Abstract : Manipulation and mobilisation are often used either alone or combined with other treatment approach
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Abstract : Manipulation and mobilisation are often used either alone or combined with other treatment approaches to treat neck pain. This review assesses if manipulation or mobilisation improves pain function/disability patient satisfaction quality of life (QoL) and global perceived effect (GPE) in adults experiencing neck pain with or without cervicogenic headache or radicular findings. A computerised search was performed in July 2009. Randomised trials investigating manipulation or mobilisation for neck pain were included. Two or more authors independently selected studies abstracted data and assessed methodological quality. Pooled relative risk (pRR) and standardised mean differences (pSMD) were calculated. 33 of 27 trials had a low risk of bias. Moderate quality evidence showed cervical manipulation and mobilisation produced similar effects on pain function and patient satisfaction at intermediate-term follow-up. Low quality evidence suggested cervical manipulation may provide greater short-term pain relief than a control (pSMD -0.90 (95CI -1.78 to -0.02)). Low quality evidence also supported thoracic manipulation for pain reduction (NNT 7 46.6 treatment advantage) and increased function (NNT 5 40.6 treatment advantage) in acute pain and immediate pain reduction in chronic neck pain (NNT 5 29 treatment advantage). Optimal technique and dose need to be determined.Copyright 2010 Elsevier Ltd. All rights reserved.PMID 20510644 PubMed - indexed for MEDLINEPublication Types MeSH TermsPublication Types ReviewMeSH TermsAdultEvidence-Based MedicineHeadache/physiopathologyHeadache/rehabilitationHumansMusculoskeletal Manipulations/methods*Neck Pain/physiopathologyNeck Pain/rehabilitation*Outcome and Process Assessment (Health Care)Pain MeasurementPatient SatisfactionQuality of LifeRandomized Controlled Trials as TopicRecovery of FunctionLinkOut - more resourcesFull Text SourcesElsevier ScienceEBSCOOhioLINK Electronic Journal CenterSwets Information ServicesOther Literature SourcesCOS Scholar UniverseEducationNew England Research Institutes Inc.New England Research Institutes Inc.MedicalNeck Injuries and Disorders - MedlinePlus Health Information Supplemental Content Related citations Review Manipulation or mobilisation for neck pain. Cochrane Database Syst Rev. 2010 Review Manipulation or mobilisation for neck pain.Gross A Miller J DSylva J Burnie SJ Goldsmith CH Graham N Haines T Brønfort G Hoving JL. Cochrane Database Syst Rev. 2010 Jan 20 (1)CD004249. Epub 2010 Jan 20. Review Manual therapy and exercise for neck pain a systematic review. Man Ther. 2010 Review Manual therapy and exercise for neck pain a systematic review.Miller J Gross A DSylva J Burnie SJ Goldsmith CH Graham N Haines T Brønfort G Hoving JL. Man Ther. 2010 Aug 15(4)334-54. Review Manual therapy with or without physical medicine modalities for neck pain a systematic review. Man Ther. 2010 Review Manual therapy with or without physical medicine modalities for neck pain a systematic review.DSylva J Miller J Gross A Burnie SJ Goldsmith CH Graham N Haines T Brønfort G Hoving JL Cervical Overview Group. Man Ther. 2010 Oct 15(5)415-33. Epub 2010 Jun 9. Review Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2005 Review Exercises for mechanical neck disorders.Kay TM Gross A Goldsmith C Santaguida PL Hoving J Bronfort G Cervical Overview Group. Cochrane Database Syst Rev. 2005 Jul 20 (3)CD004250. Epub 2005 Jul 20. Review Manipulation and mobilisation for mechanical neck disorders. Cochrane Database Syst Rev. 2004 Review Manipulation and mobilisation for mechanical neck disorders.Gross AR Hoving JL Haines TA Goldsmith CH Kay T Aker P Bronfort G Cervical overview group. Cochrane Database Syst Rev. 2004 (1)CD004249. See reviews... See all... Recent activity Clear Turn Off Turn On Manipulation or mobilisation for neck pain a Cochrane Review. Manipulation or mobilisation for neck pain a Cochrane Review.Man Ther. 2010 Aug 15(4)315-33. Epub 2010 May 26 . PubMed Your browsing activity is empty. Activity recording is turned off. Turn recording back on See more... 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