Evidence map›Paper›PMID 30764789›Full record

SynthesisBMC musculoskeletal disorders2019

Comparison of CPG's for the diagnosis, prognosis and management of non-specific neck pain: a systematic review.

Pulak Parikh, Pasqualina Santaguida, Joy Macdermid, Anita Gross, Arshia Eshtiaghi

3 registry-linked trialsOpen access · goldAbstract readComparative StudySystematic Review
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2019. 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 51 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 6 pooled it
13.5field-weighted citation impact, top 1% 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.

NCT06522893 nacompletednot on this mapstarted 2025, after this paper: background citation

Comparison of Electrical Dry Needling and Therapeutic Exercise Versus Therapeutic Exercise in Patients With Nonspecific Chronic Neck Pain: A Randomized Clinical Trial

TypeinterventionalSponsorUniversidad de AlmeriaRan2025 to 2026Enrolled90ConditionsNeck Pain, Chronic PainArmsElectrical Dry Needling and Therapeutic exercise, Therapeutic exercise
NCT06695949 nacompletednot on this mapstarted 2025, after this paper: background citation

Comparison of Percutaneous Neuromodulation and Therapeutic Exercise in Patients With Nonspecific Chronic Neck Pain: A Randomized Clinical Trial

TypeinterventionalSponsorUniversidad de AlmeriaRan2025 to 2025Enrolled100ConditionsNeck Pain, Chronic PainArmsPercutaneous neuromodulation., Therapeutic Exercise.
NCT06750211 narecruitingnot on this mapstarted 2024, after this paper: background citation

Effects of Muscle Energy Techniques With and Without Motor Control Therapeutic Exercises on Pain, Range of Motion and Disability in Patients With Mechanical Neck Pain.

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled50ConditionsMechanical Neck PainArmsMETs, MCTE along with METs
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 6 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Comparative effectiveness of six biophysical agents on neck pain rehabilitation: a systematic review and network meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Pooled it
  2. Pooled it
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  4. Neck pain clinical practice guidelines: a systematic review of the quality and quantity of complementary and alternative medicine recommendations.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Pooled it
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  19. Understanding degenerative cervical myelopathy in musculoskeletal practice.The Journal of manual & manipulative therapy · 2025
    Review
  20. Comparative Cost Analysis of Neck Pain Treatments for Medicare Beneficiaries.Archives of physical medicine and rehabilitation · 2025
    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

5 authors at 2 institutions in 1 country.

Pulak ParikhSchool of Rehabilitation Science, McMaster University, Hamilton, ON, L8S 1C7, Canada. parikhp@mcmaster.ca.ORCID http://orcid.org/0000-0003-3242-3094
Pasqualina SantaguidaDepartment of Health Research Methods, Evidence and Impact (HEI), Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
Joy MacdermidSchool of Rehabilitation Science, McMaster University, Hamilton, ON, L8S 1C7, Canada.
Anita GrossClinical Epidemiology & Biostatistics, McMaster University, Hamilton, ON, Canada.
Arshia EshtiaghiDepartment of Health Science, McMaster University, Hamilton, ON, Canada.
McMaster University · CAImpact · CA

Funding

CIHR 102084
6 · The paper itself

Abstract

backgroundNeck pain (NP) is a very common musculoskeletal condition with potential for a high burden in disability and length of disorder. Clinical practice guidelines (CPG) give recommendations to clinicians for providing optimal care for patients however best practice recommendations are often contradictory. The purpose for this review was to conduct a SR of CPGs to assess the management recommendations for NP (diagnosis, treatment, prognosis, imaging).

methodsStandard SR methodology was employed including a grey literature search (including the National Guideline Clearing House). Medline, Cinahl, Embase, ILC, Cochrane, Central, and Lilacs were searched from 1995-to March 2018. Two raters evaluated all citations and a third rater resolved any disagreements. The AGREE II was used to assess risk of bias of each CPG. Data was extracted and included CPG purpose, type of NP problem and clinical recommendations. The AGREE II critical appraisal tool was used to assess risk of bias of each CPG.

resultsFrom 640 articles, 241 were available for screening. A total of 46 guidelines were selected. CPG's were categorized by the NP population (General NP, whiplash, interventional, headache and risk for vertebral insufficiency) and type of clinical aim (diagnosis, prognosis, treatment, imaging). Each clinical NP population had a large overlap of clinical aims presented. The CPGs were directed to a variety of clinicians that included physicians, physiotherapists and chiropractors. Results suggest heterogeneity in CPG recommendations within each clinical aim. CPG characteristics accounting for these differences are outlined.

conclusionThe majority of CPGs were developed for general NP that focused on treatment recommendations, with fewer number aimed at recommendations for diagnosis, prognosis, and outcomes. Heterogeneity of recommendations within the categories were noted as were potential factors associated with these differences, including CPG quality as assessed by the AGREE II.

Indexed as

ConsensusDiagnostic ImagingHumansNeck PainPain ManagementPain MeasurementPractice Guidelines as TopicPractice Patterns, Physicians'Predictive Value of TestsRisk FactorsTreatment OutcomeClinical practice guidelinesNeck pain populationsSystematic review

Identifiers

PMID30764789
PMCPMC6376764
OpenAlexW2932721665

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.