Manual therapy and exercise for neck pain: A systematic review

Miller, Jordan; Gross, Anita; D’Sylva, Jonathan; Burnie, Stephen J; Goldsmith, Charles H.; Graham, Nadine; Haines, Ted; Brønfort, Gert; Hoving, Jan L.

doi:10.1016/j.math.2010.02.007

Cited by 318 publications

(223 citation statements)

References 63 publications

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“…30,40 Various types of therapeutic exercise have been found to be effective for patients with nonspecific neck pain 2,30 but have been studied only sparsely for patients with cervical radiculopathy. Cervical traction is another frequently recommended, yet inadequately researched, treatment for patients with cervical radiculopathy.…”

Section: T T Conclusionmentioning

confidence: 99%

Exercise Only, Exercise With Mechanical Traction, or Exercise With Over-Door Traction for Patients With Cervical Radiculopathy, With or Without Consideration of Status on a Previously Described Subgrouping Rule: A Randomized Clinical Trial

Fritz¹,

Thackeray²,

Brennan³

et al. 2014

J Orthop Sports Phys Ther

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Section: T T Conclusionmentioning

confidence: 99%

Exercise Only, Exercise With Mechanical Traction, or Exercise With Over-Door Traction for Patients With Cervical Radiculopathy, With or Without Consideration of Status on a Previously Described Subgrouping Rule: A Randomized Clinical Trial

Fritz¹,

Thackeray²,

Brennan³

et al. 2014

J Orthop Sports Phys Ther

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“…Despite the high annual incidence of this condition, 2 the identification of appropriate conservative management strategies appears to remain a clinical enigma. [3][4][5] The development of an effective intervention strategy is thus required.…”

Section: Introductionmentioning

confidence: 99%

Multimodal Treatment Program Comparing 2 Different Traction Approaches for Patients With Discogenic Cervical Radiculopathy: A Randomized Controlled Trial

Moustafa

Diab

2014

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to investigate the immediate and long-term effects of a 1-year multimodal program with the addition of 2 different traction approaches on the pain, function, disability, and nerve root function in patients with discogenic cervical radiculopathy (CR). This study also attempted to identify the optimal traction angle based on the maximum recovery of the peak-to-peak amplitude of the flexor carpi radialis (FCR) H-reflex. Methods: This randomized clinical trial with one-year follow-up included a total of 216 (101 female) patients with unilateral lower discogenic CR were randomly assigned to 1 of 3 groups. The standard care group (C) received the multimodal program (pain relief methods, muscle strengthening, and thoracic spine manipulation). The ventroflexion traction group (A) received the same multimodal program as group C, with added traditional ventroflexion traction. The novel traction group (B) received the same multimodal program as group C in addition to a flexor carpi radialis (FCR) H-reflex-based traction method. Primary outcomes were the Neck Disability Index (NDI) and secondary outcomes included neck pain, arm pain, and the amplitude and latency of the H-reflex. Patients were assessed at 3 intervals (pre-treatment, 4 weeks post-treatment, and the 1-year follow-up). Results: The mixed linear model with repeated measures indicated a significant group × time effect in favor of the novel cervical traction group (B) for measures of NDI (F = 412.6, P b .0005), neck pain (F = 108.9, P b .0005), arm pain (F = 91.3, P b .0005), H-reflex amplitude (F = 207.7, P b .0005), and H-reflex latency (F = 58.9 P b .0005). We found that the extension position of cervical spine (5°extension) was the position that achieved the maximum improvement in the novel cervical traction method. Conclusions: This preliminary study showed that a multimodal program with a novel cervical traction method added improved NDI, neck pain, arm pain, and the amplitude and latency of FCR H-reflex for a group of patients with chronic discogenic CR.

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“…However, the effect of proprioception training is less understood [30][31][32][33][34][35][36]. Using this information, this study focused on an exercise for catering to proprioception other than the usual exercises for improving the neck range of motion and strength, for the overall neck function.…”

Section: Acknowledgementmentioning

confidence: 99%

Immediate Effect of Neck Stabilization Exercise on Neck Repositioning Accuracy in Chronic Neck Pain Patients

Rupesh¹,

Roshma²,

Jayavel³

2017

Clinical-Skills

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Manual therapy and exercise for neck pain: A systematic review

Cited by 318 publications

References 63 publications

Exercise Only, Exercise With Mechanical Traction, or Exercise With Over-Door Traction for Patients With Cervical Radiculopathy, With or Without Consideration of Status on a Previously Described Subgrouping Rule: A Randomized Clinical Trial

Exercise Only, Exercise With Mechanical Traction, or Exercise With Over-Door Traction for Patients With Cervical Radiculopathy, With or Without Consideration of Status on a Previously Described Subgrouping Rule: A Randomized Clinical Trial

Multimodal Treatment Program Comparing 2 Different Traction Approaches for Patients With Discogenic Cervical Radiculopathy: A Randomized Controlled Trial

Immediate Effect of Neck Stabilization Exercise on Neck Repositioning Accuracy in Chronic Neck Pain Patients

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