{"id":"https://openalex.org/W7163594897","doi":null,"title":"Efficacy of spinal manipulative therapy in older adults with chronic spinal conditions: an updated systematic review.","display_name":"Efficacy of spinal manipulative therapy in older adults with chronic spinal conditions: an updated systematic review.","publication_year":2026,"publication_date":"2026-04-01","ids":{"openalex":"https://openalex.org/W7163594897","pmid":"https://pubmed.ncbi.nlm.nih.gov/42238484","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13229143"},"language":"en","primary_location":{"id":"pmid:42238484","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42238484","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of the Canadian Chiropractic Association","raw_type":"Journal Article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13229143/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059053186","display_name":"Alec L. Schielke","orcid":"https://orcid.org/0000-0002-1257-6141","observed_orcids":["https://orcid.org/0000-0002-1257-6141"]},"institutions":[{"id":"https://openalex.org/I204866599","display_name":"VA Palo Alto Health Care System","ror":"https://ror.org/00nr17z89","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I204866599","https://openalex.org/I2799886695","https://openalex.org/I4210125474"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alec L Schielke","raw_affiliation_strings":["Integrated Primary Care, VA Palo Alto Health Care System, Palo Alto, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Integrated Primary Care, VA Palo Alto Health Care System, Palo Alto, CA, USA","institution_ids":["https://openalex.org/I204866599"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024175594","display_name":"Robert J. Trager","orcid":"https://orcid.org/0000-0002-4714-1076","observed_orcids":["https://orcid.org/0000-0002-4714-1076"]},"institutions":[{"id":"https://openalex.org/I4210108791","display_name":"University Hospitals Cleveland Medical Center","ror":"https://ror.org/01gc0wp38","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799343972","https://openalex.org/I4210108791"]},{"id":"https://openalex.org/I58956616","display_name":"Case Western Reserve University","ror":"https://ror.org/051fd9666","country_code":"US","type":"education","lineage":["https://openalex.org/I58956616"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert J Trager","raw_affiliation_strings":["Connor Whole Health, University Hospitals Cleveland Medical Center, Cleveland, OH, USA","Department of Family Medicine and Community Health, School of Medicine, Case Western Reserve University, Cleveland, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Connor Whole Health, University Hospitals Cleveland Medical Center, Cleveland, OH, USA","institution_ids":["https://openalex.org/I4210108791"]},{"raw_affiliation_string":"Department of Family Medicine and Community Health, School of Medicine, Case Western Reserve University, Cleveland, OH, USA","institution_ids":["https://openalex.org/I58956616"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000851311","display_name":"Joel M. Stevans","orcid":"https://orcid.org/0000-0001-8642-9446","observed_orcids":["https://orcid.org/0000-0001-8642-9446"]},"institutions":[{"id":"https://openalex.org/I170201317","display_name":"University of Pittsburgh","ror":"https://ror.org/01an3r305","country_code":"US","type":"education","lineage":["https://openalex.org/I170201317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joel M Stevans","raw_affiliation_strings":["Doctor of Chiropractic Program, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Doctor of Chiropractic Program, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA","institution_ids":["https://openalex.org/I170201317"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032856403","display_name":"Morgan R. Price","orcid":"https://orcid.org/0000-0002-4471-6436","observed_orcids":["https://orcid.org/0000-0002-4471-6436"]},"institutions":[{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Morgan R Price","raw_affiliation_strings":["Rehabilitation Care Services, VA Puget Sound Health Care System, WA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rehabilitation Care Services, VA Puget Sound Health Care System, WA, USA","institution_ids":["https://openalex.org/I4210094549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001157191","display_name":"Ronald D