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Published on: January 5, 2015
Manipulation of the cervical spine--a pilot study
The Journal of the Royal College of General Practitioners
|September 1, 1983
Summary
Cervical spine manipulation offers significant symptom relief for neck pain and shoulder issues. This randomized trial shows sustained improvements in rotation, supporting its use in general practice.
Area of Science:
- Orthopedics
- Neurology
- Physical Therapy
Background:
- Neck pain and shoulder dysfunction are common complaints in general practice.
- Limited formal trials exist for the efficacy of cervical spine manipulation.
Purpose of the Study:
- To evaluate the effectiveness of cervical spine manipulation for neck and shoulder pain.
- To assess symptomatic and goniometric outcomes following manipulation.
Main Methods:
- A randomized controlled trial involving 52 patients in a general practice setting.
- Symptomatic and goniometric assessments were conducted over a three-week period.
Main Results:
- Significant immediate improvement in neck pain, stiffness, and shoulder pain/paresthesia.
- Nearly significant improvement for arm/hand pain/paresthesia.
- Sustained significant increase in cervical rotation for three weeks; immediate improvement in lateral flexion not maintained.
Conclusions:
- Cervical spine manipulation demonstrates significant short-term benefits for specific neck and shoulder conditions.
- The findings support further investigation and potential integration of manipulation into mainstream medical practice.
