ReviewThe Journal of manual & manipulative therapy2013
The relative effectiveness of segment specific level and non-specific level spinal joint mobilization on pain and range of motion: results of a systematic review and meta-analysis.
Review in The Journal of manual & manipulative therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 17 papers, 1 of them a synthesis that pooled 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.
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.
Bio-mechanical Reasoning and Lateral Specificity of Upper Cervical Joint Mobilization to Improve Cervical Rotation, Improve Function and Reduce Pain.... Does it Matter?
Comparison Between Segmental Mobilization And Entire Spine Mobilization In Lumbar Spondylosis
Effects of Cervical SNAG Half Rotation Technique in Cervicogenic Headache Patients.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effects of spinal manipulative therapy on lower limb neurodynamic test outcomes in adults: a systematic review.The Journal of manual & manipulative therapy · 2020Pooled it
- Effect of thoracic mobilization exercises on hamstring flexibility: a randomized controlled trial.Turkish journal of medical sciences · 2023Trial
- The Immediate Effect of Adding Lumbar Mobilization to A Static Stretching Program on Hamstrings Range of Motion: An Exploratory Study.Journal of sports science & medicine · 2022Trial
- Immediate effects of cervicothoracic junction mobilization versus thoracic manipulation on the range of motion and pain in mechanical neck pain with cervicothoracic junction dysfunction: a pilot randomized controlled trial.Chiropractic & manual therapies · 2020Trial
- Immediate changes after manual therapy in resting-state functional connectivity as measured by functional magnetic resonance imaging in participants with induced low back pain.Journal of manipulative and physiological therapeuticsTrial
- An international consensus on gaps in mechanisms of forced-based manipulation research: findings from a nominal group technique.The Journal of manual & manipulative therapy · 2024Article
- A Clinically-Reasoned Approach to Manual Therapy in Sports Physical Therapy.International journal of sports physical therapy · 2023Article
- Priorities in updating training paradigms in orthopedic manual therapy: an international Delphi studyJournal of educational evaluation for health professions · 2023Article
- Time to evolve: the applicability of pain phenotyping in manual therapy.The Journal of manual & manipulative therapy · 2022Article
- Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache.Journal of physical therapy science · 2019Article
- Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial.The Journal of manual & manipulative therapy · 2017Article
- Factors affecting confidence and knowledge in spinal palpation among International Manual Physical Therapists.The Journal of manual & manipulative therapy · 2016Article
- Optimizing physical therapy for ankylosing spondylitis: a case study in a young football player.Journal of physical therapy science · 2016Article
- Article
- A preliminary study comparing the use of cervical/upper thoracic mobilization and manipulation for individuals with mechanical neck pain.The Journal of manual & manipulative therapy · 2015Article
- Antinociceptive Effects of Spinal Manipulative Therapy on Nociceptive Behavior of Adult Rats during the Formalin Test.Evidence-based complementary and alternative medicine : eCAM · 2015Article
- Comparison between Specific Lumber Mobilization and Core-Stability Exercises with Core-Stability Exercises Alone in Mechanical low back pain.Pakistan journal of medical sciences · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designSystematic literature review and meta-analysis.
objectiveIN SYMPTOMATIC SUBJECTS TO: (1) examine the effects of a single session of joint mobilization on pain at rest and with most painful movement, and (2) compare the effects when joint mobilization is provided to a specific or non-specific spinal level.
backgroundJoint mobilization is routinely used for treating spinal pain in conjunction with other interventions, but its unique effect is not well understood. Further, there is controversy about the role of 'specific level' techniques in producing benefit.
methodsSearches were performed for randomized controlled trials (RCTs) using electronic databases (MEDLINE, CINAHL, and PEDro) from 1966 through November 2010. Methodological quality was assessed using previously detailed criteria. Meta-analysis and meta-regression were conducted on eligible studies.
resultsEight RCTs with a mean methodological score of 10/12 were included. Significant heterogeneity (P = 0.075) was found in the overall meta-analysis estimate. When stratified by body location, no significant individual effect was found for pain at rest. However, there was a statistical mean difference [0.71 (95% confidence interval: 0.13-1.28)] between pain at rest for the cervical and lumbar individual means.
conclusionsWe found multiple studies which provided evidence that a single session of joint mobilization can lead to a reduction of pain at rest and with most painful movement. When using joint mobilization, the need for specific versus non-specific level mobilization may be influenced by anatomical region; the direction of effect in the cervical spine was toward specific mobilization and in the lumbar spine towards non-specific mobilization.
Indexed as
Identifiers
What OpenQuestion holds
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.