to assess and quantify the results of this treatment since there is a lack of objective evaluation tools in the available scientific literature. Thus, the purpose of this comprehensive review is to summarize the main outcomes used to evaluate the effectiveness of spine manipulations, focusing on their strengths and weaknesses. An extensive review of the PubMed, Cochrane, and Embase databases was performed to identify the literature of the last ten years regarding MT and the related assessment tools. A total of 12 studies met the inclusion criteria. The analyzed literature indicates that a wide range of outcome measures have been used to assess the effectiveness of spine MT. Pain is the main aspect to be investigated but it remains difficult to elucidate since it is strongly linked to various dimensions such as self-perception and psychological aspects. Therefore, it seems necessary to include new tools for evaluating the effects of spine MT, with the aim of exploiting new technologies and taking into consideration the SP biomechanical and biopsychosocial aspects.
脊柱疼痛（SP）是导致运动功能障碍过渡形式的最常见肌肉骨骼疾病。鉴于其经济性和安全性，手法治疗（MT）是SP及其相关功能障碍后果的主要治疗方法之一。然而，由于现有科学文献中缺乏客观的评估工具，仍然难以评估和量化这种治疗的效果。因此，本综述的目的是总结用于评估脊柱手法治疗效果的主要结果，重点关注其优缺点。对PubMed、Cochrane和Embase数据库进行了广泛检索，以确定过去十年中关于MT及相关评估工具的文献。共有12项研究符合纳入标准。分析的文献表明，已使用多种结果指标来评估脊柱MT的有效性。疼痛是主要的研究方面，但由于它与自我认知和心理等多个维度密切相关，因此仍然难以阐明。因此，似乎有必要纳入新的工具来评估脊柱MT的效果，目的是利用新技术并考虑SP的生物力学和生物心理社会学方面。
