Article

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 low-quality
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.

Langue : ANGLAIS