Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Monday, August 10, 2020
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:

ICL Home


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 18886
  Title A systematic review of the literature of cervical spine manipulation and the implications for practice management [poster presentation; the Association of Chiropractic Colleges' Thirteenth Annual Conference, 2006]
URL
Journal J Chiropr Educ. 2006 Spring;20(1):109
Author(s)
Subject(s)
Peer Review Yes
Publication Type Meeting Abstract
Abstract/Notes Background:There is a growing body of evidence regarding the effectiveness of manipulation of the cervical spine as compared to other treatment methods for neck pain. Published reviews of this body of literature have failed to achieve a clear consensus regarding the efficacy of manipulation for neck pain. Criteria for assessing studies of manipulation have been proposed but evaluation of the validity of the construct of studies on manipulation is lacking.

Objective and Purpose:To evaluate the literature on manipulation for neck pain for its quality and to review the literature for insight as to any recommendations that can be made regarding the most efficacious way clinicians can approach manipulative care for neck pain.

Methods:An expert group with clinical and research experience in the application of manipulation was assembled. The group first created a list of potential variables that might affect the outcome of patients who were treated with manipulation for neck pain. A tool to assess the quality of randomized controlled trials (RCTs) was chosen to evaluate the literature. The chiropractic and medical literature was searched using Pub MED, Mantis and Index to the Chiropractic Literature from 1966 to March 2005 to identify RCTs of manipulation for neck pain. Additional non-computerized searching of the literature was conducted. The papers were then randomly divided between the group to critically assess them for their quality and for insight into the differing methodological approaches within the studies. Data were compiled and separated into broad categories that related to “patient profiles,” “methods,” and “interventions” and these data were compared to the reported outcomes in those studies. The data were then evaluated to ascertain if management strategies could be recommended to improve clinical outcomes for patients with neck pain receiving manipulative care.

Results:The initial search uncovered 23 papers that were divided between the reviewers. A wide range of methodological differences in the design of the studies evaluated was noted as well as significant ranges in their quality. Recommendations regarding study designs for RCTs looking at manipulation for neck pain were formulated. Clinical considerations for providers of manipulation services to patients with neck pain that may positively impact patient outcomes were also formulated.

Discussion: While the literature on the subject of manipulation for neck pain continues to evolve, practitioners who are providing these services are looking for ways to improve their effectiveness. Clinical trials that compare completely different treatment approaches may be appropriate to evaluate efficacy of the treatment being tested. However, studies comparing groups of patients treated with manipulation that have well documented subtle nuances between management strategies and/or patient profiles may lend better insight into exactly when and to whom a manipulative procedure is best applied.

This abstract is reproduced with the permission of the publisher.

   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips