Cargando…
The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis
Patients with nonspecific chronic neck pain (NSCNP) exhibit respiratory dysfunction. This systematic review aimed to analyze randomized controlled trials (RCTs) investigating the effect of spinal and/or diaphragmatic and/or specific stabilization exercise manual therapy and/or respiratory exercises...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316964/ https://www.ncbi.nlm.nih.gov/pubmed/35885502 http://dx.doi.org/10.3390/diagnostics12071598 |
_version_ | 1784754942020419584 |
---|---|
author | Tatsios, Petros I. Grammatopoulou, Eirini Dimitriadis, Zacharias Papandreou, Maria Paraskevopoulos, Eleftherios Spanos, Savvas Karakasidou, Palina Koumantakis, George A. |
author_facet | Tatsios, Petros I. Grammatopoulou, Eirini Dimitriadis, Zacharias Papandreou, Maria Paraskevopoulos, Eleftherios Spanos, Savvas Karakasidou, Palina Koumantakis, George A. |
author_sort | Tatsios, Petros I. |
collection | PubMed |
description | Patients with nonspecific chronic neck pain (NSCNP) exhibit respiratory dysfunction. This systematic review aimed to analyze randomized controlled trials (RCTs) investigating the effect of spinal and/or diaphragmatic and/or specific stabilization exercise manual therapy and/or respiratory exercises on musculoskeletal and respiratory diagnostic outcomes in patients with NSCNP. A systematic search and selection of RCTs was performed in three scientific databases (Pubmed, Scopus, and Physiotherapy Evidence Database (PEDro)) and one search engine (Google Scholar) from inception to April 2022. Relevant studies published in the English language were extracted, evaluated, and independently rated for methodological quality (PEDro scale). The quality of the evidence was assessed with the GRADE approach. Out of 1089 studies collected in total, 1073 were excluded (i.e., did not meet the inclusion criteria or were duplicates). Sixteen RCTs were finally included, rated on 5.62/10 (PEDro score) on average for methodological quality. Overall, there was sparse evidence that spinal and/or diaphragmatic manual therapy and/or trunk stabilization exercises and/or respiratory exercises significantly improved pain, disability, and respiratory outcomes in patients with NSCNP immediately post-treatment. However, the clinical heterogeneity between studies was significant, and the level of certainty of the evidence was low to very low. More, high-quality RCTs are required, contributing to the holistic diagnostic monitoring and management of patients with NSCNP. |
format | Online Article Text |
id | pubmed-9316964 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-93169642022-07-27 The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis Tatsios, Petros I. Grammatopoulou, Eirini Dimitriadis, Zacharias Papandreou, Maria Paraskevopoulos, Eleftherios Spanos, Savvas Karakasidou, Palina Koumantakis, George A. Diagnostics (Basel) Systematic Review Patients with nonspecific chronic neck pain (NSCNP) exhibit respiratory dysfunction. This systematic review aimed to analyze randomized controlled trials (RCTs) investigating the effect of spinal and/or diaphragmatic and/or specific stabilization exercise manual therapy and/or respiratory exercises on musculoskeletal and respiratory diagnostic outcomes in patients with NSCNP. A systematic search and selection of RCTs was performed in three scientific databases (Pubmed, Scopus, and Physiotherapy Evidence Database (PEDro)) and one search engine (Google Scholar) from inception to April 2022. Relevant studies published in the English language were extracted, evaluated, and independently rated for methodological quality (PEDro scale). The quality of the evidence was assessed with the GRADE approach. Out of 1089 studies collected in total, 1073 were excluded (i.e., did not meet the inclusion criteria or were duplicates). Sixteen RCTs were finally included, rated on 5.62/10 (PEDro score) on average for methodological quality. Overall, there was sparse evidence that spinal and/or diaphragmatic manual therapy and/or trunk stabilization exercises and/or respiratory exercises significantly improved pain, disability, and respiratory outcomes in patients with NSCNP immediately post-treatment. However, the clinical heterogeneity between studies was significant, and the level of certainty of the evidence was low to very low. More, high-quality RCTs are required, contributing to the holistic diagnostic monitoring and management of patients with NSCNP. MDPI 2022-06-30 /pmc/articles/PMC9316964/ /pubmed/35885502 http://dx.doi.org/10.3390/diagnostics12071598 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Tatsios, Petros I. Grammatopoulou, Eirini Dimitriadis, Zacharias Papandreou, Maria Paraskevopoulos, Eleftherios Spanos, Savvas Karakasidou, Palina Koumantakis, George A. The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis |
title | The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis |
title_full | The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis |
title_fullStr | The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis |
title_full_unstemmed | The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis |
title_short | The Effectiveness of Spinal, Diaphragmatic, and Specific Stabilization Exercise Manual Therapy and Respiratory-Related Interventions in Patients with Chronic Nonspecific Neck Pain: Systematic Review and Meta-Analysis |
title_sort | effectiveness of spinal, diaphragmatic, and specific stabilization exercise manual therapy and respiratory-related interventions in patients with chronic nonspecific neck pain: systematic review and meta-analysis |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316964/ https://www.ncbi.nlm.nih.gov/pubmed/35885502 http://dx.doi.org/10.3390/diagnostics12071598 |
work_keys_str_mv | AT tatsiospetrosi theeffectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT grammatopouloueirini theeffectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT dimitriadiszacharias theeffectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT papandreoumaria theeffectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT paraskevopouloseleftherios theeffectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT spanossavvas theeffectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT karakasidoupalina theeffectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT koumantakisgeorgea theeffectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT tatsiospetrosi effectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT grammatopouloueirini effectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT dimitriadiszacharias effectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT papandreoumaria effectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT paraskevopouloseleftherios effectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT spanossavvas effectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT karakasidoupalina effectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis AT koumantakisgeorgea effectivenessofspinaldiaphragmaticandspecificstabilizationexercisemanualtherapyandrespiratoryrelatedinterventionsinpatientswithchronicnonspecificneckpainsystematicreviewandmetaanalysis |