Evidence map›Paper›PMID 31462989›Full record

SynthesisChiropractic & manual therapies2019

The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: a systematic review.

Ewan Thomas, Antonio Rosario Cavallaro, Diba Mani, Antonino Bianco, Antonio Palma

5 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Chiropractic & manual therapies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT04638062 nacompletednot on this mapstarted 2020, after this paper: background citation

Effect of Post Isometric Relaxation Versus Myofascial Release Therapy on Pain, Functional Disability and QoL in the Management of Non Specific Neck Pain: A Randomized Controlled Trial

TypeinterventionalSponsorDow University of Health SciencesRan2020 to 2021Enrolled60ConditionsNeck PainArms1.Post Isometric Relaxation, 1.Myofascial Release therapy
NCT05044078 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects of Autogenic and Reciprocal Inhibition Techniques With Conventional Therapy in Mechanical Neck Pain- A Randomized Control Trial

TypeinterventionalSponsorDow University of Health SciencesRan2021 to 2021Enrolled80ConditionsMechanical Neck PainArmsAutogenic Inhibition MET, Reciprocal Inhibition MET
NCT05190328 nacompletednot on this mapstarted 2021, after this paper: background citation

Effects Of Muscle Energy Technique Versus Active Release Technique On Pain, Cervical Range Of Motion And Functional Disability In Patients With Upper Cross Syndrome: A Randomized Controlled Trial.

TypeinterventionalSponsorUniversity of LahoreRan2021 to 2022Enrolled78ConditionsUpper Cross SyndromeArmsMuscle Energy Technique, Active Release Technique
NCT06501430 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effects of Autogenic Inhibition and Reciprocal Inhibition on Pain, Range of Motion, Function and Sports Performance in Amateur Football Players With Shin Splints.

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2024Enrolled16ConditionsShin SplintArmsHeating Therapy, Manual Soft tissue Release
NCT06664931 nacompletednot on this mapstarted 2024, after this paper: background citation

Muscle Energy Versus Mulligan Techniques in Treating Patients With Cervical Spondylosis

TypeinterventionalSponsorCairo UniversityRan2024 to 2025Enrolled40ConditionsCervical Spondylosis, Mulligan Mobilization, SNAGs, Muscle Energy TechniqueArmsGroup (A) Muscle Energy Technique (MET), Group (B) Mulligan Mobilizations Techniques (MMT).
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Manual physical therapy for neck disorders: an umbrella review.The Journal of manual & manipulative therapy · 2025
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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 2 countries.

Ewan Thomas1Sport and Exercise Sciences Research Unit, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy.ORCID 0000-0001-5991-8316
Antonio Rosario CavallaroInternational Academy of Osteopathic Medicine, AISeRCO, Palermo, Italy.
Diba Mani3Department of Integrative Physiology, University of Colorado, Boulder, CO USA.
Antonino Bianco1Sport and Exercise Sciences Research Unit, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy.
Antonio Palma1Sport and Exercise Sciences Research Unit, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy.
University of Palermo · ITUniversity of Colorado Boulder · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Muscle energy techniques are applied to reduce pain and increase range of motion. These are applied to a variety of pathological conditions and on asymptomatic subjects. There is however limited knowledge on their effectiveness and which protocol may be the most beneficial. Objective: The aim of this review is to determine the efficacy of muscle energy techniques (MET) in symptomatic and asymptomatic subjects. Design: Systematic Review. Methods: A literature search was performed using the following database: Cochrane Library, MEDLINE, NLM Pubmed and ScienceDirect. Studies regarding MET in asymptomatic and symptomatic patients were considered for investigation. The main outcomes took into account range of motion, chronic and acute pain and trigger points. Two trained investigators independently screened eligible studies according to the eligibility criteria, extracted data and assessed risk of bias. Randomized control trials (RCT's) were analyzed for quality using the PEDro scale. Results: A total of 26 studies were considered eligible and included in the quantitative synthesis: 14 regarding symptomatic patients and 12 regarding asymptomatic subjects. Quality assessment of the studies through the PEDro scale observed a "moderate to high" quality of the included records. Conclusions: MET are an effective treatment for reducing chronic and acute pain of the lower back. MET are also effective in treating chronic neck pain and chronic lateral epicondylitis. MET can be applied to increase range of motion of a joint when a functional limitation is present. Other techniques seem to be more appropriate compared to MET for trigger points.

Indexed as

Manipulation, OsteopathicAcute PainAsymptomatic DiseasesChronic PainHumansMusclesRandomized Controlled Trials as TopicRange of Motion, ArticularTreatment OutcomeManipulative therapiesPainRange of motion

Identifiers

PMID31462989
PMCPMC6710873
OpenAlexW2970106117

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.