Spinal manipulation for chronic low back pain: is it all it is cracked up to be?

The systematic review by Coulter et al. [1] suggests that manipulation reduces pain and improves function in chronic low back pain (CLBP). This contrasts sharply with the most recent Cochrane systematic review [2]. As physiotherapists who remain open to the use of manipulation in CLBP, we have several concerns about the review:

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