RT info:eu-repo/semantics/article
T1 Cervical manipulation versus thoracic or cervicothoracic manipulations for the management of neck pain. A systematic review and meta-analysis
A1 Carrasco Uribarren, Andoni
A1 Pardos Aguilella, Pilar
A1 Jiménez del Barrio, Sandra
A1 Cabanillas Barea, Sara
A1 Pérez Guillén, Silvia
A1 Ceballos Laita, Luis
K1 Neck pain
K1 Musculoskeletal manipulations
K1 Spinal manipulation
K1 Pain intensity
K1 Disability
AB 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.
PB Elsevier
SN 2468-7812
YR 2024
FD 2024
LK https://uvadoc.uva.es/handle/10324/72942
UL https://uvadoc.uva.es/handle/10324/72942
LA eng
NO Musculoskeletal Science and Practice, 2024, vol. 71, 102927
NO Producción Científica
DS UVaDOC
RD 23-dic-2024