Trager Robert J, Bejarano Geronimo, Perfecto Romeo-Paolo T, Blackwood Elizabeth R, Goertz Christine M
Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC 27710, USA.
Department of Family Medicine and Community Health, School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
J Clin Med. 2024 Sep 24;13(19):5668. doi: 10.3390/jcm13195668.
Chiropractors diagnose and manage musculoskeletal disorders, commonly using spinal manipulative therapy (SMT). Over the past half-century, the chiropractic profession has seen increased utilization in the United States following Medicare authorization for payment of chiropractic SMT in 1972. We reviewed chiropractic research trends since that year and recent clinical practice guideline (CPG) recommendations regarding SMT. We searched Scopus for articles associated with chiropractic (spanning 1972-2024), analyzing publication trends and keywords, and searched PubMed, Scopus, and Web of Science for CPGs addressing SMT use (spanning 2013-2024). We identified 6286 articles on chiropractic. The rate of publication trended upward. Keywords initially related to historical evolution, scope of practice, medicolegal, and regulatory aspects evolved to include randomized controlled trials and systematic reviews. We identified 33 CPGs, providing a total of 59 SMT-related recommendations. The recommendations primarily targeted low back pain (n = 21) and neck pain (n = 14); of these, 90% favored SMT for low back pain while 100% favored SMT for neck pain. Recent CPG recommendations favored SMT for tension-type and cervicogenic headaches. There has been substantial growth in the number and quality of chiropractic research articles over the past 50 years, resulting in multiple CPG recommendations favoring SMT. These findings reinforce the utility of SMT for spine-related disorders.
脊椎按摩师诊断和管理肌肉骨骼疾病，通常采用脊柱推拿疗法（SMT）。在过去的半个世纪里，自1972年医疗保险授权支付脊椎按摩师的SMT费用以来，脊椎按摩疗法在美国的使用率有所提高。我们回顾了自那一年以来的脊椎按摩疗法研究趋势以及最近关于SMT的临床实践指南（CPG）建议。我们在Scopus上搜索了与脊椎按摩疗法相关的文章（涵盖1972 - 2024年），分析了发表趋势和关键词，并在PubMed、Scopus和Web of Science上搜索了涉及SMT使用的CPG（涵盖2013 - 2024年）。我们识别出6286篇关于脊椎按摩疗法的文章。发表率呈上升趋势。最初与历史演变、执业范围、法医学和监管方面相关的关键词逐渐演变为包括随机对照试验和系统评价。我们识别出33份CPG，共提供了59条与SMT相关的建议。这些建议主要针对腰痛（n = 21）和颈痛（n = 14）；其中，90%的建议支持SMT用于腰痛，而100%的建议支持SMT用于颈痛。最近的CPG建议支持SMT用于紧张型头痛和颈源性头痛。在过去50年里，脊椎按摩疗法研究文章的数量和质量都有了显著增长，产生了多项支持SMT的CPG建议。这些发现强化了SMT对脊柱相关疾病的效用。
