RT Journal Article
T1 Effectiveness of Articular and Neural Mobilization for Managing Cervical Radicular Pain: A Systematic Review With Network Meta-Analysis
A1 García Juez, Susana
A1 Navarro Santana, Marcos José
A1 Valera Calero, Juan Antonio
A1 Albert Lucena, Daniel
A1 Varas de la Fuente, Ana Beatriz
A1 Plaza Manzano, Gustavo
AB OBJECTIVE: To evaluate the impact of articular and neural mobilization on pain intensity and disability in patients with cervical radicular pain.DESIGN: Intervention systematic review with network meta-analysis.LITERATURE RESEARCH: The MEDLINE, SciELO, PubMed, PEDro, Scopus, Web of Science, and Cochrane databases were searched up to February 2024.STUDY SELECTION CRITERIA: Randomized controlled trials studying the effects of articular or neural mobilization in adults with cervical radicular pain were included.DATA SYNTHESIS: A frequentist network meta-analysis was used to assess pain intensity and disability. The risk of bias and the certainty of the evidence were evaluated using Version 2 of the Cochrane Risk of Bias (RoB 2) tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach, respectively.RESULTS: Out of 777 reports, 50 were analyzed quantitatively. The combination of articular and neural mobilization with usual care was most effective in reducing short-term pain intensity compared to wait and see, sham, or placebo interventions (mean difference [MD], −3.23; 95% confidence interval [CI]: −4.33, −2.12) and to standard care alone (MD, −1.52; 95% CI: −2.31, −0.73). There were significant improvements in pain-related disability with neural mobilization plus usual care, surpassing wait and see, sham, placebo interventions (standardized mean difference [SMD], −1.57; 95% CI: −2.53, −0.61), and usual care alone (SMD, −1.31; 95% CI: −1.88, −0.73). Risk of bias and heterogeneity of included trials downgraded the certainty of evidence.CONCLUSION: Combining mobilization techniques with standard care may be considered in clinical practice, although with care due to the moderate to very low certainty of the evidence.
PB Orthopaedic Section and Sports Physical Therapy Section of the American Physical Therapy Association
SN 0190-6011
YR 2025
FD 2025-07
LK https://hdl.handle.net/20.500.14352/122645
UL https://hdl.handle.net/20.500.14352/122645
LA eng
NO García-Juez, S., Navarro-Santana, M. J., Valera-Calero, J. A., Albert-Lucena, D., Varas-de-la-Fuente, A. B., & Plaza-Manzano, G. (2025). Effectiveness of Articular and Neural Mobilization for Managing Cervical Radicular Pain: A Systematic Review With Network Meta-Analysis. Journal of Orthopaedic & Sports Physical Therapy, 55(7), 468-481.
DS Docta Complutense
RD 25 dic 2025