A Cochrane Review of Manipulation and Mobilization for Mechanical Neck Disorders

Gross, Anita; Hoving, Jan L.; Haines, Ted; Goldsmith, Charles H.; Kay, Theresa; Aker, Peter; Brønfort, Gert

doi:10.1097/01.brs.0000131218.35875.ed

Cited by 261 publications

(167 citation statements)

References 52 publications

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“…Those authors also included the trial by Howe et al 58 ; however, this study did not include a group receiving only manipulation, thus we excluded it from our review. Gross et al [36][37][38] conducted a pooled analysis of Vernon et al 55 and Sloop et al 54 , given that they were clinically comparable and not statistically heterogeneous. Outcome measures were pooled despite the fact that Vernon et al 55 obtained only pressure algometry readings, not pain scores, at 5 minutes post-intervention and included a mobilization group, while Sloop et al 54 obtained pain outcome only at 3 weeks post-intervention.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Chronic Mechanical Neck Pain in Adults Treated by Manual Therapy: A Systematic Review of Change Scores in Randomized Controlled Trials of a Single Session

Vernon¹,

Humphreys²

2008

Journal of Manual & Manipulative Therapy

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Section: Discussionmentioning

confidence: 99%

“…In recent Cochrane reviews, Gross et al [36][37][38] included 4 single-session studies, three of which 50,54,55 were included in this review. Those authors also included the trial by Howe et al 58 ; however, this study did not include a group receiving only manipulation, thus we excluded it from our review.…”

Section: Discussionmentioning

confidence: 99%

Chronic Mechanical Neck Pain in Adults Treated by Manual Therapy: A Systematic Review of Change Scores in Randomized Controlled Trials of a Single Session

Vernon¹,

Humphreys²

2008

Journal of Manual & Manipulative Therapy

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“…11 In comparison, a large amount of studies supports the use of manipulation in both acute and chronic musculoskeletal syndromes related to the spine. [12][13][14][15] It should be emphasized that nowhere does this study state or imply that chiropractic manipulation should be used only for symptomatic patients without identifiable joint restrictions. The purpose of this pilot study was to investigate the effect of chiropractic treatment on hip joint extension ability and running velocity in young runners with identifiable joint restrictions.…”

Section: Introductionmentioning

confidence: 99%

Effect of chiropractic treatment on hip extension ability and running velocity among young male running athletes

Sandell¹,

Palmgren²,

Björndahl³

2008

Journal of Chiropractic Medicine

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Objective: This study investigates the effect of chiropractic treatment on hip joint extension ability and running velocity. Methods: This was a prospective, randomized, controlled experimental pilot study. Seventeen healthy male junior athletes (age, 17-20 years) training in middle distance running were recruited from local Swedish athletic associations. Hip extension ability and running velocity were measured before and after the study period. Chiropractic investigations comprised motion palpation of the sacroiliac and hip joints and modified Thomas test of the ability to extend the leg. In the treatment group, findings of restrictive joint dysfunctions formed the basis for the choice of chiropractic treatment. The interventions were based on a pragmatic approach consisting of high-velocity, low-amplitude manipulations targeted toward, but not exclusively to, the sacroiliac joints. Results: The treatment group showed significantly greater hip extension ability after chiropractic treatment than did controls (P b .05). Participants in the treatment group did not show a significant decrease in time for running 30 m after treatment (average, −0.065 seconds; P = .0572), whereas the difference was even smaller for the control subjects (average, −0.003; P = .7344). Conclusions:The results imply that chiropractic treatment can improve hip extensibility in subjects with restriction as measured by the modified Thomas test. It could be speculated that the running step was amplified by increasing the angle of step through facilitated hip joint extension ability. The possible effect of chiropractic treatment to enhance the running velocity, by increasing the hip joint extension ability and thereby increasing the running step, remains unproven.

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“…A systematic review of the effectiveness of HVLA SM and mobilization for mechanical neck disorders revealed that HVLA SM and/or mobilization when done alone was not beneficial and that, when compared with one another, neither was superior. 3 High-velocity, low-amplitude spinal manipulation is commonly used by manual therapists and doctors of chiropractic to treat spinal pain; but it is also commonly associated with minor transient adverse reactions such as local pain and stiffness, fatigue, or headaches. Observational studies have investigated the frequency and percentage of patients who experience these minor transient adverse reactions.…”

Section: Introductionmentioning

confidence: 99%

A feasibility study assessing manual therapies to different regions of the spine for patients with subacute or chronic neck pain

Strunk

Hondras

2008

Journal of Chiropractic Medicine

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Objective: The purpose of this project was to develop and test protocols for a randomized clinical trial of a combined therapeutic approach (thoracic spine and sacroiliac joint highvelocity, low-amplitude spinal manipulation [HVLA SM] + cervical spine postisometric relaxation) and cervical spine HVLA SM for patients with subacute or chronic neck pain. Methods: Patients were recruited in the Quad Cities in Iowa and Illinois. After a baseline assessment visit, eligible patients were randomly assigned to cervical spine HVLA SM or to the combined therapeutic approach for 4 treatment visits over 2 weeks. Outcome assessments included the Neck Disability Index, visual analog scale, and posttreatment response questionnaire. Patient outcomes were not aggregated or compared by treatment group. Results: It took approximately 8 months of planning, which included the development of forms and protocols, pretesting the forms, and training staff and clinicians in the standardized protocols. Twelve participants were screened, and 6 patients were enrolled and randomly allocated to care over a 6-week period. All patients completed 5 visits. Five of 6 patients had an improvement on the Neck Disability Index. On the visual analog scale, 2 patients improved at 2 weeks, whereas the other 4 got worse. Five patients completed the posttreatment response questionnaire; 2 of the 5 indicated they experienced discomfort or an unpleasant reaction from the study treatments. Conclusions: Designing a successful feasibility randomized clinical trial requires considerable planning, development and pretesting of the forms and protocols, and training clinicians and staff for standardized protocols. Patients were willing to be randomized, follow treatment protocols, complete baseline and outcome assessments, and return 83% of the follow-up questionnaires.

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A Cochrane Review of Manipulation and Mobilization for Mechanical Neck Disorders

Cited by 261 publications

References 52 publications

Chronic Mechanical Neck Pain in Adults Treated by Manual Therapy: A Systematic Review of Change Scores in Randomized Controlled Trials of a Single Session

Chronic Mechanical Neck Pain in Adults Treated by Manual Therapy: A Systematic Review of Change Scores in Randomized Controlled Trials of a Single Session

Effect of chiropractic treatment on hip extension ability and running velocity among young male running athletes

A feasibility study assessing manual therapies to different regions of the spine for patients with subacute or chronic neck pain

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