tailieunhanh - Báo cáo y học: "Systematic review of clinical trials of cervical manipulation: control group procedures and pain outcomes"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Systematic review of clinical trials of cervical manipulation: control group procedures and pain outcomes. | Vernon et al. Chiropractic Manual Therapies 2011 19 3 http content 19 1 3 CHIROPRACTIC MANUAL THERAPIES C MT REVIEW Open Access Systematic review of clinical trials of cervical manipulation control group procedures and pain outcomes Howard Vernon Aaron Puhl Christine Reinhart Abstract Objective To characterize the types of control procedures used in controlled clinical trials of cervical spine manipulation and to evaluate the outcomes obtained by subjects in control groups so as to improve the quality of future clinical trials Methods A search of relevant clinical trials was performed in PubMed 1966-May 2010 with the following key words Chiropractic Mesh OR Manipulation Spinal Mesh AND Clinical Trial Publication Type . Reference lists from these trials were searched for any additional trials. The reference lists of two prior studies one review and one original study were also searched. Accepted reports were then rated for quality by 2 reviewers using the PEDro scale. Studies achieving a score of 50 were included for data extraction and analysis. Intra-group change scores on pain outcomes were obtained. For determining clinically important outcomes a threshold of 20 improvement was used where continuous data were available otherwise an effect size of was employed Results The PubMed search yielded 753 citations of which 13 were selected. Eight 8 other studies were identified by reviewing two systematic reviews and through reference searches. All studies scored 50 on the PEDro scale. There were 9 multi-session studies and 12 single-session studies. The most commonly used control procedure was manual contact no thrust . Four 4 studies used a placebo-control patient blinded . For two of these studies with VAS data the average change reported was mm. For the other control procedures variable results were obtained. No clinically important changes were reported in 57 of the paired comparisons while in 43 of these changes which would be considered .