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Table 4 Limitations to own studies given by authors of articles reviewed for the effect of SMT on pain

From: The effect of spinal manipulative therapy on experimentally induced pain: a systematic literature review

 

Limitations given by authors

[37]

Short term effect. Unable to project results on duration.

Small sample of patients.

Did not include control group.

[42]

4 different muscle situations assessed (rest, isotonic contraction and 2 isometric contractions) (Is it enough?)

Duration (only immediate effect assessed).

Pop sound may have a placebo effect.

[23]

Healthy subjects.

Unable to describe duration of effects.

[28]

Pain-free patients.

Style, contacts or force used in the mobilization procedures.

[29]

Duration. Unable to project results on duration.

Widespread to other areas?

Subthreshold pain stimulation, what about real pain?

Latent trigger points, subjects who may not be typical population.

Control group did not receive an intervention; maybe pop sound has a placebo effect.

[44]

Lack of control and placebo groups.

Short term effect. Unable to project results on duration.

Did not take into account subject innate stiffness.

[38]

Short term effect. Unable to project results on duration.

Placebo effect of cavitation.

Only women.

[30]

Algometer was not very precise.

[43]

-

[18]

Assessment not blind.

Chronic low back pain.

Temporal summation as an indirect measure of central sensitization has been proven only in animals.

[19]

Short term effect. Unable to project results on duration.

Possible placebo effect of cavitation.

Small sample of patients.

[39]

Short term effect. Unable to project results on duration.

Not patients.

Possible placebo effect of cavitation.

PPT

[20]

Short term effect. Unable to project results on duration.

Placebo effect of cavitation.

Healthy people, not patients.

[31]

Short term effect. Unable to project results on duration.

Possible placebo effect of cavitation.

Healthy people, not patients.

[36]

Short term effect. Unable to project results on duration.

Possible placebo effect of cavitation.

Healthy people, not patients.

No control, no sham group.

[40]

-

[21]

-

[32]

-

[33]

-

[41]

-

[35]

-

[34]

-