Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/16640
Title: Chinese manipulation for mechanical neck pain : a systematic review
Authors: Lin, JH
Chiu, TTW
Hu, J
Keywords: Chinese manipulation
Manual therapy
Neck pain
Systematic review
Issue Date: 2012
Publisher: SAGE Publications
Source: Clinical rehabilitation, 2012, v. 26, no. 11, p. 963-973 How to cite?
Journal: Clinical rehabilitation 
Abstract: Objective: To assess whether Chinese manipulation improves pain, function/disability and global perceived effect in adults with acute/subacute/chronic neck pain. Data sources: CAJ Full-text Database (Chinese), Wanfang Database (Chinese), Cochrane Database (English) and Medline (English). Review methods: Literature searching was performed with the following keywords and their combination: manual therapy/bone setting/Chinese manipulation, neck/cervical pain, cervical vertebrae, cervical spondylosis/radiculopathy and randomized controlled trial/review. Two independent reviewers selected studies, extracted data and assessed risk of bias for each included study. Randomized controlled trials or quasi-randomized controlled trials on the effect of Chinese manipulation in treating adult patients with neck pain were selected. Mean differences with 95% confidence intervals (CI) were calculated. Quality of the evidence was assessed by the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. Results: Four studies (610 participants) were included in this review. There was very low-quality evidence suggesting that, compared to cervical traction in sitting, Chinese manipulation produced more immediate post-intervention pain relief (mean difference: 1.06; 95% CI: 1.37? 0.75; P < 0.001) and improvement of global signs and symptoms (mean difference: 3.81; 95% CI: 4.71 ? 2.91; P < 0.001). Very lowquality evidence showed that Chinese manipulation alone was superior to Chinese traditional massage in immediate post-intervention pain relief (mean difference: 2.02; 95% CI: 2.78? 1.26; P < 0.001). Conclusions: There was limited evidence showing Chinese manipulation could produce short-term improvement for neck pain.
URI: http://hdl.handle.net/10397/16640
ISSN: 0269-2155
EISSN: 1477-0873
DOI: 10.1177/0269215512441485
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