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Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial

Overview of attention for article published in Chiropractic & Manual Therapies, April 2017
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Title
Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial
Published in
Chiropractic & Manual Therapies, April 2017
DOI 10.1186/s12998-017-0141-3
Pubmed ID
Authors

Ruud Groeneweg, Luite van Assen, Hans Kropman, Huco Leopold, Jan Mulder, Bouwien C. M. Smits-Engelsman, Raymond W J. G. Ostelo, Rob A. B. Oostendorp, Maurits W. van Tulder

Abstract

Manual therapy according to the School of Manual Therapy Utrecht (MTU) is a specific type of passive manual joint mobilization. MTU has not yet been systematically compared to other manual therapies and physical therapy. In this study the effectiveness of MTU is compared to physical therapy, particularly active exercise therapy (PT) in patients with non-specific neck pain. Patients neck pain, aged between 18-70 years, were included in a pragmatic randomized controlled trial with a one-year follow-up. Primary outcome measures were global perceived effect and functioning (Neck Disability Index), the secondary outcome was pain intensity (Numeric Rating Scale for Pain). Outcomes were measured at 3, 7, 13, 26 and 52 weeks. Multilevel analyses (intention-to-treat) were the primary analyses for overall between-group differences. Additional to the primary and secondary outcomes the number of treatment sessions of the MTU group and PT group was analyzed. Data were collected from September 2008 to February 2011. A total of 181 patients were included. Multilevel analyses showed no statistically significant overall differences at one year between the MTU and PT groups on any of the primary and secondary outcomes. The MTU group showed significantly lower treatment sessions compared to the PT group (respectively 3.1 vs. 5.9 after 7 weeks; 6.1 vs. 10.0 after 52 weeks). Patients with neck pain improved in both groups without statistical significantly or clinically relevant differences between the MTU and PT groups during one-year follow-up. ClinicalTrials.gov Identifier: NCT00713843.

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Geographical breakdown

Country Count As %
Netherlands 1 <1%
Unknown 219 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 35 16%
Student > Master 33 15%
Student > Doctoral Student 19 9%
Researcher 12 5%
Lecturer 11 5%
Other 43 20%
Unknown 67 30%
Readers by discipline Count As %
Nursing and Health Professions 68 31%
Medicine and Dentistry 43 20%
Sports and Recreations 14 6%
Agricultural and Biological Sciences 5 2%
Social Sciences 3 1%
Other 10 5%
Unknown 77 35%