Cervical manipulation versus thoracic or cervicothoracic manipulations for the management of neck pain. A systematic review and meta-analysis
Author
Jiménez-del-Barrio, Sandra
Pérez-Guillén, Silvia
Ceballos-Laita, Luis
Publication date
2024ISSN
2468-8630
Abstract
Background: Cervical and thoracic thrust or non-thrust manipulations have shown to be effective in patients with neck pain, but there is a lack of studies comparing both interventions in patients with neck pain. Objective: To investigate the effects of cervical thrust or non-thrust manipulations compared to thoracic or cervicothoracic manipulations for improving pain, disability, and range of motion in patients with neck pain. Design: Systematic review and meta-analysis. Method: Searches were performed in PubMed, PEDro, Cochrane Library, CINHAL, and Web of Science databases from inception to May 22, 2023. Randomized clinical trials comparing cervical thrust or non-thrust manipulations to thoracic or cervicothoracic manipulations were included. Methodological quality was assessed with PEDro scale, and the certainty of evidence was evaluated using GRADE guidelines. Results: Six studies were included. Meta-analyses revealed no differences between cervical thrust or non-thrust manipulations and thoracic or cervicothoracic manipulations in pain intensity, disability, or cervical range of motion in any plane. The certainty of evidence was downgraded to very low for pain intensity, to moderate or very low for disability and to low or very low for cervical range of motion. Conclusion: There is moderate to very low certainty evidence that there is no difference in effectiveness between cervical thrust or non-thrust manipulations and thoracic or cervicothoracic manipulations for improving pain, disability, and range of motion in patients with neck pain.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Dolor de coll
Manipulació musculoesquelètica
Manipulació espinal
Intensitat del dolor
Discapacitat
Dolor de cuello
Manipulación musculoesquelética
Manipulación espinal
Intensidad del dolor
Discapacidad
Neck pain
Musculoskeletal manipulation
Spinal manipulation
Pain intensity
Disability
Pages
9
Publisher
Elsevier
Collection
71
Is part of
Musculoskeletal Science and Practice
Citation
Carrasco-Uribarren, Andoni; Pardos Aguilella, Pilar; Jiménez-del-Barrio, Sandra [et al.]. Cervical manipulation versus thoracic or cervicothoracic manipulations for the management of neck pain. A systematic review and meta-analysis. Musculoskeletal Science and Practice, 2024, 71, 102927. Disponible en: <https://www.sciencedirect.com/science/article/pii/S2468781224000225?via%3Dihub>. Fecha de acceso: 16 may. 2024. DOI: 10.1016/j.msksp.2024.102927
This item appears in the following Collection(s)
- Ciències de la Salut [740]
Rights
© 2024 The Authors. Published by Elsevier Ltd. Under a Creative Commons license.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc/4.0/