SynthesisIrish journal of medical science2025
Effectiveness of physiotherapy interventions after cervical neurosurgery: systematic review and meta-analysis.
Synthesis in Irish journal of medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are no clear and standardized recommendations for physiotherapy interventions after cervical neurosurgery.
aimThe aim of the present systematic review and meta-analysis was to summarize the latest evidence on postoperative physiotherapy after cervical neurosurgery.
methodsA literature search was conducted in electronic databases "ScienceDirect, PubMed, and Web of Science (WoS)." A total of 40,208 studies were accessed via the identified keywords. According to the inclusion and exclusion criteria, a total of 22 articles were included. The "PEDro scale" was used to assess the methodological quality of the included studies. The study protocol has been registered in PROSPERO (Registration number: CRD42024579660).
resultsTwenty-two studies were included in the systematic review. The included studies were of "good" quality based on the mean PEDro score. Pain and disability were among the most assessed physical outcomes. Physiotherapy interventions have low evidence on the Visual Analog Scale (VAS) in the short term (ES: 0.37) but high evidence on the Neck Disability Index (NDI) in the long term (ES: - 0.81; 95% CI: - 10.79, 9.16).
conclusionsPhysiotherapy interventions in addition to surgery may improve recovery. Physiotherapy needs to include structured neck-specific interventions combined with psychosocial approaches. Early home exercises are acceptable and effective. Electrophysiologic agents and manual techniques can be added to treatment in the presence of an appropriate patient population and surgical method. While the level of evidence for physiotherapy interventions is high for disability in the long term, the level of evidence for pain is notable in the short term.
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Identifiers
40711522What OpenQuestion holds
Registered trials
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