摘要

STUDY DESIGNS.: Meta-analysis OBJECTIVE.: perform a comprehensive search of current literature and conduct a meta-analysis of randomized controlled trials (RCTs) to assess the neck pain-relieving effect of intermittent cervical traction (ICT). SUMMARY OF BACKGROUND DATA.: Neck pain is a common and disabling problem with a high prevalence in general population. It causes a considerable burden on the health care system with a substantial expenditure. ICT is a common component of physical therapy for neck pain in the outpatient clinic. However, the evidence regarding the effectiveness of ICT for neck pain is insufficient. METHODS.: Data were obtained from the PubMed, Cochrane Library, Embase, and Scopus databases from the database inception date to July 02, 2016. RCTs reporting the effects of ICT on neck pain, including those comparing the effects of ICT with those of a placebo treatment, were included. Two reviewers independently reviewed the studies, conducted a risk of bias assessment, and extracted data. The data were pooled in a meta-analysis by using a random-effects model. RESULTS.: The meta-analysis included 7 RCTs. The results indicated that patients who received ICT for neck pain had significantly lower pain scores than those receiving placebos did immediately after treatment (standardized mean difference?=?−0.26, 95% confidence interval?=?−0.46 to −0.07). The pain scores during the follow-up period and the neck disability index scores immediately after treatment and during the follow-up period did not differ significantly. CONCLUSIONS.: ICT may have a short-term neck pain-relieving effect. Some risks of bias were noted in the included studies, reducing the evidence level of this meta-analysis. Additional high-quality RCTs are required to clarify the long-term effects of ICT on neck pain.Level of Evidence: 1
原文英語
期刊Spine
DOIs
出版狀態已發佈 - 七月 1 2017

指紋

Neck Pain
Traction
Meta-Analysis
Randomized Controlled Trials
Placebos
Databases
Pain
Therapeutics
Health Expenditures
Ambulatory Care Facilities
PubMed
Libraries
Neck
Confidence Intervals
Delivery of Health Care

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

引用此文

@article{2dd5e71d8b5e4f9dafbea25e955a761b,
title = "Intermittent Cervical Traction for Treating Neck Pain: A Meta-analysis of Randomized Controlled Trials",
abstract = "STUDY DESIGNS.: Meta-analysis OBJECTIVE.: perform a comprehensive search of current literature and conduct a meta-analysis of randomized controlled trials (RCTs) to assess the neck pain-relieving effect of intermittent cervical traction (ICT). SUMMARY OF BACKGROUND DATA.: Neck pain is a common and disabling problem with a high prevalence in general population. It causes a considerable burden on the health care system with a substantial expenditure. ICT is a common component of physical therapy for neck pain in the outpatient clinic. However, the evidence regarding the effectiveness of ICT for neck pain is insufficient. METHODS.: Data were obtained from the PubMed, Cochrane Library, Embase, and Scopus databases from the database inception date to July 02, 2016. RCTs reporting the effects of ICT on neck pain, including those comparing the effects of ICT with those of a placebo treatment, were included. Two reviewers independently reviewed the studies, conducted a risk of bias assessment, and extracted data. The data were pooled in a meta-analysis by using a random-effects model. RESULTS.: The meta-analysis included 7 RCTs. The results indicated that patients who received ICT for neck pain had significantly lower pain scores than those receiving placebos did immediately after treatment (standardized mean difference?=?−0.26, 95{\%} confidence interval?=?−0.46 to −0.07). The pain scores during the follow-up period and the neck disability index scores immediately after treatment and during the follow-up period did not differ significantly. CONCLUSIONS.: ICT may have a short-term neck pain-relieving effect. Some risks of bias were noted in the included studies, reducing the evidence level of this meta-analysis. Additional high-quality RCTs are required to clarify the long-term effects of ICT on neck pain.Level of Evidence: 1",
author = "Yang, {Jheng Dao} and Tam, {Ka Wai} and Huang, {Tsai Wei} and Huang, {Shih Wei} and Liou, {Tsan Hon} and Chen, {Hung Chou}",
year = "2017",
month = "7",
day = "1",
doi = "10.1097/BRS.0000000000001948",
language = "English",
journal = "Spine",
issn = "1528-1159",
publisher = "Lippincott Williams and Wilkins",