Wilcox","orcid":"https://orcid.org/0009-0003-9907-6127","observed_orcids":["https://orcid.org/0009-0003-9907-6127"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ronald D Wilcox","raw_affiliation_strings":["Private Practice, Tumwater, WA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Private Practice, Tumwater, WA, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027871831","display_name":"Sheryl Walters","orcid":"https://orcid.org/0000-0003-2280-4280","observed_orcids":["https://orcid.org/0000-0003-2280-4280"]},"institutions":[{"id":"https://openalex.org/I102499492","display_name":"Logan University","ror":"https://ror.org/058ndjg49","country_code":"US","type":"education","lineage":["https://openalex.org/I102499492"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sheryl A Walters","raw_affiliation_strings":["George A. Goodman, DC Library, Logan University, Chesterfield, MO, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"George A. Goodman, DC Library, Logan University, Chesterfield, MO, USA","institution_ids":["https://openalex.org/I102499492"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5075597250","display_name":"Clinton J. Daniels","orcid":"https://orcid.org/0000-0002-2727-6184","observed_orcids":["https://orcid.org/0000-0002-2727-6184"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Clinton J Daniels","raw_affiliation_strings":["Rehabilitation Care Services, VA Puget Sound Health Care System, WA, USA","Rehabilitation Medicine, University of Washington, Seattle, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rehabilitation Care Services, VA Puget Sound Health Care System, WA, USA","institution_ids":["https://openalex.org/I4210094549"]},{"raw_affiliation_string":"Rehabilitation Medicine, University of Washington, Seattle, USA","institution_ids":["https://openalex.org/I201448701"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"70","issue":"1","first_page":"27","last_page":"54"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12715","display_name":"Pregnancy-related medical research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spinal-manipulation","display_name":"spinal manipulation","score":0.9679999947547913},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9279999732971191},{"id":"https://openalex.org/keywords/chronic-low-back-pain","display_name":"chronic low back pain","score":0.9950000047683716},{"id":"https://openalex.org/keywords/chronic-neck-pain","display_name":"chronic neck pain","score":0.9950000047683716},{"id":"https://openalex.org/keywords/lumbar-spinal-stenosis","display_name":"lumbar spinal stenosis","score":1.0},{"id":"https://openalex.org/keywords/pain","display_name":"pain","score":0.9010000228881836},{"id":"https://openalex.org/keywords/functions","display_name":"functions","score":0.6240000128746033},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.9980000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8949999809265137},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.7279000282287598},{"id":"https://openalex.org/C2779631646","wikidata":"https://www.wikidata.org/wiki/Q17164695","display_name":"Lumbar spinal stenosis","level":3,"score":0.6996999979019165},{"id":"https://openalex.org/C2779470654","wikidata":"https://www.wikidata.org/wiki/Q1074773","display_name":"Spinal manipulation","level":4,"score":0.5551999807357788},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.5407000184059143},{"id":"https://openalex.org/C514863369","wikidata":"https://www.wikidata.org/wiki/Q1427967","display_name":"Manual therapy","level":3,"score":0.5389999747276306},{"id":"https://openalex.org/C2780175798","wikidata":"https://www.wikidata.org/wiki/Q1478321","display_name":"Spinal stenosis","level":3,"score":0.5300999879837036},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.5145999789237976},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.48100000619888306},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.48080000281333923},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.4625000059604645},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.41850000619888306},{"id":"https://openalex.org/C2781038967","wikidata":"https://www.wikidata.org/wiki/Q3567802","display_name":"Neck pain","level":3,"score":0.41019999980926514},{"id":"https://openalex.org/C3017433307","wikidata":"https://www.wikidata.org/wiki/Q405478","display_name":"Lumbar