A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain

Leaver, Andrew M., Maher, Christopher G., Herbert, Robert D., Latimer, Jane, McAuley, James H., Jull, Gwendolen and Refshauge, Kathryn M. (2010). A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain. In: Proceedings. Annual Meeting of the Australian-Physiotherapy-Association. Annual Meeting of the Australian-Physiotherapy-Association, Sydney AUSTRALIA, (1313-1318). OCT 01-05, 2009. doi:10.1016/j.apmr.2010.06.006

Author Leaver, Andrew M.
Maher, Christopher G.
Herbert, Robert D.
Latimer, Jane
McAuley, James H.
Jull, Gwendolen
Refshauge, Kathryn M.
Title of paper A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain
Conference name Annual Meeting of the Australian-Physiotherapy-Association
Conference location Sydney AUSTRALIA
Conference dates OCT 01-05, 2009
Proceedings title Proceedings. Annual Meeting of the Australian-Physiotherapy-Association   Check publisher's open access policy
Journal name Archives of Physical Medicine and Rehabilitation   Check publisher's open access policy
Place of Publication W.B. Saunders Co.
Publisher Maryland Heights, MO, U.S.A.
Publication Year 2010
Sub-type Fully published paper
DOI 10.1016/j.apmr.2010.06.006
ISSN 0003-9993
Volume 91
Issue 9
Start page 1313
End page 1318
Total pages 5
Collection year 2011
Language eng
Formatted Abstract/Summary
Objective: To determine whether neck manipulation is more effective for neck pain than mobilization.

Design: Randomized controlled trial with blind assessment of outcome.

Setting: Primary care physiotherapy, chiropractic, and osteopathy clinics in Sydney, Australia.

Participants: Patients (N=182) with nonspecific neck pain less than 3 months in duration and deemed suitable for treatment with manipulation by the treating practitioner.

Interventions: Participants were randomly assigned to receive treatment with neck manipulation (n=91) or mobilization (n=91). Patients in both groups received 4 treatments over 2 weeks.

Main Outcome Measure: The number of days taken to recover from the episode of neck pain.

Results: The median number of days to recovery of pain was 47 in the manipulation group and 43 in the mobilization group. Participants treated with neck manipulation did not experience more rapid recovery than those treated with neck mobilization (hazard ratio=.98; 95% confidence interval, .66–1.46).

Conclusions: Neck manipulation is not appreciably more effective than mobilization. The use of neck manipulation therefore cannot be justified on the basis of superior effectiveness.

Copyright © 2011 Elsevier B.V.
Keyword Chiropractic
Manipulation, spinal
Neck pain
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

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Created: Fri, 04 Feb 2011, 14:49:46 EST