The latest news for osteopaths and manual therapists. If you prefer, you can filter by the following categories: Snapshot Summaries from our Centre for Reviews and Summaries; events; research hubs including Bristol, Exeter, Haywards Heath and Leeds. We also occasionally post summaries of articles that appear in The Osteopath and Osteopathy Today magazines. There is also an archive of our old monthly bulletins.

Complexity of spinal manipulation research

The Spine Journal has published a systematic review and meta-analysis suggesting that “there is moderate-quality evidence that manipulation and mobilization are likely to reduce pain and improve function for patients with chronic low back pain”. Going further, the authors (Coulter, Crawford, Hurwitz et al) state that “manipulation appears to produce a larger effect than mobilization.” Importantly they also state that “Both therapies appear safe.”

The same edition of the journal publishes a response from O’Keefe, Griffin and O’Sullivan that is critical of the study, saying that they have excluded papers that could have been included; that in 7 of the 9 included studies it would be impossible to determine the contribution of manipulation to the treatment effect; and that the review was not registered in advance. They firmly conclude: “Simply put, we believe the results and conclusions in this review to be inaccurate.”

UK osteopaths can read both articles in full by first logging in to the General Osteopathic Council o zone then revisiting this page.

The paper by Coulter et al is available at

The response by O’Keefe, Griffin and O’Sullivan is available at