Article

OBJECTIVE: To access the effectiveness and safety of cervical spine manipulation
for cervical radiculopathy.
DATA SOURCES: PubMed, the Cochrane Central Registry
of Controlled Trials (CENTRAL) in the Cochrane Library, EMBASE, Chinese
Biomedical Literature Database (CBM), Chinese National Knowledge Infrastructure
(CNKI), Chinese Scientific Journal Database (VIP), Wanfang data, the website of
Chinese clinical trial registry and international clinical trial registry by US
National Institutes of Health. REVIEW METHODS: Randomized controlled trials that
investigated the effects of cervical manipulation compared with no treatment,
placebo or conventional therapies on pain measurement in patients with
degenerative cervical radiculopathy were searched. Two authors independently
evaluated the quality of the trials according to the risk of bias assessment
provided by the PEDro (physiotherapy evidence database) scale. RevMan V.5.2.0
software was employed for data analysis. The GRADE approach was used to evaluate
the overall quality of the evidence. RESULTS: Three trials with 502 participants
were included. Meta-analysis suggested that cervical spine manipulation (mean
difference 1.28, 95% confidence interval 0.80 to 1.75; P < 0.00001;
heterogeneity: Chi(2) = 8.57, P = 0.01, I(2) = 77%) improving visual analogue
scale for pain showed superior immediate effects compared with cervical computer
traction. The overall strength of evidence was judged to be moderate quality. One
out of three trials reported the adverse events and none with a small sample
size. CONCLUSION: There was moderate level evidence to support the immediate
effectiveness of cervical spine manipulation in treating people with cervical
radiculopathy. The safety of cervical manipulation cannot be taken as an exact
conclusion so far.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS