Intermittent Cervical Traction for Treating Neck Pain

Yang, Jheng Dao; Tam, Ka Wai; Huang, Tsai-Wei; Huang, Shih Wei; Liou, Tsan Hon; Chen, Hung-Chou

doi:10.1097/brs.0000000000001948

Cited by 16 publications

(2 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 with full details provided in supplementary materials 1. Confidence in the results were rated as critically low [19,20], low [21][22][23][24][25][26][27][28][29][30][31][32], moderate [12,[33][34][35][36][37][38][39], and high [40][41][42][43][44][45][46][47][48][49][50][51][52][53][54]. The methodological weaknesses in the critically low and low rated studies are considered critical domains by AMSTAR2.…”

Section: Risk Of Biasmentioning

confidence: 99%

Patient-reported outcome measures in physical therapy practice for neck pain: an overview of reviews

Ramirez,

Shepherd,

Melnick

et al. 2023

J Patient Rep Outcomes

View full text Add to dashboard Cite

Background Understanding which patient-reported outcome measures are being collected and utilized in clinical practice and research for patients with neck pain will help to inform recommendations for a core set of measures that provide value to patients and clinicians during diagnosis, clinical decision-making, goal setting and evaluation of responsiveness to treatment. Therefore, the aim of this study was to conduct a review of systematic reviews using a qualitative synthesis on the use of patient-reported outcome measures (PROMs) for patients presenting with neck pain to physical therapy. Methods An electronic search of systematic reviews and guideline publications was performed using MEDLINE (OVID), Embase (Elsevier), CINAHL Complete (EBSCOhost), and Web of Science (Clarivate) databases to identify reviews that evaluated physical therapy interventions or interventions commonly performed by a physical therapist for individuals with neck pain and included at least one patient-reported outcome measure. The frequency and variability in which the outcome measures were reported among the studies in the review and the constructs for which they measured were evaluated. The evaluation of a core set of outcome measures was assessed. Risk of bias and quality assessment was performed using A Measurement Tool to Assess systematic Reviews 2. Results Of the initial 7,003 articles, a total of 37 studies were included in the final review. Thirty-one PROMs were represented within the 37 reviews with eleven patient-reported outcome measures in three or more reviews. The eleven PROMs assessed the constructs of disability, pain intensity, psychosocial factors and quality of life. The greatest variability was found amongst individual measures assessing psychosocial factors. Assessment of psychosocial factors was the least represented construct in the included studies. Overall, the most frequently utilized patient reported outcome measures were the Neck Disability Index, Visual Analog Scale, and Numeric Pain Rating Scale. The most frequently used measures evaluating the constructs of disability, pain intensity, quality of life and psychosocial functioning included the Neck Disability Index, Visual Analog Scale, Short-Form-36 health survey and Fear Avoidance Belief Questionnaire respectively. Overall risk of bias and quality assessment confidence levels ranged from critically low (2 studies), low (12 studies), moderate (8 studies), and high (15 studies). Conclusion This study identified a core set of patient-reported outcome measures that represented the constructs of disability, pain intensity and quality of life. This review recommends the collection and use of the Neck Disability Index and the Numeric Pain Rating Scale or Visual Analog Scale. Recommendation for a QoL measure needs to be considered in the context of available resources and administrative burden. Further research is needed to confidently recommend a QoL and psychosocial measure for patients presenting with neck pain. Other measures that were not included in this review but should be further evaluated for patients with neck pain are the Patient Reported Outcomes Measurement Information System (PROMIS) Physical function, PROMIS Pain Interference and the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool.

show abstract

Section: Risk Of Biasmentioning

confidence: 99%

Patient-reported outcome measures in physical therapy practice for neck pain: an overview of reviews

Ramirez,

Shepherd,

Melnick

et al. 2023

J Patient Rep Outcomes

View full text Add to dashboard Cite

show abstract

“…To our knowledge, various therapeutic strategies were widely used for patients with NP in clinical practice, but the effectiveness of each therapeutic strategy was still unclear. [1,6] Although some meta-analyses had been published, [7–12] there was a lack of multiple comparisons in clinical studies so that it was more difficult to make the ideal choice. Network meta-analysis (NMA) was a way to assess the effects of more than 2 treatments for the same condition by direct and indirect comparisons.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of therapeutic strategies for patients with neck pain

Gao

Xia

et al. 2019

Medicine

View full text Add to dashboard Cite

Background:Neck pain is a common discomfort or more intense forms of pain in the cervical region. Neck pain has a large impact on individuals and their families, communities, healthcare systems, and businesses throughout the world. Therapeutic strategies are widely used for patients with neck pain in clinical practice, but the effectiveness of each therapeutic strategy is still unclear. The aim of this study is to assess the efficacy and safety of therapeutic strategies for neck pain.Method:Seven electronic databases will be searched regardless of publication date or language. Randomized controlled trials will be included if they recruited participants with neck pain for assessing the effect of each therapy. Primary outcomes will include pain score. The risk of bias will be assessed by 2 authors using the Cochrane tool of risk of bias. Network meta-analysis in random effects model will be conducted to estimate the indirect and mixed effects of therapeutic strategies for neck pain by R-3.5.1 software. The confidence in cumulative evidence will be assessed by grading of recommendations assessment, development, and evaluation.Results:This study will be to assess the effect and safety of therapeutic strategies for neck pain.Conclusions:This study will assess the effect of different therapeutic strategies for neck pain and provide reliable evidence for the choice of treatments.Systematic review registration:PROSPERO (CRD42019102385).

show abstract