Critical limitations compromise the conclusions of a recent meta-analysis regarding spinal manipulation and migraine: a commentary
The methodological limitations in the meta-analysis by Posadzki et al. raise concerns about its reliability and reproducibility. Accordingly, we advise against relying on this study to guide clinical decision-making. Clinicians, patients, and stakeholders should interpret its conclusions cautiously when evaluating the appropriateness of SMT for migraine management.
Authors
- Marc A. Bronson (ORCID: https://orcid.org/0000-0003-1171-9048)
- Robert J. Trager (ORCID: https://orcid.org/0000-0002-4714-1076)
- Stephen M. Perle (ORCID: https://orcid.org/0000-0001-5829-0256)
- Clinton J. Daniels (ORCID: https://orcid.org/0000-0002-2727-6184)
Institutions
- Duke University (US)
- Murdoch University (AU)
- University of Washington (US)
- University Hospitals of Cleveland (US)
- Kirkland and District Hospital (CA)
- VA Puget Sound Health Care System (US)
- Merck Canada Inc. (Canada) (CA)
- Case Western Reserve University (US)
- Bournemouth University (GB)
Publication Details
- Journal
- Systematic Reviews
- Published
- 2025-10-23
- DOI
- https://doi.org/10.1186/s13643-025-02849-5
- Primary Topic
- Migraine and Headache Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00