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

  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},
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… 

Effect of Mobilization/Manipulation Directed At Cervical Spine and Thoracic Spine in Patients With Mechanical Neck Pain

Both mobilization/ manipulation were equally effective as compared to conventional treatment in patients with mechanical neck pain.

A Cochrane Review of Manipulation and Mobilization for Mechanical Neck Disorders

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.

Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence synthesis.

Computerized Mobilization of the Cervical Spine for the Treatment of Chronic Neck Pain

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.

Three-dimensional computerized mobilization of the cervical spine for the treatment of chronic neck pain: a pilot study.

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.

Effectiveness of manual therapy in the treatment of non-specific neck pain: a review

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.

Restoring cervical lordosis by cervical extension traction methods in the treatment of cervical spine disorders: a systematic review of controlled trials

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.



Manipulation and Mobilization of the Cervical Spine

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.

Spinal manipulation for low-back pain.

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.

Spinal manipulation and mobilisation for back and neck pain: a blinded review.

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.

The effect of manipulation on pain and range of motion in the cervical spine: a pilot study.

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.

The immediate effect of manipulation versus mobilization on pain and range of motion in the cervical spine: a randomized controlled trial.

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.

Conservative management of mechanical neck disorders. A systematic overview and meta-analysis.

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.

Manipulation for Chronic Neck Pain: A Double‐Blind Controlled Study

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.

Efficacy of physiotherapy for musculoskeletal disorders: what can we learn from research?

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.

Pressure pain threshold evaluation of the effect of spinal manipulation in the treatment of chronic neck pain: a pilot study.

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.

A controlled trial of corticosteroid injections into facet joints for chronic low back pain.

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.