Evidence map›Paper›PMID 25125936›Full record

ArticleThe Journal of manual & manipulative therapy2014

Thoracic manipulation versus mobilization in patients with mechanical neck pain: a systematic review.

Jodi L Young, Doug Walker, Shane Snyder, Kelly Daly

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of manual & manipulative therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02619500 (A Pragmatically Applied Cervical and Thoracic Non-thrust Mobilizations Versus Thrust Manipulation for Patients With Mechanical Neck Pain), which is not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 15% 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.

NCT02619500 naunknown statusnot on this mapstarted 2016, after this paper: background citation

A Pragmatically Applied Cervical and Thoracic Non-thrust Mobilizations Versus Thrust Manipulation for Patients With Mechanical Neck Pain: A Multicenter Randomized Clinical Trial

TypeinterventionalSponsorYoungstown State UniversityRan2016 to 2017Enrolled136ConditionsNeck PainArmsHome Exercise Program, Patient advice, encouragement, and education, Thrust Manipulation, Non-thrust Mobilizations
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Effectiveness and safety of thoracic manipulation in the treatment of neck pain: An updated systematic review and meta-analysis.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Observational
  8. Review
  9. Review
  10. Cervical disc degeneration: important considerations for the manual therapist.The Journal of manual & manipulative therapy · 2022
    Review
  11. Article
  12. Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain.Frontiers in pain research (Lausanne, Switzerland) · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Regional interdependence and manual therapy directed at the thoracic spine.The Journal of manual & manipulative therapy · 2015
    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

4 authors at 2 institutions in 1 country.

Jodi L YoungFranklin Pierce University, Goodyear, AZ, USA.
Doug WalkerFranklin Pierce University, Goodyear, AZ, USA.
Shane SnyderFranklin Pierce University, Goodyear, AZ, USA.
Kelly DalyFranklin Pierce University, Goodyear, AZ, USA.
Franklin Pierce University · USGoodyear (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThoracic manipulation is widely used in physical therapy and has been shown to be effective at addressing mechanical neck pain. However, thoracic mobilization may produce similar effects. The purpose of this systematic review was to evaluate the current literature regarding the effectiveness of thoracic manipulation versus mobilization in patients with mechanical neck pain.

methodsProQuest, NCBI-PubMed, APTA's Hooked on Evidence, Cochrane Library, CINAHL and SPORTDiscus were searched to identify relevant studies. Fourteen studies meeting the inclusion criteria were analyzed using the Physiotherapy Evidence Database (PEDro) scale and the GRADE approach.

resultsThe literature as assessed by the PEDro scale was fair and the GRADE method showed overall quality ranging from very low to moderate quality. The 14 included studies showed positive outcomes on cervical pain levels, range of motion, and/or disability with the use of thoracic manipulation or mobilization. There was a paucity of literature directly comparing thoracic manipulation and mobilization. DISCUSSION: Current limitations in the body of research, specifically regarding the use of thoracic mobilization, limit the recommendation of its use compared to thoracic manipulation for patients with mechanical neck pain. There is, however, a significant amount of evidence, although of varied quality, for the short-term benefits of thoracic manipulation in treating patients with this condition. Further high quality research is necessary to determine which technique is more effective in treating patients with mechanical neck pain.

Indexed as

ManipulationMechanical neck painMobilizationSystematic reviewThoracic

Identifiers

PMID25125936
PMCPMC4101553
OpenAlexW1993195104

What OpenQuestion holds

Textmetadata
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.