Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
Copyright 1999 American Medical Association. All Rights Reserved.
Applicable FARS/DFARS Restrictions Apply to Government Use.1999
To the Editor: The conclusion drawn by Drs
Bove and Nilsson1 did not seem to accurately
reflect the results of their study. Spinal manipulation was not assessed "as
an isolated intervention," but was tested in combination with deep friction
massage. The conclusion regarding its efficacy for ETTHs is therefore incorrect
and misleading. This study also regards spinal manipulation as a whole to
reflect the 2 techniques that were administered in this study. There are thousands
of spinal manipulative techniques. Only 2 were used in this study (toggle
recoil and diversified). To imply that these techniques are reflective of
spinal manipulation as a whole, as the authors did, would be akin to generalizing
the efficacy for all analgesics based on a limited study involving aspirin.
Marcus AM. Spinal Manipulation for Tension-type Headache. JAMA. 1999;282(3):231-233. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-3-jac90006