spine","level":2,"score":0.38519999384880066},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.37119999527931213},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.3544999957084656},{"id":"https://openalex.org/C2781310810","wikidata":"https://www.wikidata.org/wiki/Q1097931","display_name":"Neurogenic claudication","level":4,"score":0.3418000042438507},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.32199999690055847},{"id":"https://openalex.org/C2992931878","wikidata":"https://www.wikidata.org/wiki/Q7577457","display_name":"Spinal deformity","level":3,"score":0.3068999946117401},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30160000920295715},{"id":"https://openalex.org/C516994506","wikidata":"https://www.wikidata.org/wiki/Q658096","display_name":"Chiropractic","level":3,"score":0.2987000048160553},{"id":"https://openalex.org/C2779835254","wikidata":"https://www.wikidata.org/wiki/Q405478","display_name":"Lumbar vertebrae","level":3,"score":0.28029999136924744},{"id":"https://openalex.org/C2987552334","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic disease","level":2,"score":0.2793999910354614},{"id":"https://openalex.org/C2780955175","wikidata":"https://www.wikidata.org/wiki/Q174857","display_name":"Scoliosis","level":2,"score":0.2770000100135803},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.2685000002384186},{"id":"https://openalex.org/C2909026353","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Quantitative sensory testing","level":3,"score":0.2565999925136566}],"mesh":[],"locations_count":2,"locations":[{"id":"pmid:42238484","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42238484","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of the Canadian Chiropractic Association","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13229143","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13229143/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Can Chiropr Assoc","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13229143","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13229143/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Can Chiropr Assoc","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":2,"referenced_works":["https://openalex.org/W2292805364","https://openalex.org/W3163993007"],"related_works":["https://openalex.org/W4281612243","https://openalex.org/W7119113066","https://openalex.org/W2921829508","https://openalex.org/W2161695384","https://openalex.org/W4249719452","https://openalex.org/W2982567727","https://openalex.org/W2946932562","https://openalex.org/W4232361142","https://openalex.org/W3100600961","https://openalex.org/W4385741662"],"abstract_inverted_index":{"Background:":[0],"This":[1],"systematic":[2],"review":[3],"evaluated":[4],"the":[5,52],"efficacy":[6],"of":[7,75],"SMT":[8,31,64,83,112],"for":[9,25,32,84,123,131],"chronic":[10,36,85,92,124],"spinal":[11,37,99,125],"conditions":[12,38,126],"in":[13,127],"adults":[14,34],"aged":[15],"55":[16],"years":[17],"and":[18,104,134],"older.":[19],"Methods:":[20],"We":[21],"searched":[22],"multiple":[23],"databases":[24],"randomized":[26],"controlled":[27],"trials":[28],"(RCTs)":[29],"on":[30],"older":[33,128],"with":[35],"(\u2265":[39],"12":[40],"weeks)":[41],"published":[42],"from":[43,51],"February":[44],"2016":[45],"through":[46],"October":[47],"2024.":[48],"Additionally,":[49],"studies":[50,62],"prior":[53],"article":[54],"being":[55],"updated":[56],"were":[57,80],"included":[58],"as":[59],"appropriate.":[60],"Eligible":[61],"compared":[63],"to":[65,141],"active":[66],"or":[67,73,116],"inert":[68],"comparators,":[69],"measuring":[70],"pain,":[71],"function,":[72],"quality":[74],"life.":[76],"Results:":[77],"Nine":[78],"reports":[79],"included,":[81],"evaluating":[82],"low":[86,140],"back":[87],"pain":[88,94,133],"(5":[89],"RCTs,":[90,96],"n=544),":[91],"neck":[93,132],"(2":[95],"n=241),":[97],"lumbar":[98],"stenosis":[100],"(1":[101,108],"RCT,":[102,109],"n=259),":[103],"combined":[105],"neck/back":[106],"disability":[107],"n=182).":[110],"Conclusion:":[111],"may":[113],"offer":[114],"comparable":[115],"modestly":[117],"greater":[118],"benefit":[119],"than":[120],"other":[121],"treatments":[122],"adults,":[129],"particularly":[130],"LSS.":[135],"Evidence":[136],"certainty":[137],"remains":[138],"very":[139],"moderate.":[142],"Registration:":[143],"PROSPERO":[144],"(CDR42024615084).":[145]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-06-05T00:00:00"}
