Evidence map›Paper›PMID 36550505›Full record

ArticleBMC musculoskeletal disorders2022

Effectiveness of manual therapy, computerised mobilisation plus home exercise, and home exercise only in treating work-related neck pain: study protocol for a randomised controlled trial.

Weiming Wang, Chang Ji, Lars Louis Andersen, Yafei Wang, Yangyang Lin, Li Jiang, Shuwei Chen, Yangfan Xu, Ziping Zhang, Le Shi and 1 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 42% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 4 institutions in 2 countries.

Weiming WangRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province, Guangzhou, China.
Chang JiGuangzhou Sport University, Guangdong Province, Guangzhou, China.
Lars Louis AndersenNational Research Centre for the Working Environment, Copenhagen, Denmark.
Yafei WangRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province, Guangzhou, China.
Yangyang LinRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province, Guangzhou, China.
Li JiangRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province, Guangzhou, China.
Shuwei ChenMedical College of Rehabilitation, Southern Medical University, Guangdong Province, Guangzhou, China.
Yangfan XuRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province, Guangzhou, China.
Ziping ZhangRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province, Guangzhou, China.
Le ShiRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province, Guangzhou, China.
Yuling WangRehabilitation Medicine Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Province, Guangzhou, China. wangyul@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-2079-3568
Sun Yat-sen University · CNGuangzhou Sport University · CNNational Research Centre for the Working Environment · DKSouthern Medical University · CN

Funding

Guangdong Hopson-Pearl River Education Development Foundation H20190116202012724Shanghai Xiboy Global Health & Technology Development Co., Ltd. IITH202101162024051297
6 · The paper itself

Abstract

backgroundWork-related neck pain (WRNP) is a leading cause of disability and absenteeism. Patients with neck pain often have neck muscle tenderness and decreased cervical mobility, which are sometimes combined with psychosocial issues, such as pain catastrophising, thereby reducing their work ability. Whilst multidisciplinary treatments, including pharmacological interventions, manual therapy and specific neck exercises, have produced positive outcomes, effective personalised treatment modalities are still needed. Furthermore, manual therapies using the hands can bring fatigue to therapist. Occiflex is a computerised device that can provide personalised segmental joint mobilisation based on symptoms and injury of the patient and then provide a medium range of joint activities to improve range of cervical motion. This study aims to compare the effect of computerised mobilisation performed with Occiflex with that of traditional manual therapy on WRNP.

methodsWe will conduct a prospective randomised controlled trial including 150 patients with WRNP. These patients will be randomly assigned to one of three groups: (i) home exercise (TE), (ii) home exercise plus Occiflex therapy and (iii) home exercise plus manual therapy delivered by a physical therapist. Ten treatment sessions will be performed in four weeks. During the trial, these patients will receive only the assigned treatment and the standard patient education and will be asked not to use any analgesics unless strictly necessary. Assessments by trained evaluators will occur at baseline, week 4 and week 12. The primary outcome measures will include visual analogue scale (VAS) for pain and neck disability index (NDI) at each time point. Secondary outcome measures will include cervical range of motion (CROM), pressure pain threshold (PPT), global perceived effect (GPE) and sick leave. Group by time differences will be analysed using linear mixed models with repeated measures. DISCUSSION: This protocol describes the methods for a randomised controlled trial to compare the effectiveness of computerised versus manual mobilisation techniques in treating WRNP. The results will provide an alternative method (Occiflex) that is possibly effective for treating neck pain whilst minimising the manual work done by therapists.

trial registrationThe study protocol was retrospectively registered at http://www.chictr.org.cn (registration number: ChiCTR2100053076) on November 10, 2021.

Indexed as

Musculoskeletal ManipulationsNeck PainExercise TherapyHumansNeckPhysical Therapy ModalitiesProspective StudiesRandomized Controlled Trials as TopicTreatment OutcomeChronic neck painComputerised cervical mobilisationHome exerciseManual therapyPhysical therapyRandomised controlled trial

Identifiers

PMID36550505
PMCPMC9773538
OpenAlexW4312075175

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.