Table 5.
Osteopathic manipulative treatment in comparison to other interventions for acute and chronic nonspecific low back pain
| Quality assessment | No. of patients | Treatment effect (95% CI) | Quality of the evidence | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| No. of studies | Design | Limitations | Inconsistency | Indirectness | Imprecision | Other considerations | OMT | All other interventions and sham treatment | ||
| Pain (follow-up 3 months; measured with: Pain VAS from 0 to 100 [worse pain]; Better indicated by lower values) | ||||||||||
| 10 | randomised trials | no serious limitations | serious1 | no serious indirectness | no serious imprecision | none | 566 | 575 | MD 12.91 lower (20 to 5.82 lower) | ⊕ ⊕ ⊕Ο MODERATE |
| Functional status (follow-up 3 months; measured with: Roland-Morris Disability Questionnaire, Oswestry Disability Index; Better indicated by lower values) | ||||||||||
| 9 | randomised trials | no serious limitations | serious1 | no serious indirectness | no serious imprecision | none | 529 | 517 | SMD 0.36 lower (0.58 to 0.14 lower) | ⊕ ⊕ ⊕Ο MODERATE |
1I2 = 86%.
Abbreviations: CI Confidence interval, MD Mean difference, OMT Osteopathic manipulative treatment, SMD Standard mean difference, VAS Visual analogue scale.