Table 2, continued | |||||
---|---|---|---|---|---|
Authors Sample size | |||||
NP status | Methodological quality of studies | Intervention Co intervention | Comparison group co intervention | Outcomes measures of interest | Clinical relevance status on timing outcomes: between groups value and effect sizes |
Kanlayanaphotporn et al. | |||||
60 | |||||
CNP | Level A | ||||
10/11 | |||||
No for care provider blinded | IG: MT2 on Cx symptomatic levels (PAIVMS) | ||||
1 time | CG: random MT2 Cx (PAIVMS) 1 time | Pain (VAS) Functional disabilities (CROM) | NO | ||
NO | |||||
Aquino et al. | |||||
48 | |||||
CNP | Level A | ||||
9/11 | |||||
No for patient and care provider not blind | IG: MT2 Cx symptomatic levels (PAIVMS) | ||||
1 time | CG: random MT2 (PAIVMS), away from the concordant segment | ||||
1 time | Pain (NRS) | NO | |||
Schomacher | |||||
126 | |||||
CNP | Level A | ||||
10/11 | |||||
No for care provider blinded | IG: MT2 Cx symptomatic levels (PAIVMS) | ||||
1 time | CG: MT2 Cx (PAIVMS), 3 levels away from the concordant segment 1 time | Pain (NRS) | NO | ||
Bronfort et al. | |||||
191 | |||||
CNP | Level A | ||||
9/11 | |||||
No for patient and care provider blinded | IG1: MT3 on Cx-Tx (HVLA STT) exercise IG2: MT3 on CX-Tx (HVLA STT) alone (sham microcurrent) | ||||
20 times (1h) over 11 weeks & home exercises for all groups | CG: MedX (Exercise with specific devices sessions) | Pain (NRS) Functional disabilities (NDI) | |||
(CROM) | |||||
-Flex/Ext | |||||
-Rot | |||||
-Lat Flex | |||||
Overall Improvement | |||||
(SF-36) | NO | ||||
NO | |||||
YES: | |||||
IG1 vs IG2: at 11 weeks ( 0.05; MD 6.7) | |||||
CG vs IG2: at 11 weeks ( 0.05; MD 5.2) YES: IG1 vs IG2: at 11 weeks ( 0.05; MD 6.7) | |||||
YES: IG1 vs IG2: at 11 weeks ( 0.05; MD 5.6) | |||||
NO | |||||
Evans et al. | |||||
270 | |||||
CNP | Level A | ||||
9/11 | |||||
No for patient and care provider not blind | IG1: MT1 Cx-Tx Exercise IG2: High Exercise (High dose supervised strengthening exercise) | CG: HEA (Home Exercise and advice) | Pain (NPRS) | ||
Disability (NDI) | |||||
Overall Improvement | |||||
(SF-36) | IG1 vs CG: YES at 12 weeks ( 0.001; SMD 0.9; MD 1.4) | ||||
IG2 vs CG: YES at 12 weeks ( 0.001, SMD 0.7; MD 1.2) IG1 vs CG:Yes at 12 weeks ( 0.001; SMD 0.5; MD 4.3) : YES: at 12 weeks ( 0.001; MD 1.3), at 52 weeks, 0.001; MD 0.8) | |||||
IG2 vs CG: YES: at 12 weeks ( 0.001; MD 1.1), at 52 weeks ( 0.03, MD 0.5) | |||||
Akhter et al. 62 CNP | Level B | ||||
7/11 | |||||
No for allocation concealed, No for patient and care provider blinded, dropouts, ITT | IG: MT1 Cx exercise (6 sessions over 3 weeks for both groups) | CG: Supervised exercise alone | Pain (VAS) Functional disabilities (NDI) | NO | |
NO |
CNP: chronic neck pain/VAS: Visual Analogue Scale/NDI: Neck Disability Index/CROM: Active Cervical Range Of Motion/PPT: Pressure Pain Threshold/US: ultrasound/NPRS: Numeric Pain Rating Scale/FABQ: Fear-Avoidance-Belief-Questionnaire/SF-36: Short-form-health-survey/NPQ: Northwick Pain Questionnaire/UMC: Usual Medical Care/Cx: cervical/Th: thoracic/MOB: Mobilisation/SNAGs: Sustained Natural Apophyseal Glides/HVLA: high velocity low amplitude thrust/IG: Intervention Group/CG: Control Group/IRT: Infrared Radiation Therapy/PAIVMS: Passive Accessory Intervertebral Movements/STT: Soft-Tissues-Techniques/SUS: Sham Ultrasound/Yes: significant difference between groups with moderate to large clinical effect size/No: no significant difference between groups with small clinical effect size on all timing outcome measures.