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A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain.
- Source :
-
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2010 Sep; Vol. 91 (9), pp. 1313-8. - Publication Year :
- 2010
-
Abstract
- Unlabelled: A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain.<br />Objective: To determine whether neck manipulation is more effective for neck pain than mobilization.<br />Design: Randomized controlled trial with blind assessment of outcome.<br />Setting: Primary care physiotherapy, chiropractic, and osteopathy clinics in Sydney, Australia.<br />Participants: Patients (N=182) with nonspecific neck pain less than 3 months in duration and deemed suitable for treatment with manipulation by the treating practitioner.<br />Interventions: Participants were randomly assigned to receive treatment with neck manipulation (n=91) or mobilization (n=91). Patients in both groups received 4 treatments over 2 weeks.<br />Main Outcome Measure: The number of days taken to recover from the episode of neck pain.<br />Results: The median number of days to recovery of pain was 47 in the manipulation group and 43 in the mobilization group. Participants treated with neck manipulation did not experience more rapid recovery than those treated with neck mobilization (hazard ratio=.98; 95% confidence interval, .66-1.46).<br />Conclusions: Neck manipulation is not appreciably more effective than mobilization. The use of neck manipulation therefore cannot be justified on the basis of superior effectiveness.
- Subjects :
- Adolescent
Adult
Aged
Female
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Musculoskeletal Manipulations adverse effects
Proportional Hazards Models
Recovery of Function
Single-Blind Method
Time Factors
Manipulation, Chiropractic adverse effects
Musculoskeletal Manipulations methods
Neck Pain rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1532-821X
- Volume :
- 91
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Archives of physical medicine and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 20801246
- Full Text :
- https://doi.org/10.1016/j.apmr.2010.06.006