Journal of Complementary and Integrative Medicine, 2023/06, 20(2):eA43. doi: 10.1515/jcim-2020-2120, type of study: ,sr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (https://www.degruyter.com/document/doi/10.1515/jcim-2020-2120/html)

Keywords:

conference abstract [127]
low back pain [524]
OMT [3925]
osteopathic manipulative treatment [3946]
practice guidelines [19]
systematic review [445]

Abstract:

Background: Approximately 13% of Americans suffer from low backpain (LBP), of which 4 0% use complementary and alternative medicine (CAM) for its treatment and/or management. Despite this high prevalence, no resource systematically summarizes CAM-related recommendations across clinical practice guidelines (CPGs) for the treatment and/or management of LBP for the benefit of the clinician. Objectives: In this study, we 1) identified all CPGs that make CAM-related recommendations and 2) summarized them in a single review. Methods: We conducted a systematic review to identify LBP treatment/management CPGs. MEDLINE, EMBASE, and CINAHL databases were searched, along with the Guidelines International Network and the National Center for Complementary and Integrative Health websites, to identify English-language CPGs published from 2008-2018. Two reviewers screened for guidelines that made CAM-related recommendations and completed data extraction of the types of C AM therapies and strengths of recommendations. Results: Of 181 unique search results, 22 LBP CPGs were found, 17 of which made mention of C AM therapies. Recommendations relating to CAM were made in all 17 guidelines, and included (number of recommendations in total; for/against/uncertain): spinal manipulation (13; 10/0/3), acupuncture (10; 4/1/5), massage therapy (7; 5/0/2), manual therapy (6; 4/0/2), yoga (2; 1/0/1), tai chi (2; 1/0/1), osteopathic manipulative treatment (1; 1/0/0), herbal therapy (1; 0/0/1) and homeopathic therapy (1; 0/0/1). Conclusions The majority of LBP guidelines made CAM recommendations. Most guidelines provided a recommendation to offer spinal manipulation whereas there is uncertainty regarding offering acupuncture as a potential C AM treatment. The remaining therapies, which included massage/manual therapy, yoga, tai chi, osteopathy, herbs, and homeopathy, were not commonly evaluated or recommended across this subset of CPGs. This difference in recommended C AM therapies may be due to a higher prevalence of use of spinal manipulation and acupuncture which reflect a greater body of research in comparison to the other C AM therapies.