000132830 001__ 132830
000132830 005__ 20240315113108.0
000132830 0247_ $$2doi$$a10.1016/j.msksp.2024.102927
000132830 0248_ $$2sideral$$a137742
000132830 037__ $$aART-2024-137742
000132830 041__ $$aeng
000132830 100__ $$aCarrasco-Uribarren, Andoni
000132830 245__ $$aCervical manipulation versus thoracic or cervicothoracic manipulations for the management of neck pain. A systematic review and meta-analysis
000132830 260__ $$c2024
000132830 5060_ $$aAccess copy available to the general public$$fUnrestricted
000132830 5203_ $$aBackground
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.
000132830 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000132830 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000132830 700__ $$0(orcid)0000-0001-7732-3914$$aPardos-Aguilella, Pilar$$uUniversidad de Zaragoza
000132830 700__ $$aJiménez-del-Barrio, Sandra
000132830 700__ $$aCabanillas-Barea, Sara
000132830 700__ $$aPérez-Guillén, Silvia
000132830 700__ $$aCeballos-Laita, Luis
000132830 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000132830 773__ $$g(2024), 102927 [32 pp.]$$pMusculoeskelet. sci. pract.$$tMUSCULOSKELETAL SCIENCE AND PRACTICE$$x2468-8630
000132830 8564_ $$s901107$$uhttps://zaguan.unizar.es/record/132830/files/texto_completo.pdf$$yVersión publicada
000132830 8564_ $$s1227697$$uhttps://zaguan.unizar.es/record/132830/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000132830 909CO $$ooai:zaguan.unizar.es:132830$$particulos$$pdriver
000132830 951__ $$a2024-03-15-08:50:47
000132830 980__ $$aARTICLE