A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain. 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.
AD - University of Sydney, Sydney, Australia. leaver@sydney.edu.au AN - 20801246 BT - Archives of Physical Medicine and Rehabilitation ET - 2010/08/31 LA - eng M1 - 9 N1 - Leaver, Andrew MMaher, Christopher GHerbert, Robert DLatimer, JaneMcAuley, James HJull, GwendolenRefshauge, Kathryn MComparative StudyRandomized Controlled TrialResearch Support, Non-U.S. Gov'tUnited StatesArchives of physical medicine and rehabilitationArch Phys Med Rehabil. 2010 Sep;91(9):1313-8. N2 -A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain. 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.
PY - 2010 SN - 1532-821X (Electronic)0003-9993 (Linking) SP - 1313 EP - 8 T2 - Archives of Physical Medicine and Rehabilitation TI - A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain VL - 91 ER -