Manual therapy and exercise for neck pain: A systematic review

Manual Therapy
Jordan MillerJan L Hoving

Abstract

Manual therapy is often used with exercise to treat neck pain. This cervical overview group systematic review update assesses if manual therapy, including manipulation or mobilisation, combined with exercise improves pain, function/disability, quality of life, global perceived effect, and patient satisfaction for adults with neck pain with or without cervicogenic headache or radiculopathy. Computerized searches were performed to July 2009. Two or more authors independently selected studies, abstracted data, and assessed methodological quality. Pooled relative risk (pRR) and standardized mean differences (pSMD) were calculated. Of 17 randomized controlled trials included, 29% had a low risk of bias. Low quality evidence suggests clinically important long-term improvements in pain (pSMD-0.87(95% CI:-1.69,-0.06)), function/disability, and global perceived effect when manual therapy and exercise are compared to no treatment. High quality evidence suggests greater short-term pain relief [pSMD-0.50(95% CI:-0.76,-0.24)] than exercise alone, but no long-term differences across multiple outcomes for (sub)acute/chronic neck pain with or without cervicogenic headache. Moderate quality evidence supports this treatment combination for pain ...Continue Reading

Associated Clinical Trials

References

Nov 1, 1976·The British Journal of Psychiatry : the Journal of Mental Science·D V Cicchetti
Nov 1, 1990·Headache·O SjaastadV Pfaffenrath
Jan 1, 1984·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·H Brodin
Jun 1, 1993·Clinical Immunology and Immunopathology·J G Schaller
Feb 1, 1996·Controlled Clinical Trials·A R JadadH J McQuay
Sep 1, 1996·Archives of Physical Medicine and Rehabilitation·M KarlbergU Moritz
Aug 1, 1996·Rheumatic Diseases Clinics of North America·A R GrossC Quartly
May 26, 1999·Pain·J A BorghoutsL M Bouter
Aug 24, 1999·Scandinavian Journal of Rehabilitation Medicine·G V KjellmanB E Oberg
Apr 17, 2001·Annals of Internal Medicine·D G AltmanUNKNOWN CONSORT GROUP (Consolidated Standards of Reporting Trials)
Apr 3, 2002·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·Hugh MacPhersonUNKNOWN STandards for Reporting Interventions in Controlled Trails of Acupuncture
May 22, 2003·JAMA : the Journal of the American Medical Association·Jari YlinenOlavi Airaksinen
Jun 18, 2003·Spine·Maurits van TulderUNKNOWN Editorial Board of the Cochrane Collaboration Back Review Group
Aug 13, 2005·Journal of Manipulative and Physiological Therapeutics·Howard T VernonCarol A Hagino
Oct 3, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sidney M RubinsteinHenrica C W de Vet
Oct 10, 2006·Brain Research Reviews·Justus V Verhagen
Apr 10, 2007·Journal of Manipulative and Physiological Therapeutics·Howard VernonCarol Hagino
Jun 13, 2009·The Journal of Orthopaedic and Sports Physical Therapy·Joy C MacDermidCharlie H Goldsmith
Jun 1, 2010·Manual Therapy·Anita GrossUNKNOWN COG
Jun 12, 2010·Manual Therapy·Jonathan D'SylvaUNKNOWN Cervical Overview Group

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Citations

Jul 16, 2013·Manual Therapy·Jochen Schomacher, Deborah Falla
Dec 16, 2010·International Journal of Clinical Practice·S M PerleM Haas
Jan 21, 2011·Chiropractic & Manual Therapies·Howard VernonChristine Reinhart
Feb 8, 2014·BMC Musculoskeletal Disorders·Anneli PeolssonHåkan Löfgren
Apr 3, 2012·The Journal of Orthopaedic and Sports Physical Therapy·Darren Earnshaw, Vincent J Kabbaz
Dec 18, 2013·Archives of Physical Medicine and Rehabilitation·Cliona O'RiordanJohn Nelson
Nov 15, 2013·The Spine Journal : Official Journal of the North American Spine Society·Michele MaiersRichard Grimm
Mar 27, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Maurice T DriessenMaurits W van Tulder
Jul 19, 2014·Chiropractic & Manual Therapies·Jonathan Branney, Alan C Breen
Nov 23, 2013·Journal of Manipulative and Physiological Therapeutics·Roland BryansEleanor White
Nov 20, 2012·The Spine Journal : Official Journal of the North American Spine Society·Howard T VernonMaricelle D Dinulos
Nov 21, 2012·Joint, Bone, Spine : Revue Du Rhumatisme·Karl VincentSimon Dagenais
May 29, 2012·Journal of Manipulative and Physiological Therapeutics·Mette J StochkendahlJan Hartvigsen
Feb 22, 2012·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·J G Pickar, P S Bolton
Feb 3, 2012·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Rogelio A CoronadoSteven Z George
Aug 10, 2011·Physical Medicine and Rehabilitation Clinics of North America·Christopher T PlastarasRebecca Lansky
Aug 10, 2011·Physical Medicine and Rehabilitation Clinics of North America·Sanjog Pangarkar, Paul C Lee
May 31, 2011·Journal of Manipulative and Physiological Therapeutics·Viviane Maduro de CamargoCésar Fernández-de-las-Peñas
Feb 5, 2011·Physical Medicine and Rehabilitation Clinics of North America·Brent LeiningerTodd Reiter
Feb 13, 2016·The Journal of Orthopaedic and Sports Physical Therapy·Lisa Niethamer, Robin Myers
Jun 12, 2010·Manual Therapy·Jonathan D'SylvaUNKNOWN Cervical Overview Group
Jun 1, 2010·Manual Therapy·Anita GrossUNKNOWN COG
Jun 1, 2010·Manual Therapy·Gwendolen Jull, Ann Moore
Mar 10, 2016·The Journal of Manual & Manipulative Therapy·Shannon Bravo PetersenKen Learman
Jan 15, 2014·The Journal of Manual & Manipulative Therapy·Stephanie RacickiMegan Donaldson
Dec 3, 2014·Journal of Manipulative and Physiological Therapeutics·Aaron A PuhlH Stephen Injeyan

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