UK evidence report by Gert Bronfort et al: 25th February 2010. A systematic review of the
effectiveness of manual therapy
commissioned by the GCC, using the research of the highest standards. According to the parameters of the review, the levels of evidence for using manual therapies to treat a range of conditions are categorised as High and Moderate quality POSITIVE evidence; INCONCLUSIVE, but favourable evidence; INCONCLUSIVE, but non-favourable evidence; and High and Moderate quality NEGATIVE evidence. For ease of reference,
a summary table can be found here. It is expected that as new research is carried out and past research is identified and reviewed, the report will be updated. In October 2010, for instance, following a review of publications in the BMJ and studies brought to his attention (
Santilli et al, Lawrence et al), Professor Bronfort considered that the level of evidence for manipulation for sciatica/radiating leg pain should be changed from INCONCLUSIVE but favourable, to a moderate level of POSITIVE evidence.
UK BREEN Trial Team. Back pain, exercise and manipulation (UK BREEN) randomised trial: effectiveness of physical treatments for back pain in primary care. British Medical Journal Nov 2004; 329; 1377 (doi: 10.1136 /bmj. 38282. 669225.AE)
UK BREEN Trial Team (2004)
United Kingdom back pain exercise and manipulation (UK BREEN) randomised trial: cost effectiveness of physical treatments for back pain in primary care. BMJ 329:1381