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TY - JOUR

T1 - Intermittent Cervical Traction for Treating Neck Pain

T2 - A Meta-analysis of Randomized Controlled Trials

AU - Yang, Jheng Dao

AU - Tam, Ka Wai

AU - Huang, Tsai Wei

AU - Huang, Shih Wei

AU - Liou, Tsan Hon

AU - Chen, Hung Chou

PY - 2017/7/1

Y1 - 2017/7/1

N2 - STUDY DESIGNS.: Meta-analysis OBJECTIVE.: perform a comprehensive search of current literature and conduct a meta-analysis of randomized controlled trials (RCTs) to assess the neck pain-relieving effect of intermittent cervical traction (ICT). SUMMARY OF BACKGROUND DATA.: Neck pain is a common and disabling problem with a high prevalence in general population. It causes a considerable burden on the health care system with a substantial expenditure. ICT is a common component of physical therapy for neck pain in the outpatient clinic. However, the evidence regarding the effectiveness of ICT for neck pain is insufficient. METHODS.: Data were obtained from the PubMed, Cochrane Library, Embase, and Scopus databases from the database inception date to July 02, 2016. RCTs reporting the effects of ICT on neck pain, including those comparing the effects of ICT with those of a placebo treatment, were included. Two reviewers independently reviewed the studies, conducted a risk of bias assessment, and extracted data. The data were pooled in a meta-analysis by using a random-effects model. RESULTS.: The meta-analysis included 7 RCTs. The results indicated that patients who received ICT for neck pain had significantly lower pain scores than those receiving placebos did immediately after treatment (standardized mean difference?=?−0.26, 95% confidence interval?=?−0.46 to −0.07). The pain scores during the follow-up period and the neck disability index scores immediately after treatment and during the follow-up period did not differ significantly. CONCLUSIONS.: ICT may have a short-term neck pain-relieving effect. Some risks of bias were noted in the included studies, reducing the evidence level of this meta-analysis. Additional high-quality RCTs are required to clarify the long-term effects of ICT on neck pain.Level of Evidence: 1

AB - STUDY DESIGNS.: Meta-analysis OBJECTIVE.: perform a comprehensive search of current literature and conduct a meta-analysis of randomized controlled trials (RCTs) to assess the neck pain-relieving effect of intermittent cervical traction (ICT). SUMMARY OF BACKGROUND DATA.: Neck pain is a common and disabling problem with a high prevalence in general population. It causes a considerable burden on the health care system with a substantial expenditure. ICT is a common component of physical therapy for neck pain in the outpatient clinic. However, the evidence regarding the effectiveness of ICT for neck pain is insufficient. METHODS.: Data were obtained from the PubMed, Cochrane Library, Embase, and Scopus databases from the database inception date to July 02, 2016. RCTs reporting the effects of ICT on neck pain, including those comparing the effects of ICT with those of a placebo treatment, were included. Two reviewers independently reviewed the studies, conducted a risk of bias assessment, and extracted data. The data were pooled in a meta-analysis by using a random-effects model. RESULTS.: The meta-analysis included 7 RCTs. The results indicated that patients who received ICT for neck pain had significantly lower pain scores than those receiving placebos did immediately after treatment (standardized mean difference?=?−0.26, 95% confidence interval?=?−0.46 to −0.07). The pain scores during the follow-up period and the neck disability index scores immediately after treatment and during the follow-up period did not differ significantly. CONCLUSIONS.: ICT may have a short-term neck pain-relieving effect. Some risks of bias were noted in the included studies, reducing the evidence level of this meta-analysis. Additional high-quality RCTs are required to clarify the long-term effects of ICT on neck pain.Level of Evidence: 1

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DO - 10.1097/BRS.0000000000001948

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