Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

(1) Background: Acute neck pain is common and usually managed by medication and/or manual therapy. General practitioners (GPs) hesitate to refer to manual therapy due to uncertainty about the effectiveness and adverse events (AEs); (2) Method: To review original randomized controlled trials (RCTs) a...

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Autores principales:	Aleksander Chaibi, Knut Stavem, Michael Bjørn Russell
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	acute neck pain physiotherapy chiropractic osteopath spinal manipulation randomized controlled trial Medicine R
Acceso en línea:	https://doaj.org/article/1c62a3a67fb54805a0397d0d0b9f52b6
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spelling	oai:doaj.org-article:1c62a3a67fb54805a0397d0d0b9f52b62021-11-11T17:38:27ZSpinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials10.3390/jcm102150112077-0383https://doaj.org/article/1c62a3a67fb54805a0397d0d0b9f52b62021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5011https://doaj.org/toc/2077-0383(1) Background: Acute neck pain is common and usually managed by medication and/or manual therapy. General practitioners (GPs) hesitate to refer to manual therapy due to uncertainty about the effectiveness and adverse events (AEs); (2) Method: To review original randomized controlled trials (RCTs) assessing the effect of spinal manipulative therapy (SMT) for acute neck pain. Data extraction was done in duplicate and formulated in tables. Quality and evidence were assessed using the Cochrane Back and Neck (CBN) Risk of Bias tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria, respectively; (3) Results: Six studies were included. The overall pooled effect size for neck pain was very large −1.37 (95% CI, −2.41, −0.34), favouring treatments with SMT compared with controls. A single study that showed that SMT was statistically significantly better than medicine (30 mg ketorolac im.) one day post-treatment, ((−2.8 (46%) (95% CI, −2.1, −3.4) vs. −1.7 (30%) (95% CI, −1.1, −2.3), respectively; <i>p</i> = 0.02)). Minor transient AEs reported included increased pain and headache, while no serious AEs were reported; (4) Conclusions: SMT alone or in combination with other modalities was effective for patients with acute neck pain. However, limited quantity and quality, pragmatic design, and high heterogeneity limit our findings.Aleksander ChaibiKnut StavemMichael Bjørn RussellMDPI AGarticleacute neck painphysiotherapychiropracticosteopathspinal manipulationrandomized controlled trialMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5011, p 5011 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute neck pain physiotherapy chiropractic osteopath spinal manipulation randomized controlled trial Medicine R
spellingShingle	acute neck pain physiotherapy chiropractic osteopath spinal manipulation randomized controlled trial Medicine R Aleksander Chaibi Knut Stavem Michael Bjørn Russell Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
description	(1) Background: Acute neck pain is common and usually managed by medication and/or manual therapy. General practitioners (GPs) hesitate to refer to manual therapy due to uncertainty about the effectiveness and adverse events (AEs); (2) Method: To review original randomized controlled trials (RCTs) assessing the effect of spinal manipulative therapy (SMT) for acute neck pain. Data extraction was done in duplicate and formulated in tables. Quality and evidence were assessed using the Cochrane Back and Neck (CBN) Risk of Bias tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria, respectively; (3) Results: Six studies were included. The overall pooled effect size for neck pain was very large −1.37 (95% CI, −2.41, −0.34), favouring treatments with SMT compared with controls. A single study that showed that SMT was statistically significantly better than medicine (30 mg ketorolac im.) one day post-treatment, ((−2.8 (46%) (95% CI, −2.1, −3.4) vs. −1.7 (30%) (95% CI, −1.1, −2.3), respectively; <i>p</i> = 0.02)). Minor transient AEs reported included increased pain and headache, while no serious AEs were reported; (4) Conclusions: SMT alone or in combination with other modalities was effective for patients with acute neck pain. However, limited quantity and quality, pragmatic design, and high heterogeneity limit our findings.
format	article
author	Aleksander Chaibi Knut Stavem Michael Bjørn Russell
author_facet	Aleksander Chaibi Knut Stavem Michael Bjørn Russell
author_sort	Aleksander Chaibi
title	Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_short	Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_full	Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_fullStr	Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_full_unstemmed	Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials
title_sort	spinal manipulative therapy for acute neck pain: a systematic review and meta-analysis of randomised controlled trials
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/1c62a3a67fb54805a0397d0d0b9f52b6
work_keys_str_mv	AT aleksanderchaibi spinalmanipulativetherapyforacuteneckpainasystematicreviewandmetaanalysisofrandomisedcontrolledtrials AT knutstavem spinalmanipulativetherapyforacuteneckpainasystematicreviewandmetaanalysisofrandomisedcontrolledtrials AT michaelbjørnrussell spinalmanipulativetherapyforacuteneckpainasystematicreviewandmetaanalysisofrandomisedcontrolledtrials
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Spinal Manipulative Therapy for Acute Neck Pain: A Systematic Review and Meta-Analysis of Randomised Controlled Trials

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