The collective tone emphasizes the lack of efficacy of spinal manipulative therapy, with many discussions referencing authoritative studies like the 2012 Cochrane review that states SMT is no more effective than sham or inert interventions. Words like 'nicht' (no effect), 'falsch' (false), and phrases such as 'evidenz ist schwach' (evidence is weak) highlight skepticism and reinforce the consensus, but the tone remains largely dismissive rather than exploratory.
AgreementLow agreement
Most discussions agree that spinal manipulative therapy (SMT) has little to no proven effectiveness for acute low-back pain, citing studies and reviews that show no significant benefit.
InterestNeutral interest
The overall interest level is moderate; some comments critically analyze the evidence or question the efficacy, but there is limited curiosity or enthusiasm about alternative perspectives.
EngagementLow engagement
Responses tend to be dismissive or skeptical, mostly reiterating studies or guidelines without deep discussion of mechanisms, showing low engagement depth.
ImpactLow impact
These discussions reinforce established scientific consensus that SMT lacks significant benefit for this condition, thus having a negligible practical impact on practice changes based on current evidence.
Abstract in brief
This review updates a previous Cochrane study on the effectiveness of spinal manipulative therapy (SMT) for treating acute low-back pain, focusing on research published up to 2000.
It includes randomized controlled trials involving adults with pain lasting less than six weeks, comparing SMT to various controls like inert interventions, sham treatments, or other therapies, and assesses outcomes such as pain relief, functional improvement, perceived recovery, return to work, and quality of life.
The review emphasizes that SMT, performed by chiropractors, manual therapists, or osteopaths, is a common worldwide intervention, but the evidence for its benefit in acute low-back pain remains systematically evaluated through rigorous study selection and bias assessment.
Хиропрактика строится на ошибочном представлении об анатомии человека и любые проблемы со здоровьем рассматривает, как "подвывих" какого-либо из суставов.
Но ни логика, ни научные данные не подтверждают это убеждение.
https://t.co/RmlpIbdMRC https://t.co/IQVrqc1kNi
Aug 16, 2024 · 472 likes · 9 shares · 4,301 followersView post →
PS
Physio Meets Science
@PhysioMeScience · X
Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: https://t.co/mdyyTqdJPA https://t.co/sxbjo8poun
Mar 20, 2024 · 87 likes · 19 shares · 92,936 followersView post →
@HealthWatch123 @wmacphail @epaultaylor @PainSci @ryarmst @EdzardErnst @gorskon @TerryPolevoy @carlyweeks @picardonhealth @sharon_kirkey @Blue_Wode Worth reading @CochraneCanada : "Spinal Manipulative Therapy is no more effective in participants with acute low‐back pain than inert interventions, sham SMT, or when added to another intervention. " https://t.co/BGnaQLoHf8
Feb 16, 2019 · 11 likes · 6 shares · 3,638 followersView post →
HW
Health Watch
@HealthWatch123 · X
@FionaMattatall Worth reading @CochraneCanada : "Spinal Manipulative Therapy is no more effective in participants with acute low‐back pain than inert interventions, sham SMT, or when added to another intervention." https://t.co/AcCCjXpaYX
Feb 16, 2019 · 8 likes · 1 share · 2,700 followersView post →
TP
The Sp⚽️rts Physio
@AdamMeakins · X
@camtudor No better for acute low back pain than inert or sham either!!! So take your pick!
Aug 15, 2021 · 7 likes · 1 share · 107,509 followersView post →
In this video, we review the clinical benefits of manual therapy for acute lower back pain, focusing on recent research and systematic evaluations of spinal manipulative therapy's effectiveness based on multiple…
Structural misalignments, such as spinal deviations and joint dysfunction, can significantly affect biomechanical efficiency, neuromuscular coordination, and autonomic regulation. Evidence supports interventions like…
@Fragariapp @DrSusixx Die Beweislast liegt bei der Therapie (Hitchen's Rasiermesser).
Osteophathie muss beweisen, dass sie wirkt, es muss nicht die Nichtwirksamkeit bewiesen werden.
Gute Studien gibt es. Alle bestätigen die Nicht-Wirkung.
https://t.co/X60l0MKoqe
RT @TonyPepperoni: Хиропрактика строится на ошибочном представлении об анатомии человека и любые проблемы со здоровьем рассматривает, как "…
Aug 16, 2024 · 9 shares · 130 followersView post →
НМ
Натали Мелентьева
@NgGorgona · X
RT @TonyPepperoni: Хиропрактика строится на ошибочном представлении об анатомии человека и любые проблемы со здоровьем рассматривает, как "…
Aug 16, 2024 · 9 shares · 261 followersView post →
B
BlagJagger
@BlagJager · X
RT @TonyPepperoni: Хиропрактика строится на ошибочном представлении об анатомии человека и любые проблемы со здоровьем рассматривает, как "…
Aug 16, 2024 · 9 shares · 282 followersView post →
A
AManFromNowhere
@AManFromNowher1 · X
RT @TonyPepperoni: Хиропрактика строится на ошибочном представлении об анатомии человека и любые проблемы со здоровьем рассматривает, как "…
Aug 16, 2024 · 9 shares · 615 followersView post →
Пж
Прекрасная женщина
@Ari8124 · X
RT @TonyPepperoni: Хиропрактика строится на ошибочном представлении об анатомии человека и любые проблемы со здоровьем рассматривает, как "…
Aug 16, 2024 · 9 shares · 1,285 followersView post →
Н
Нытьяна
@TonyPepperoni · X
Хиропрактика строится на ошибочном представлении об анатомии человека и любые проблемы со здоровьем рассматривает, как "подвывих" какого-либо из суставов.
Но ни логика, ни научные данные не подтверждают это убеждение.
https://t.co/RmlpIbdMRC https://t.co/IQVrqc1kNi
Aug 16, 2024 · 472 likes · 9 shares · 4,301 followersView post →
A
ACPSEMdance
@ACPSEMdance · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 21, 2024 · 19 shares · 83 followersView post →
T
THCFootballClub
@THCFootballClub · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 21, 2024 · 19 shares · 35 followersView post →
M
MarcoAntonioMedeiros
@professormarcoa · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 21, 2024 · 19 shares · 709 followersView post →
AD
Adam Dobson
@adamdobson123 · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 21, 2024 · 19 shares · 12,811 followersView post →
MR
Madhan Ramanathan
@sportsphysiouk · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 21, 2024 · 19 shares · 1,126 followersView post →
G
Gokul18
@Gokul72855246 · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 21, 2024 · 19 shares · 43 followersView post →
ไไ
ไปให้สุดแล้วหยุดที่ไฟแดง
@unstopped33 · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 21, 2024 · 19 shares · 11 followersView post →
CA
Carlos Alberto
@CarlosAbertoVM · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 21, 2024 · 19 shares · 145 followersView post →
PS
Paholyothin Street
@chivaryisdead_ · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 20, 2024 · 19 shares · 173 followersView post →
I
112358103Iii
@112358103Iii · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 20, 2024 · 19 shares · 2,449 followersView post →
ɹP
ɹǝʇlnoԀ pıʌɐᗡ
@Retlouping · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 20, 2024 · 19 shares · 26,405 followersView post →
A
Argón
@metilargon · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 20, 2024 · 19 shares · 349 followersView post →
JC
João Lucas Cardoso
@joaolfcadoso · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 20, 2024 · 19 shares · 65 followersView post →
WP
Wahyu Physio
@wahyuphysio · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 20, 2024 · 19 shares · 22 followersView post →
R
Rain
@Owsool · X
RT @PhysioMeScience: Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: http…
Mar 20, 2024 · 19 shares · 1,463 followersView post →
PS
Physio Meets Science
@PhysioMeScience · X
Do exercise or manual therapy help with acute low back pain?
