2026-06-28T20:16:05Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1226452025-07-21T23:49:33Zcom_20.500.14352_14col_20.500.14352_15

00925njm 22002777a 4500 dc García Juez, Susana author Navarro Santana, Marcos José author Valera Calero, Juan Antonio author Albert Lucena, Daniel author Varas de la Fuente, Ana Beatriz author Plaza Manzano, Gustavo author 2025-07 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. 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. 0190-6011 10.2519/jospt.2025.12757 https://hdl.handle.net/20.500.14352/122645 1938-1344 https://www.jospt.org/doi/10.2519/jospt.2025.12757 Effectiveness of Articular and Neural Mobilization for Managing Cervical Radicular Pain: A Systematic Review With Network Meta-Analysis