Table 19Key results – Mobilization therapy for neck pain

CAM therapyDuration of painCause of painOutcomeRisk-of-biasPrecision of the pooled estimateConsistencyDirectnessFindingGRADEψ
Mob vs. No TxAcute/subacuteS------Insufficient
NS------Insufficient
ChronicS------Insufficient
NSVAS: B355M-NADirect> SSLow
PPT: B355M-NADirect> SSLow
MixedS------Insufficient
NSVAS: B352H-NADirect> SSLow
Pain medications taken (# of pills annually): B, C352H-NAIndirect= S-NSLow
# of sick leave days: B, C, D352H-NAIndirect= S-NSLow
UnknownS------Insufficient
NS------Insufficient
Mob vs. PLAcute/subacuteS------Insufficient
NSVAS: B308M-NADirect> SSLow
ChronicS---NA--Insufficient
NSVAS: B355M-NADirect= S-NSLow
PPT: B355M-NADirect> SSLow
MixedS-------
NS------Insufficient
UnknownS------Insufficient
NS------Insufficient
Mob vs. MaAcute/subacuteS------Insufficient
NS------Insufficient
ChronicS------Insufficient
NSVAS: D353M-NADirect> SSLow
NDI: D353M-NADirect> SSLow
# of sick leave days: D353M-NAIndirect> SSLow
Global assessment (score: -1, +10): D353M-NAIndirect> SSLow
ROM (rotation, frons-knee distance): D353M-NAIndirect= S-NSLow
MixedS------Insufficient
NS------Insufficient
UnknownS------Insufficient
NS------Insufficient
Mob vs. PTAcute/subacuteS------Insufficient
NS------Insufficient
ChronicS------Insufficient
NSVAS: D353M-NADirect> SSLow
NDI: D353M-NADirect> SSLow
# of sick leave days: D353M-NAIndirect> SSLow
% pts using analgesics: D353M-NAIndirect> SSLow
MixedS------Insufficient
NSVAS:D62H-NADirect> SSLow
NDI: D62H-NADirect= S-NSLow
UnknownS------Insufficient
NS------Insufficient
Mob vs. STAcute/subacuteS-------
NS-------
ChronicS-------
NS-------
MixedS-------
NSVAS: D62H-NADirect= S-NSLow
NDI: D62H-NADirect= S-NSLow
UnknownS-------
NS-------

S=specific; NS=nonspecific; SS=statistically significant; S-NS=statistically nonsignificant; Man=manipulation; Acu=acupuncture; Ma=massage; Mob=mobilization; PL=placebo; Tx=treatment. Med=medication(s); Int=intervention; PT=physiotherapy; ST=standard therapy; E-acu=electro-acupuncture; MR=muscle relaxation; TENS= transcutaneous electrical nerve stimulation; Ex=exercise; TrP=trigger point; VAS=visual analog scale; RMDQ=Roland Morris Disability scale; NHP=Nottingham Health Profile; PPT= pressure pain threshold; HFAQ=Hanover functional ability questionnaire; MPQ=McGill pain questionnaire; ext=extension; flx=flexion; rot=rotation; PDI=pain disability index; min=minute(s); hr(s)=hour(s); L=low; M=medium; H=high; pt(s)=patient(s); SF=short-form; NPQ=neck pain questionnaire; GWBS=global well-being scale; SLR=straight leg raising; GPE= Global perceived effect; NSAIDS=nonsteroidal antiinflammatory drugs; FTF=finger-to-floor; SF-PQ=short form pain questionnaire; PRI=pain rating index; PPI=present pain intensity; NA=not applicable

ψ Grade (High, moderate, low, and insufficient)

B = immediate post-treatment

C = short-term post-treatment

D = intermediate-term post-treatment

E = long-term post-treatment

H = high

L = low

M = medium

- No evidence

= Similar beneficial effect

> Favors treatment A over treatment B

< Favors treatment B over treatment A

><, =>, <= Inconsistent beneficial effect

ψ Grade (High, moderate, low, and insufficient)

From: 3, Results

Cover of Complementary and Alternative Therapies for Back Pain II
Complementary and Alternative Therapies for Back Pain II.
Evidence Reports/Technology Assessments, No. 194.
Furlan AD, Yazdi F, Tsertsvadze A, et al.

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