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Warm Moxibustion and Scraping as a Traditional Chinese Medicine Therapy for Cervical Spondylosis Treatment

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Published on: June 27, 2025

Manipulation or mobilisation for neck pain.

Anita Gross¹, Jordan Miller, Jonathan D'Sylva

¹School of Rehabilitation Science & Dept Clinical Epidemiology and Biostatistics, McMaster University, 1400 Main Street West, Hamilton, Ontario, Canada, L8S 1C7.

The Cochrane Database of Systematic Reviews

|January 22, 2010

Summary

This summary is machine-generated.

Spinal manipulation and mobilization offer similar short-term relief for neck pain, with thoracic manipulation also showing benefits. Long-term effects and optimal techniques require further investigation for neck pain treatments.

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Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain

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Warm Moxibustion and Scraping as a Traditional Chinese Medicine Therapy for Cervical Spondylosis Treatment

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Published on: June 27, 2025

Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain

Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain

Published on: June 6, 2025

Area of Science:

Evidence-based practice in physical therapy
Musculoskeletal rehabilitation
Spinal manipulation and mobilization research

Background:

Neck pain is a common condition often treated with manual therapies.
Manipulation and mobilization are frequently employed, individually or combined with other treatments.

Purpose of the Study:

To evaluate the efficacy of manipulation or mobilization for improving pain, function, and patient satisfaction in adults with neck pain.
To assess outcomes in patients with acute, subacute, or chronic neck pain, with or without cervicogenic headache or radicular findings.

Main Methods:

Systematic review of randomized controlled trials (RCTs) identified through comprehensive database searches up to July 2009.
Independent selection, data extraction, and risk of bias assessment by two reviewers.
Pooled analysis using relative risk and standardized mean differences (SMD).

Main Results:

Cervical manipulation and mobilization showed similar intermediate-term effects on pain, function, and satisfaction for subacute/chronic neck pain.
Thoracic manipulation demonstrated effectiveness in reducing pain and improving function for acute and chronic neck pain.
Certain mobilization techniques, like neural dynamic mobilizations, may offer immediate pain relief.

Conclusions:

Cervical manipulation and mobilization provide comparable short-term benefits for neck pain, but long-term data are lacking.
Thoracic manipulation appears beneficial for pain and function, though optimal techniques and dosage remain undetermined.
Further research is essential to enhance confidence in treatment effect estimates for neck pain.