Manipulation or mobilisation for neck pain: A Cochrane Review

The Effect of Cervical Spine Manipulation on Postural Sway in Patients With Nonspecific Neck Pain

“…A number of authors have conducted reviews on these studies in order to gain a coherent perspective on the available data. Due to factors such as the heterogeneous nature of neck and back pain populations, variability of manipulative techniques and the subjectivity of some outcome measures, the ability to draw conclusions from studies is limited Ernst, 2003;Gross et al, 2010).…”

“…Four systematic reviews (Bronfort, Haas, Evans, Kawchuk, & Dagenais, 2008;Bronfort, Haas, Evans, & Bouter, 2004;Vernon & Humphreys, 2008;Vernon, Humphreys, & Hagino, 2007) and one Cochrane review (Gross et al, 2010) have recently been conducted on the effectiveness of spinal manipulation in the treatment of lower back and neck pain. In these reviews, the authors focussed on patient reported outcome measures such as the visual analogue scale, the 11 point numerical pain reporting scale, and the neck disability index.…”

“…In a Cochrane review of the effect of spinal manipulation on neck pain, Gross et al (2010) found only low quality evidence (3 trials) that cervical manipulation alone is superior to control in providing immediate and short term pain relief in individuals with acute or sub-acute neck pain. This is in contrast to two systematic reviews that reported moderate-to-high quality evidence that cervical spine manipulation results in immediate improvements in pain levels (Vernon & Humphreys, 2008) that may last up to several months post treatments (Vernon et al, 2007).…”

Avaliação da qualidade de vida e do tratamento fisioterapêutico em pacientes com cervicalgia crônica

“…Esses benefícios proporcionam maior disposição e facilidade para a realização de atividades cotidianas, melhorando a qualidade de vida (11,12). Tabela 1 -Valores da média e desvio padrão das "facetas e domínios" antes e após o tratamento fisioterapêutico e os valores de "p" de dor e da saúde física, bem como o reflexo das condições emocionais no desempenho das atividades diárias e/ou profissionais, são as que necessitam de intervenção profissional imediata para melhorar a qualidade de vida desses indivíduos.…”

In response to: Dunning J. How about an honorable mention for cervical and thoracic thrust manipulation? A passing mention would be more appropriate

“…1 The invited responses 2 illustrate the breadth of debate on the issue and highlight that the controversies surrounding the use of neck manipulation remain alive. Of these responses the plea by Dunning for 'an honorable mention for cervical and thoracic thrust manipulation' discusses evidence from trials published after the most recent Cochrane review 3 on the topic and suggests that the new evidence warrants re-evaluation of the relative benefits of manipulation and mobilization. The case for an 'honorable mention' is built primarily on overstating the significance of Dunning's recently published trial.…”