Manipulation and Mobilization of the Cervical Spine: A Systematic Review of the Literature

@article{Hurwitz1996ManipulationAM,
  title={Manipulation and Mobilization of the Cervical Spine: A Systematic Review of the Literature},
  author={Eric L Hurwitz and Peter D Aker and Alan H. Adams and William C. Meeker and Paul Shekelle},
  journal={Spine},
  year={1996},
  volume={21},
  pages={1746–1759}
}
Study Design Cervical spine manipulation and mobilization were reviewed in an analysis of the literature from 1966 to the present. Objectives To assess the evidence for the efficacy and complications of cervical spine manipulation and mobilization for the treatment of neck pain and headache. Summary of Background Data Although recent research has demonstrated the efficacy of spinal manipulation for some patients with low back pain, little is known about its efficacy for neck pain and headache… Expand

Paper Mentions

A Cochrane Review of Manipulation and Mobilization for Mechanical Neck Disorders
TLDR
Whether manipulation and mobilization relieve pain or improve function/disability, patient satisfaction, and global perceived effect in adults with mechanical neck disorders is assessed in 33 randomized trials. Expand
Immediate effects of thoracic manipulation in patients with neck pain: a randomized clinical trial.
TLDR
The results suggest that thoracic spine manipulation results in immediate analgesic effects in patients with mechanical neck pain. Expand
A systematic review of conservative treatments for acute neck pain not due to whiplash.
TLDR
There is limited evidence of the benefit of spinal manipulation and transcutaneous electrical nerve stimulation in the treatment of acute neck pain not due to whiplash injury, and a dearth of high-quality clinical trials of conservative treatments for this condition. Expand
Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis.
TLDR
Recommendations can be made with some confidence regarding the use of SMT and/or MOB as a viable option for the treatment of both low back pain and NP, with special attention to applying more stringent criteria for study admissibility into evidence. Expand
Computerized Mobilization of the Cervical Spine for the Treatment of Chronic Neck Pain
TLDR
The preliminary results demonstrate the safety of a novel computerized mobilization of the cervical spine and suggest that this method is effective in increasing CROM and in alleviating NP and associated headache. Expand
The effectiveness of physiotherapy and manipulation in patients with tension-type headache: a systematic review
TLDR
There is insufficient evidence to either support or refute the effectiveness of physiotherapy and (spinal) manipulation in patients with TTH, and it is concluded that it is not possible to draw valid conclusions. Expand
Three-dimensional computerized mobilization of the cervical spine for the treatment of chronic neck pain: a pilot study.
TLDR
Preliminary results demonstrate that this novel, computerized, three-dimensional cervical mobilization device is probably safe and suggest that this method is effective in alleviating neck pain and associated headache, and in increasing the CROM, although the sample size was small in this open trial. Expand
Effectiveness of manual therapy in the treatment of non-specific neck pain: a review
TLDR
The available evidence favoured spinal manual therapy when it was used in conjunction with exercise, particularly in the treatment of patients with chronic non-specific neck pain. Expand
Restoring cervical lordosis by cervical extension traction methods in the treatment of cervical spine disorders: a systematic review of controlled trials
TLDR
There are several high-quality controlled clinical trials substantiating that increasing cervical lordosis by extension traction as part of a spinal rehabilitation program reduces pain and disability and improves functional measures, and that these improvements are maintained long-term. Expand
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References

SHOWING 1-10 OF 97 REFERENCES
Manipulation and Mobilization of the Cervical Spine
TLDR
This report presents the results from a review of the medical, chiropractic, osteopathic, physical therapy, and dental literature on the efficacy, complications, and indications for manipulation and mobilization of the cervical spine, and the appropriateness ratings of indications for manipulations and mobilization. Expand
Spinal manipulation for low-back pain.
TLDR
Spinal manipulation is of short-term benefit in some patients, particularly those with uncomplicated, acute low- back pain, and data are insufficient concerning the efficacy of spinal manipulation for chronic low-back pain. Expand
Spinal manipulation and mobilisation for back and neck pain: a blinded review.
TLDR
Although some results are promising, the efficacy of manipulation has not been convincingly shown and much more attention should be paid to the methods of study. Expand
The effect of manipulation on pain and range of motion in the cervical spine: a pilot study.
TLDR
The correlation between an increase in cervical rotation and a decrease in pain is clinically instructive and the outcome measures used in this study could prove to be useful in the design of future randomized controlled trials of cervical manipulation. Expand
The immediate effect of manipulation versus mobilization on pain and range of motion in the cervical spine: a randomized controlled trial.
TLDR
It is demonstrated that a single manipulation is more effective than mobilization in decreasing pain in patients with mechanical neck pain and both treatments increase range of motion in the neck to a similar degree. Expand
Conservative management of mechanical neck disorders. A systematic overview and meta-analysis.
TLDR
Within the limits of methodologic quality, the best available evidence supports the use of manual therapies in combination with other treatments for short-term relief of neck pain. Expand
Manipulation for Chronic Neck Pain: A Double‐Blind Controlled Study
TLDR
The authors conclude that the value of a single manipulation of the cervical spine has not been established and that further exploration of indications is needed. Expand
Efficacy of physiotherapy for musculoskeletal disorders: what can we learn from research?
TLDR
The methodological quality of the studies appeared to be low, and the efficacy of physiotherapy was shown to be convincing for only a few indications and treatments, but it cannot be concluded that physiotherapy has no effect. Expand
Pressure pain threshold evaluation of the effect of spinal manipulation in the treatment of chronic neck pain: a pilot study.
TLDR
This study confirms that manipulation can increase local paraspinal pain threshold levels and the use of the pressure pain threshold meter allows for the determination of such a beneficial effect in the deeper tissues. Expand
A controlled trial of corticosteroid injections into facet joints for chronic low back pain.
TLDR
It is concluded that injecting methylprednisolone acetate into the facet joints is of little value in the treatment of patients with chronic low back pain. Expand
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