[Systematic review of clinical randomized controlled trials on manipulative treatment of lumbar disc herniation].
OBJECTIVE
To evaluate the efficacy and safety of the manipulative treatment on lumbar disc herniation and analyze the current status of clinical studies.


METHODS
The PubMed, OVID, Cochrane Library, CBM - disc database, CNKI database and VIP Database were retrieved, and 832 literatures on manipulative treatment for lumbar disc herniation were collected, in which 8 articles met the inclusion criteria. Cochrane systematic review was used to evaluate the quality; and RevMan 4.2 was used for Meta Analysis of Literatures.


RESULTS
There were total 911 patients in the 8 articles. The summary OR for the combined cure rate of the 8 articles was 3.65, and the 95% CI was [2.15, 6.20]. The summary OR for the combined efficiency was 3.56, and the 95% CI was [2.35, 5.38]. The cure rate and effective rate of the patients in manipulative group were superior to those of patients treated with other methods such as drugs, traction, acupuncture, microwave thermotherapy (all the methods were called as "other therapies").


CONCLUSIONS
This study shows that manipulative treatment on lumbar disc herniation is safe, effective, and both cure rate and the effective rate is better than other therapies. But the number of documents is limited and the quality is not very high, and the conclusion is still uncertain, high-quality evidence is needed to be further validated.
Department of Orthopaedics, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 200021, China.
Lin
L
Li
Hong-Sheng
HS
Zhan
Ming-Cai
MC
Zhang
Bo
B
Chen
Wei-An
WA
Yuan
Yin-Yu
YY
Shi
D000328:Adult; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000628:therapy*; D020393:Manipulation, Spinal / Q000379:methods*; D008875:Middle Aged; D016032:Randomized Controlled Trials as Topic