Non-specific neck pain: diagnosis and treatment - KCE

Ezzo J,
Haraldsson BG,
Gross AR, Myers
CD, Morien A,
Goldsmith CH,
Bronfort G,
Peloso PM:
Massage for
mechanical neck
disorders: A
systematic
review. Volume
32. 2007:353-362.
Gemmell H, Miller
P: Comparative
effectiveness of
manipulation,
mobilisation and
the Activator
instrument in
treatment of nonspecific
neck
pain: A
systematic
review. Volume
14. 2006.
42 Non-Specific Neck Pain: diagnosis and treatment KCE Reports 119
high (8) 2007 A systematic review
to assess the effect of
massage on pain,
function, patient
satisfaction, cost of
care and adverse
events in adults with
neck pain.
high (7) 2006 A systematic review
to critically appraise
the literature that
directly compared
manipulation,
mobilisation and the
Activator instrument
for non‐specific neck
pain.
1. Ammer and Rathkolb, 1990
2. Brodin, 1985
3. Cen, 2003
4. Fialka, 1989
5. Gam, 1998
6. Hanten, 1997
7. Hanten, 2000
8. hou, 2002
9. Hoving, 2002
10. Irnich, 2001
11. jordan, 1998
12. Karlberg, 1996
13. Koes, 1991‐1992)
14. Kogstad, 1978
15. Levoska, 1993
16. Nilsson, 1995‐1997
17. Provinciali, 1996
18. Reginiussen, 2000
19. Schnabel, 2002
1. Vernon, 1990
2. Cassidy, 1991
3. Yurkiw, 1996
4. Wood, 2001
5. Hurwitz, 2002
sept.
2004
oct.
2005
adults who cerveral
suffered from masage
acute (90 days). MND
(with whiplash
grade I‐II
included), NDH
and NDR
(inclusion of
whiplash grade
III)
patients
suffering non‐
specific neck
pain, age or
duration of
symptoms was
not considered.
techniques
were included.
Massage in
multimodal
approaches.
Hig Velocity
Low Amplitude
rotational
manipulation
(HVLA‐rotation
manipulation),
oscillatory
mobilisation,
Activator,
deversified
HVLA
manipulation,
post isometric
relaxation
(PIR), HVLA
manipulation
with heat,
HVLA
manipulation
without heat,
HVLA with
electrical
stimulation,
HVLA without
electrical
stimulation,
obilisation with
no treatment,
other
multimodal
approaches, …
the different
treatment
modalities
compared with
each other
effect on pain,
function, patient
satisfaction, cost of
care and adverse
events
Pressure pain
treshold.
Numerical rating
scale (NRS) for pain.
Cervical ROM.
Cervical lateral
flexion.
VAS for pain.
NRS for pain.
Neck Disability
index.
SF‐36.
Adverse reactions
with care.
Patient global
assessment.
inability to pool data. no level of evidence could be found for
massage alone compared with a contral.
No level of evidence could be found for
or against massage in the studies that
combined massage with other methods.
No firm statement can be made about
the efficacy of massage for neck pain due
to the limitations of existing studies.
not remlevant because of poor quality of included studies due to lack in quantity and quality of
studies reviewed, more high‐quality
research is needs to be done before a
recommendation can be made as to
which type of manual therapy has better
effectiveness and safety profile for non‐
specific neck pai.