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A Cochrane Review of Manipulation and Mobilization for Mechanical Neck Disorders
Abstract
Study design and objectives Our systematic review of randomized trials assessed whether manipulation and mobilization relieve pain or improve function/disability, patient satisfaction, and global perceived effect in adults with mechanical neck disorders. Summary of background data Neck disorders are common, disabling, and costly. Methods Computerized bibliographic databases were searched up to March 2002. Two independent reviewers conducted study selection, data abstraction, and methodologic quality assessment. Relative risk and standardized mean differences were calculated. In the absence of heterogeneity, pooled effect measures were calculated using a random effects model. Results Of the 33 selected trials, 42% were high quality trials. Single or multiple (3-11) sessions of manipulation or mobilization showed no benefit in pain relief when assessed against placebo, control groups, or other treatments for acute/subacute/chronic mechanical neck disorders with or without headache. There was strong evidence of benefit favoring multimodal care (mobilization and/or manipulation plus exercise) over a waiting list control for pain reduction [pooled standardized mean differences -0.85 (95% CI: -1.20 to -0.50)], improvement in function [pooled SMD -0.57 (95% CI: -0.94 to -0.21)] and global perceived effect [standardized mean differences -2.73 (95% CI: -3.30 to -2.16)] for subacute/chronic mechanical neck disorders with or without headache. Conclusions Mobilization and/or manipulation…
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“One type of manual therapy called osteopathy (osteopathic manipulative therapy; OMT) has been supported in its effectiveness to reduce chronic pain in several areas, such as chronic neck pain, as highlighted in a Cochrane review which identified 33 relevant clinical trials (Gross et al., 2004).”
From An evaluation of osteopathic treatment on psychological outcomes with patients suffering from chronic pain: A prospective observational cohort study collected through a health and well-being academy (2018) · cites this paper as Gross et al., 2004
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Metadata
- Authors
- Gross, A. R., Hoving, J. L., Haines, T. A., Goldsmith, C. H., Kay, T., Aker, P., & Bronfort, G.
- Affiliations
- McMaster University (CA)
- Monash University (AU)
- Northwestern Health Sciences University (US)
- University of Toronto (CA)
- Canadian Memorial Chiropractic College (CA)
- Corresponding author
- Gross, Anita R.
- Haines, Ted A.
- Goldsmith, Charles H.
- Venue
- Spine
- Published
- 2004-07
- Volume
- 29
- Issue
- 14
- Pages
- 1541-1548
- ISSN
- 0362-2436 (ISSN-L)
- OpenAlex
- W2016127346
- Cited by
- 299
- References
- 80
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 10 · 2021: 7 · 2020: 6 · 2019: 6 · 2018: 10 · 2017: 14 · 2016: 11 · 2015: 16 · 2014: 17 · 2013: 15 · 2012: 16
- FWCI
- 2.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Spine (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Funders
- National Center for Complementary and Integrative Health (U01AT000170, AT 00170-05)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Myofascial pain diagnosis and treatment
- Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
- Keywords
- spinal manipulation, spinal mobilization, neck pain, headache, exercise therapy, multimodal care, neck function, treatment effectiveness
- MeSH terms
- Adult, Aged, Combined Modality Therapy, Exercise Therapy, Female, Headache, Humans, Male, Middle Aged, Pain Measurement, Randomized Controlled Trials as Topic, Treatment Outcome, Patient Satisfaction, Evidence-Based Medicine, Neck Pain, Recovery of Function, Manipulation, Spinal, Physical Therapy Modalities, Manipulation, Chiropractic
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