{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:51:01Z","timestamp":1787755861592,"version":"build-2784847793"},"reference-count":123,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb Most evidence in low back pain (LBP): Evidence supports spinal manipulation therapy (SMT) as a conservative option for acute, subacute, and chronic LBP, especially when used as part of multimodal care.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Limited role beyond LBP: SMT shows insufficient or conflicting evidence for neck pain, headaches, extremity disorders, and is not recommended for nonmusculoskeletal conditions.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Risk profile: Serious adverse events are rare and may be underreported; minor, transient soreness is more common. Careful screening for contraindications (e.g., trauma, connective tissue disease, vascular disorders) is critical.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Ongoing gaps: Variability in practice standards, inconsistent informed consent, and poor adverse event reporting limit clarity on true effectiveness and safety.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.25.00196","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T19:00:33Z","timestamp":1765911633000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Chiropractic Care and Spinal Manipulation"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7745-8701","authenticated-orcid":false,"given":"Bryce 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