A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine.
Abstract: Mobilization and manipulation techniques are often used in small animal and equine practice; however, questions remain concerning indications, dosing and efficacy. A bibliographic search was performed to identify peer-reviewed publications from 1980 to 2020 that evaluated the clinical effects of musculoskeletal mobilization and manipulation techniques in dogs, cats and horses. The search strategy identified 883 papers for review. Inclusion and exclusion criteria were applied. The clinical indications, dosages, outcome parameters, and reported efficacy within each publication were recorded and categorized for comparison with scientific quality assessed according to a standardized grading system. Fourteen articles were included in this systematic review of which 13 were equine and one was a canine study. Seven of these were cohort studies and seven were randomized controlled clinical trials. The canine study involved carpal immobilization-remobilization and all equine studies focused on the effects of passive mobilization ( = 5) or manipulation ( = 8) of the axial skeleton. Study quality was low ( = 4), moderate ( = 7), and high ( = 3) and included a wide array of outcome parameters with varying levels of efficacy and duration of therapeutic effects, which prevented further meta-analysis. Therefore, it was difficult to draw firm conclusions despite all studies reporting positive effects. Optimal technique indications and dosages need to be determined to improve the standardization of these treatment options.
Publication Date: 2021-09-24 PubMed ID: 34679808PubMed Central: PMC8532674DOI: 10.3390/ani11102787Google Scholar: Lookup
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- Journal Article
- Review
- Animal Health
- Clinical Examination
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Comparative Study
- Diagnosis
- Diagnostic Technique
- Disease Diagnosis
- Disease Management
- Disease Treatment
- Epidemiology
- Equine Diseases
- Equine Health
- Equine Science
- Horses
- Musculoskeletal System
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
- Veterinary Research
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research study systematically reviewed the use and effectiveness of musculoskeletal mobilization and manipulation techniques in veterinary medicine using peer-reviewed publications from 1980 to 2020.
Research Methodology
- The study began with a bibliographic search to identify relevant publications which fell within the specified time frame of 1980 to 2020.
- These publications needed to have evaluated the clinical effects of musculoskeletal mobilization and manipulation techniques on small animals and horses. In total, 883 papers were identified.
- Inclusion and exclusion criteria were applied to these papers to ensure only valid and relevant studies were included. After this step, only 14 articles were included in the review.
Study Findings
- Out of the 14 articles, 13 were studies conducted on horses (equine) and one on dogs (canine).
- Seven studies were cohort studies and the other seven were randomized controlled clinical trials.
- The dog study involved carpal immobilization-remobilization, and all horse studies focused on the effects of passive mobilization or manipulation of the axial skeleton.
- The quality of these studies varied, with four being low quality, seven being moderate, and three being high quality, evaluated based on a standardized grading system. This variation in quality hindered further meta-analysis.
Conclusion
- The research concludes that although all studies reported positive effects on the animals from musculoskeletal mobilization and manipulation techniques, it’s hard to make solid conclusions due to the lack of uniformity in study quality, various outcome parameters, efficacy levels and duration of therapeutic effects.
- The study ordains the need to determine optimal technique indications and dosages to improve the standardization of these treatment options.
Cite This Article
APA
Haussler KK, Hesbach AL, Romano L, Goff L, Bergh A.
(2021).
A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine.
Animals (Basel), 11(10), 2787.
https://doi.org/10.3390/ani11102787 Publication
Researcher Affiliations
- Equine Orthopaedic Research Laboratory, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80535, USA.
- EmpowerPhysio, 2585CW The Hague, The Netherlands.
- VCA Canada Central Victoria Veterinary Hospital, Victoria, BC V8X 2R3, Canada.
- School of Veterinary Science, Gatton Campus, University of Queensland, Gatton, QLD 4343, Australia.
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, 75007 Uppsala, Sweden.
Grant Funding
- SLU.ua.2020.4.2-3148 / Swedish University of Agricultural Sciences
Conflict of Interest Statement
The authors declare no conflict of interest.
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Citations
This article has been cited 3 times.- Maldonado MD, Parkinson SD, Story MR, Haussler KK. The Effect of Chiropractic Treatment on Limb Lameness and Concurrent Axial Skeleton Pain and Dysfunction in Horses. Animals (Basel) 2022 Oct 19;12(20).
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