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. 2015 Sep 23;2015(9):CD004249. doi: 10.1002/14651858.CD004249.pub4

Martinez‐Segura 2006a.

Methods Type of trial: RCT
 Number analysed/randomly assigned: 71/71
 Intention‐to‐treat analysis: NR
Participants Subacute chronic neck pain, no radiculopathy
Interventions INDEX TREATMENT
 Cervical high‐velocity low‐amplitude technique group (manip): technique: manipulation ipsilateral side flexion, contralateral rotation; frequency: 1 session; route: cervical spine
COMPARISON TREATMENT
 Sham/Control group (cntl): technique: neck positioned into ipsilateral side flexion, contralateral rotation, position held for 30 seconds, the side of manual contact was randomly assigned; frequency: 1 session
CO‐INTERVENTION: NR
Duration of treatment: 1 session
 Duration of follow‐up: none
Outcomes PAIN INTENSITY (VAS, 0 to 10 cm)
 Baseline mean: manip 5.7, cntl 5.5
 End of study mean: manip 2.2, cntl 5.1
 Absolute benefit: manip 3.5, cntl 0.4
 Reported results: significant favouring manipulation
 SMD: ‐1.67 (95% CI ‐2.21 to ‐1.12); NNTB: 2; treatment advantage 54%
FUNCTION: NR
PATIENT SATISFACTION: NR
GPE: NR
QoL: NR
SIDE EFFECTS: NR
COST OF CARE: NR
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Not reported
Allocation concealment (selection bias) High risk Not reported
Blinding of Participants (performance bias) High risk Not reported
Blinding of Personal (performance bias) High risk Not possible owing to design
Blinding of the Outcome assessor (detection bias) High risk Not possible owing to design
Incomplete outcome data (attrition bias) Low risk Pre‐post design
Randomized Participants analysed were allocated (attrition bias) Low risk Pre‐post design
Selective outcome (reporting bias) Unclear risk No reported protocol
Similar groups at baseline? Low risk Page 513, Table 1
co‐interventions avoided or similar? Low risk Pre‐post design
Compliance acceptable? Low risk Pre‐post design
Similar timing of outcome assessment? Low risk Pre‐post design