Journal of Physical Therapy and Sports Medicine

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Rapid Communication - Journal of Physical Therapy and Sports Medicine (2023) Volume 7, Issue 5

Efficacy of manual therapy in chronic low back pain management through systematic review and meta-analysis.

 Owen Patrik 

School of Exercise and Nutrition Sciences

*Corresponding Author:
Owen Patrik
School of Exercise and Nutrition Sciences
Institute for Physical Activity and Nutrition,
Deakin University, Victoria, Australia

Received:18-Aug-2023, Manuscript No. AAJPTSM-23-111517; Editor assigned:22-Aug-2023, PreQC No. AAJPTSM-23-111517 (PQ); Reviewed:05-Sep-2023, QC No. AAJPTSM-23-111517; Revised:07-Sep-2023, Manuscript No. AAJPTSM-23-111517(R); Published:14-Sep-2023, DOI:10.35841/aajptsm-7.5.165

Citation: Patrik O. Efficacy of manual therapy in chronic low back pain management through systematic review and meta-analysis. J Phys Ther Sports Med. 2023;7(5):165

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Chronic Low Back Pain (CLBP) stands as a significant global health challenge, affecting millions and impairing their quality of life. Amid the myriad treatment options, manual therapy emerges as a promising approach, drawing from skilled hands-on techniques to alleviate pain and restore function [1]. This article embarks on a journey to assess the effectiveness of manual therapy in managing chronic low back pain, utilizing the power of systematic review and meta-analysis to distill evidence from diverse studies.

The burden of chronic low back pain

Chronic low back pain, characterized by pain persisting for 12 weeks or more, is a multifaceted condition often accompanied by functional limitations, decreased mobility, and psychological distress. Its complex etiology encompasses biomechanical, psychosocial, and neurological factors, demanding comprehensive approaches to treatment.

Manual therapy: An integrative approach

Manual therapy encompasses various hands-on techniques performed by trained healthcare professionals, including physiotherapists and chiropractors [2]. These techniques encompass joint mobilizations, manipulations, soft tissue mobilization, and therapeutic massage, with the aim of enhancing joint mobility, reducing muscle tension, and restoring proper biomechanics.

The systematic review process

To comprehensively evaluate the efficacy of manual therapy in CLBP management, a systematic review and meta-analysis were conducted. This process involved meticulous identification, selection, and analysis of relevant studies from reputable databases [3]. By pooling data from multiple studies, a meta-analysis allows for a more robust assessment of treatment outcomes.

Meta-analysis findings

The meta-analysis synthesized data from a range of randomized controlled trials (RCTs) and observational studies. Notably, a statistically significant reduction in pain intensity and improvement in functional outcomes were observed in patients receiving manual therapy for chronic low back pain. Furthermore, subgroup analyses illuminated that certain manual therapy technique, such as spinal manipulations, yielded more pronounced pain reduction effects than others [4].

Potential mechanisms of action

The success of manual therapy in CLBP management can be attributed to several potential mechanisms. Joint mobilizations and manipulations may facilitate the restoration of normal joint mechanics, alleviate nerve compression, and promote local blood circulation. Additionally, soft tissue mobilization techniques can mitigate muscular tension and enhance flexibility, contributing to pain reduction and improved range of motion.

Considerations and implications

While the systematic review and meta-analysis offer promising insights, it's crucial to consider the diversity of patients, techniques, and durations of treatment across studies. Individual patient characteristics, such as age, severity of CLBP, and underlying conditions, can influence treatment outcomes. Moreover, the skill and expertise of the manual therapist play a pivotal role in determining the success of the intervention.

Enhancing clinical practice

The findings of this systematic review and meta-analysis hold significance for both clinicians and patients. Manual therapy can be integrated as a valuable component of a multimodal treatment approach for chronic low back pain. It provides a non-invasive, drug-free option that can alleviate pain, improve function, and enhance the overall well-being of individuals grappling with CLBP [5].


The journey through this systematic review and meta-analysis shines a spotlight on the potential efficacy of manual therapy in managing chronic low back pain. The hands-on techniques employed by skilled practitioners offer a promising avenue for pain relief, functional improvement, and enhanced quality of life for individuals burdened by this pervasive condition. As research continues to unfold, the integration of manual therapy alongside other evidence-based treatments could reshape the landscape of chronic low back pain management, ushering in a new era of comprehensive care and relief for those in need.


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