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Titre : | Manipulative and manual therapies in the management of patients with prior lumbar surgery: A systematic review (2021) |
Auteurs : | Clinton J. Daniels ; Zachary A. Cupler ; Jordan A. Gliedt ; et al. |
Type de document : | Article |
Dans : | Complementary Therapies in Clinical Practice (Vol. 42, February 2021) |
Article en page(s) : | 101261 |
Note générale : | https://doi.org/10.1016/j.ctcp.2020.101261 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Chirurgie générale ; Manipulations de l'appareil locomoteur ; Prise en charge personnalisée du patient ; Séquelles de l'échec chirurgical rachidien ; Soins postopératoires ; Vertèbres lombales |
Résumé : |
Background and Purpose
Pain and disability may persist following lumbar spine surgery and patients may subsequently seek providers trained in manipulative and manual therapy (MMT). This systematic review investigates the effectiveness of MMT after lumbar surgery through identifying, summarizing, assessing quality, and grading the strength of available evidence. Secondarily, we synthesized the impact on medication utilization, and reports on adverse events. Methods Databases and grey literature were searched from inception through August 2020. Article extraction consisted of principal findings, pain and function/disability, medication consumption, and adverse events. Results Literature search yielded 2025 articles,117 full-text articles were screened and 51 citations met inclusion criteria. Conclusion There is moderate evidence to recommend neural mobilization and myofascial release after lumbar fusion, but inconclusive evidence to recommend for or against most manual therapies after most surgical interventions. The literature is primarily limited to low-level studies. More high-quality studies are needed to make recommendations. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/abs/pii/S1744388120311361#! |