I am troubled by false claims about any exam or Rx approach. It has been claimed that manual therapy has no clinical effect. I spent 35 minutes in PubMed this AM and have found the following SRs and MAs. This effort is only to fact check the claim that MT has no clinical effect.
Paper one: MT for Cervicogenic Headache. Fernandez et al EJP. 2020. Some evidence in support some with no statistical effect.
Paper Two: MT of the Shoulder (RCT pain). Desjardins-Charbonnneau et al. JOSPT 2015. Evidence in support of MT for rotator cuff pain.
Paper Three: MT of the Hip using a Mulligan approach. Stathopoulos et al. MWM only. JMPT. 2019. Evidence in support of a MWM method. Those folks are prolific in other body regions too.
Paper Four: MT vs. Comparator. Nonspecific neck pain. Coulter et al. Pain Physician. 2019. No significant benefit reported in this paper.
Paper Five: Neck pain. MT + EX vs. MT. Fredin and Lorås. MSP 2018. Not a lot of support for the add on of MT with exercise.
Paper Six: MT for LBP. Paige et al. JAMA 2017. I know some people don't like this paper but it came up in the search.
Paper Seven: MT of the Knee. Anwer et al. Physiotherapy. 2018. With my good friend Jean Michel Brismee. Support for MT at the knee
Paper Eight: Not MT but worth sharing. CBT for chronic MSK pain. Cheng and Cheng. Plos One. 2019. Support for CBT with small overall effects (just like all interventions)
Is it correct to say MT has no clinical effect? In some areas yes, others no. Am I some MT zealot who is biased toward MT?
It's worth reading what I've written about MT in past papers & books. I don't like biased opinions & fake news about exam and RXs. Nor should anyone