Exercise: https://t.co/rHUTyaZK7G
Manual Therapy: https://t.co/mdyyTqdJPA https://t.co/sxbjo8poun
Mar 20, 2024 · 87 likes · 19 shares · 92,936 followersView post →
مل
محمد للاستثمار
@MoAbalkhail · X
@Rerrriii هذي هي المصادر
https://t.co/mQr5CPKZyj
https://t.co/dqBdilXmY0
@inkedosteopath @ChristianHJW @Marius_Raabe Hier noch ein paar hochwertige, publizierte Studien:
https://t.co/X60l0MKoqe
https://t.co/zISIK4A79L
https://t.co/bQtydg4N3h
Oct 10, 2023 · 2 likes · 1,777 followersView post →
DR
Der U̵n̸h̵e̸i̵l̷p̸r̶a̸k̴t̵i̶k̴e̸r̷
@Unheilpraktiker · X
@GaryR850R @steflilu @NEFTraveller Erst denken, dann pöbeln.
https://t.co/bRR61QPuo7
https://t.co/uumBmyK8l2
https://t.co/X60l0MKoqe
https://t.co/RrbYuVk8EP
@DaleThompsonDC @KeyClinSkills "Authors' conclusions: SMT is no more effective in participants with acute low-back pain than inert interventions, sham SMT, or when added to another intervention".
https://t.co/UGBCt0ckBi
@KakawiPanel @DocPepper_FR @thibaud_lechat @VmhBulle @FridoMeteor Avec des fausses manipulations qui ne correspondent pas à de l ostéopathie https://t.co/AXSzuueL5c ou https://t.co/suSorTwxnO
@IMMT5280 @NaanDerthaal Here is the Cochrane one https://t.co/BKB6oNXAbD
Jama link https://t.co/Ayp9rnAsBb
Practice guidelines for LBP, spinal manipulation suggested prior to pharmacological treatment https://t.co/W3yEQJxv1c
@ShoshanaKessock I think there is evidence to suggest that it offers temporary relief of lower back pain but not enough to be clinically relevant. It's the only ailment it has any chance of being effective. It's almost a fig leaf for the profession. https://t.co/BPnmbcbP9D
@gero5 Yes the 2012 Cochrane identified 20 RCTs but they also mentioned "At most, three RCTs could be identified per comparison, outcome, and time interval". https://t.co/fxwr4ilEJm
It depends a lot on the eligibility criterias.
@a_dr_i_an_o Qui per esempio (https://t.co/qmpQG8uOxT) l'osteopatia fallisce con il "mal di schiena" (che dovrebbe essere l'ideale per le manipolazioni) rispetto al non far niente, alla finta osteopatia o aggiunta ad altre cure.
May 24, 2019 · 6 likes · 149,585 followersView post →
HW
Health Watch
@HealthWatch123 · X
@drcadesky @picardonhealth @HislopMD Worth reading @CochraneCanada: "Spinal Manipulative Therapy (used mostly by chiros) is no more effective in participants with acute low‐back pain than inert interventions, sham SMT, or when added to another intervention." https://t.co/AcCCjXpaYX
Feb 16, 2019 · 6 shares · 88,290 followersView post →
HW
Health Watch
@HealthWatch123 · X
@FionaMattatall Worth reading @CochraneCanada : "Spinal Manipulative Therapy is no more effective in participants with acute low‐back pain than inert interventions, sham SMT, or when added to another intervention." https://t.co/AcCCjXpaYX
Feb 16, 2019 · 8 likes · 1 share · 2,700 followersView post →
Feb 16, 2019 · 6 shares · 2,700 followersView post →
VA
Vik Adhopia
@VikCBC · X
@HealthWatch123 @wmacphail @epaultaylor @PainSci @ryarmst @EdzardErnst @gorskon @TerryPolevoy @carlyweeks @picardonhealth @sharon_kirkey @Blue_Wode Worth reading @CochraneCanada : "Spinal Manipulative Therapy is no more effective in participants with acute low‐back pain than inert interventions, sham SMT, or when added to another intervention. " https://t.co/BGnaQLoHf8
Feb 16, 2019 · 11 likes · 6 shares · 3,638 followersView post →
N
A Critical Review of the Role of Manual Therapy in LBP | PDF | Low ...
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EBP Sheets Central Nervous System | PDF | Low Back Pain ...
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J JBMT 2018 02 002 | PDF | Therapy | Low Back Pain
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10.1002/14651858.CD008880.pub2 • Rubinstein SM et al, 2011 - Spinal manipulative therapy for chronic low- back pain - Cochrane Back and Neck Group - DOI ...