Neck pain is the second most common reason cited by patients for visits to complementary and integrative medicine (CIM) practitioners, with an estimated 66% of the population suffering from neck pain at some point during their lifetime. The vast majority of neck pain is not organic in pathology and is therefore termed ‘nonspecific’ or ‘mechanical’ and is responsible for a significant portion of direct healthcare costs.

The range of interventions available to neck pain sufferers is broad and includes everything from analgesic medication to rehabilitation therapies to independent exercise. Manual therapies, including chiropractic spinal manipulation and mobilization, are among the adjunctive therapies available to patients and have been the subject of several systematic reviews. While overall the evidence is somewhat equivocal, recent reviews have deemed spinal manipulation and mobilization as ‘viable’ options for treating neck pain and decreasing the associated disability. The long-term benefit of these manual therapies however, is not well-established in the literature, although some evidence indicates that such treatment is effective when compared with other therapies.

The purpose of this review was to conduct a systematic review of randomized, controlled trials published between January 2000 and September 2017 evaluating spinal manipulation and mobilization for chronic neck pain. Previous reviews included studies completed up to 2000. The current review was thus designed to determine the current body of evidence on this topic…LOG IN OR SUBSCRIBE TO ACCESS THIS REVIEW!

THIS WEEK'S RESEARCH REVIEW:

“Manipulation & Mobilization for Chronic Nonspecific Neck Pain – Systematic Review & Meta-Analysis”

This paper was published in Pain Physician (2019) and this Review is posted in Recent Reviews, Neck Pain, Cervical Spine - Manipulation/Mobilization and the 2019 Archive.
 
neck manipulation