The efficacy of manipulation for recent onset neck pain

手法治疗新发颈痛的疗效

• 批准号: nhmrc : 402686
• 负责人: E/Pr Gwendolen Jull
• 金额: $ 26.27万
• 依托单位: The University of Sydney
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2006
• 资助国家: 澳大利亚
• 起止时间: 2006-01-01 至 2008-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/efficacy-manipulation-recent-neck-pain/100121
• 关键词: efficacy; manipulation; recent; onset; neck

Neck pain is extremely common, with a point prevalence of 46% in the general community. Neck pain can cause significant disability, and is the second most common injury causing people to take time off work. Neck pain and its associated disability clearly poses a substantial social and economic burden. Neck manipulation (high velocity thrust of the joints, often associated with a click) is widely used by physiotherapists for the management of recent onset neck pain, but there is no clear evidence for its efficacy. In addition, the use of manipulation is associated with serious, although rare, adverse events such as stroke or even death. The risk-benefit analysis, therefore, does not clearly favour manipulation because efficacy has not been established, while the risks are serious, but infrequent. The findings of the proposed study will clearly and precisely determine the efficacy of manipulation compared with the safer treatment technique of mobilisation (gentle oscillatory pressure applied to the joints), information that is currently unavailable. This information is of vital importance to many different disciplines, including health professionals, insurance companies, and to administrators for development of health policy. Our findings will thus provide evidence-based guidelines for the use of manipulation, and will ultimately lead to safer practice of physiotherapy for neck pain.

颈部疼痛极为常见，在一般社区中有46%的点患病率。颈部疼痛会导致严重的残疾，是导致人们请假的第二大常见伤害。颈部疼痛及其相关残疾显然造成了巨大的社会和经济负担。颈部手法（关节的高速推力，通常伴有咔哒声）被物理治疗师广泛用于治疗新近发作的颈部疼痛，但没有明确的证据表明其疗效。此外，手法的使用与中风甚至死亡等严重（尽管罕见）不良事件有关。因此，风险-收益分析并不明显支持操纵，因为尚未建立疗效，而风险是严重的，但不常见。拟议研究的结果将清楚而准确地确定操作与更安全的活动治疗技术（对关节施加温和的振荡压力）相比的疗效，目前尚无相关信息。这些信息对许多不同学科至关重要，包括卫生专业人员、保险公司和卫生政策制定的管理人员。因此，我们的研究结果将为手法的使用提供循证指南，并最终导致颈部疼痛物理治疗的更安全实践。