Evidence map›Paper›PMID 24155804›Full record

ArticleThe open orthopaedics journal2013

An ICON Overview on Physical Modalities for Neck Pain and Associated Disorders.

Nadine Graham, Anita R Gross, Lisa C Carlesso, P Lina Santaguida, Joy C Macdermid, Dave Walton, Enoch Ho, ICON

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The open orthopaedics journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03945240 (Evaluating Different Low-level Laser Therapies to Treat Neck Pain in Air Force Pilots and Flight Crew), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03945240 naterminatednot on this mapstarted 2020, after this paper: background citation

Evaluating Different Low-level Laser Therapies to Treat Neck Pain in Air Force Pilots and Flight Crew

TypeinterventionalSponsorPaul CrawfordRan2020 to 2025Enrolled80ConditionsNeck PainArmsGroup 1 -- using Pinnacle Series Laser Device, Group 2 -- using Pinnacle Series Laser Device, Group 3 -- using Phoenix Thera-Lase Device
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. WITHDRAWN: Acupuncture for neck disorders.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Acupuncture for low back pain: an overview of systematic reviews.Evidence-based complementary and alternative medicine : eCAM · 2015
    Review
  12. Role of rehabilitation medicine and physical agents in the treatment of cancer-associated pain.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
    Review
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Nadine GrahamSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
Anita R Gross
Lisa C Carlesso
P Lina Santaguida
Joy C Macdermid
Dave Walton
Enoch Ho
ICON
McMaster University · CACenter for Clinical Research (United States) · USSt Joseph's Health Centre · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeck pain is common, can be disabling and is costly to society. Physical modalities are often included in neck rehabilitation programs. Interventions may include thermal, electrotherapy, ultrasound, mechanical traction, laser and acupuncture. Definitive knowledge regarding optimal modalities and dosage for neck pain management is limited. PURPOSE: To systematically review existing literature to establish the evidence-base for recommendations on physical modalities for acute to chronic neck pain.

methodsA comprehensive computerized and manual search strategy from January 2000 to July 2012, systematic review methodological quality assessment using AMSTAR, qualitative assessment using a GRADE approach and recommendation presentation was included. Systematic or meta-analyses of studies evaluating physical modalities were eligible. Independent assessment by at least two review team members was conducted. Data extraction was performed by one reviewer and checked by a second. Disagreements were resolved by consensus.

resultsOf 103 reviews eligible, 20 were included and 83 were excluded. Short term pain relief - Moderate evidence of benefit: acupuncture, intermittent traction and laser were shown to be better than placebo for chronic neck pain. Moderate evidence of no benefit: pulsed ultrasound, infrared light or continuous traction was no better than placebo for acute whiplash associated disorder, chronic myofascial neck pain or subacute to chronic neck pain. There was no added benefit when hot packs were combined with mobilization, manipulation or electrical muscle stimulation for chronic neck pain, function or patient satisfaction at six month follow-up.

conclusionsThe current state of the evidence favours acupuncture, laser and intermittent traction for chronic neck pain. Some electrotherapies show little benefit for chronic neck pain. Consistent dosage, improved design and long term follow-up continue to be the recommendations for future research.

Indexed as

knowledge synthesis.modalitiesNeck painreview of reviews

Identifiers

PMID24155804
PMCPMC3802124
OpenAlexW2165765159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.