A randomized trial of chiropractic manipulation and mobilization for patients with neck pain: clinical outcomes from the UCLA neck-pain study
- PMID: 12356613
- PMCID: PMC1447299
- DOI: 10.2105/ajph.92.10.1634
A randomized trial of chiropractic manipulation and mobilization for patients with neck pain: clinical outcomes from the UCLA neck-pain study
Abstract
Objectives: This study compared the relative effectiveness of cervical spine manipulation and mobilization for neck pain.
Methods: Neck-pain patients were randomized to the following conditions: manipulation with or without heat, manipulation with or without electrical muscle stimulation, mobilization with or without heat, and mobilization with or without electrical muscle stimulation.
Results: Of 960 eligible patients, 336 enrolled in the study. Mean reductions in pain and disability were similar in the manipulation and mobilization groups through 6 months.
Conclusions: Cervical spine manipulation and mobilization yield comparable clinical outcomes.
Figures
Comment in
-
Cervical spine manipulation was not better than mobilization for improving outcomes in neck pain.ACP J Club. 2003 Mar-Apr;138(2):48. ACP J Club. 2003. PMID: 12614133 No abstract available.
Similar articles
-
Frequency and clinical predictors of adverse reactions to chiropractic care in the UCLA neck pain study.Spine (Phila Pa 1976). 2005 Jul 1;30(13):1477-84. doi: 10.1097/01.brs.0000167821.39373.c1. Spine (Phila Pa 1976). 2005. PMID: 15990659 Clinical Trial.
-
Adverse reactions to chiropractic treatment and their effects on satisfaction and clinical outcomes among patients enrolled in the UCLA Neck Pain Study.J Manipulative Physiol Ther. 2004 Jan;27(1):16-25. doi: 10.1016/j.jmpt.2003.11.002. J Manipulative Physiol Ther. 2004. PMID: 14739870 Clinical Trial.
-
Chiropractic treatment including instrument-assisted manipulation for non-specific dizziness and neck pain in community-dwelling older people: a feasibility randomised sham-controlled trial.Chiropr Man Therap. 2018 May 10;26:14. doi: 10.1186/s12998-018-0183-1. eCollection 2018. Chiropr Man Therap. 2018. PMID: 29760878 Free PMC article. Clinical Trial.
-
Chiropractic manipulation and acute neck pain: a review of the evidence.J Manipulative Physiol Ther. 2005 Sep;28(7):520-5. doi: 10.1016/j.jmpt.2005.07.010. J Manipulative Physiol Ther. 2005. PMID: 16182027 Review.
-
Evidence-based guidelines for the chiropractic treatment of adults with neck pain.J Manipulative Physiol Ther. 2014 Jan;37(1):42-63. doi: 10.1016/j.jmpt.2013.08.010. Epub 2013 Nov 19. J Manipulative Physiol Ther. 2014. PMID: 24262386 Review.
Cited by
-
Identification of spinal tissues loaded by manual therapy: a robot-based serial dissection technique applied in porcine motion segments.Spine (Phila Pa 1976). 2010 Oct 15;35(22):1983-90. doi: 10.1097/BRS.0b013e3181ddd0a3. Spine (Phila Pa 1976). 2010. PMID: 20881661 Free PMC article.
-
The majority of clinical trials assessing mobilization and manipulation for neck pain lack a pragmatic approach: a systematic review of 174 trials.J Man Manip Ther. 2024 Oct;32(5):478-494. doi: 10.1080/10669817.2024.2327127. Epub 2024 Mar 25. J Man Manip Ther. 2024. PMID: 38525785 Free PMC article.
-
Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States.Mayo Clin Proc. 2016 Sep;91(9):1292-306. doi: 10.1016/j.mayocp.2016.06.007. Mayo Clin Proc. 2016. PMID: 27594189 Free PMC article. Review.
-
Acute effects of single and multiple level thoracic manipulations on chronic mechanical neck pain: a randomized controlled trial.Neuropsychiatr Dis Treat. 2015 Jan 12;11:137-44. doi: 10.2147/NDT.S69579. eCollection 2015. Neuropsychiatr Dis Treat. 2015. PMID: 25624764 Free PMC article.
-
Effect Sizes for Changes in Health and Well-Being Following Treatment With the One-To-Zero Technique in Individuals With Occipito-Atlantal Joint Dysfunction: A Repeated Measures Study.J Chiropr Med. 2023 Dec;22(4):302-312. doi: 10.1016/j.jcm.2023.10.004. Epub 2023 Nov 18. J Chiropr Med. 2023. PMID: 38205225 Free PMC article.
References
-
- McCaig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 1999 emergency department summary. Adv Data Vital Health Stat. June 25, 2001;320. - PubMed
-
- Cherry DK, Burt CW, Woodwell DA. National Ambulatory Medical Care Survey: 1999 summary. Adv Data Vital Health Stat. July 10, 2001;322.
-
- Clark W, Haldeman S. The development of guideline factors for the evaluation of disability in neck and back injuries. Spine. 1993;18:1736–1745. - PubMed
-
- Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine. 1994;19:1307–1309. - PubMed
-
- Nygren A, Berglund A, von Koch M. Neck-and-shoulder pain, an increasing problem. Strategies for using insurance material to follow trends. Scand J Rehabil Med. 1995;32(suppl):107–112. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical