A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine

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 mus...

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Main Authors: Kevin K. Haussler, Amie L. Hesbach, Laura Romano, Lesley Goff, Anna Bergh
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/11/10/2787
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author Kevin K. Haussler
Amie L. Hesbach
Laura Romano
Lesley Goff
Anna Bergh
author_facet Kevin K. Haussler
Amie L. Hesbach
Laura Romano
Lesley Goff
Anna Bergh
author_sort Kevin K. Haussler
collection DOAJ
description 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 (<i>n</i> = 5) or manipulation (<i>n</i> = 8) of the axial skeleton. Study quality was low (<i>n</i> = 4), moderate (<i>n</i> = 7), and high (<i>n</i> = 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.
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spelling doaj.art-0d5c374654794c3aa257a124055960022023-11-22T17:09:04ZengMDPI AGAnimals2076-26152021-09-011110278710.3390/ani11102787A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary MedicineKevin K. Haussler0Amie L. Hesbach1Laura Romano2Lesley Goff3Anna Bergh4Equine Orthopaedic Research Laboratory, Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80535, USAEmpowerPhysio, 2585CW The Hague, The NetherlandsVCA Canada Central Victoria Veterinary Hospital, Victoria, BC V8X 2R3, CanadaSchool of Veterinary Science, Gatton Campus, University of Queensland, Gatton, QLD 4343, AustraliaDepartment of Clinical Sciences, Swedish University of Agricultural Sciences, 75007 Uppsala, SwedenMobilization 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 (<i>n</i> = 5) or manipulation (<i>n</i> = 8) of the axial skeleton. Study quality was low (<i>n</i> = 4), moderate (<i>n</i> = 7), and high (<i>n</i> = 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.https://www.mdpi.com/2076-2615/11/10/2787manual therapiesmobilizationmanipulationmusculoskeletalosteopathychiropractic
spellingShingle Kevin K. Haussler
Amie L. Hesbach
Laura Romano
Lesley Goff
Anna Bergh
A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine
Animals
manual therapies
mobilization
manipulation
musculoskeletal
osteopathy
chiropractic
title A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine
title_full A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine
title_fullStr A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine
title_full_unstemmed A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine
title_short A Systematic Review of Musculoskeletal Mobilization and Manipulation Techniques Used in Veterinary Medicine
title_sort systematic review of musculoskeletal mobilization and manipulation techniques used in veterinary medicine
topic manual therapies
mobilization
manipulation
musculoskeletal
osteopathy
chiropractic
url https://www.mdpi.com/2076-2615/11/10/2787
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