Implications for Practice
Overall there is no evidence to suggest that spinal manipulation is
effective in the treatment of chronic pelvic pain.
Implications for Research
Careful conduct and reporting of trials, including randomization, allocation
concealment, the exact nature/mechanism of the treatment given and the type and frequency
of adverse events will provide better evidence of the value of spinal manipulation.
Although the nature of physical therapy makes it difficult to blind participants to the
intervention, trials should maintain blinding for all outcome assessments. Trials should
also incorporate participants who are naive to spinal manipulation and should assess the
degree of participant blinding that occurs. Finally, trials should consider a "no
treatment" control group.
In brief, more research is needed. |
