为人民身体健康提供医疗与护理保健服务。 医疗与护理 医学教学 医学研究 卫生医疗人员培训 卫生技术人员继续教育 保健与健康教育
Objective:To evaluate the efficacy and safety of manipulative therapy in the treatment of cervical spondylotic radiculopathy.Methods:All randomized and quasi-randomized controlled trials of treating cervical spondylotic radiculopathy with manipulation were searched from Cochrane Library,PubMed,EMbase,CBM,CNKI and VIP.Data were extracted and evaluated by two reviewers independently with a specially designed extraction form.Cochrane systematic reviews Handbook 5.0.1 was taken as a reference to quality evaluation of the included studies,and the Cochrane Collaboration's RevMan 5.1 software was used for data analyses.Results:A total of 28 trials were included.The result of meta-analyses showed that single-application of manipulation was superior to traction group and medicine group in effective rate,while no significant differences were noted between the manipulaition group and other control groups.In the trials of comparison between union-application of manipulation and other treatment,only manipulation plus acupuncture versus acupuncture group was not significantly different.Conclusion:Both single-application and union-application of manipulation are effective for cervical spondylotic radiculopathy and is superior to other treatment.However,the conclusion is uncertain because the quality of enrolled papers is partly low.Therefore,further high-quailty randomized controlled trials are required to prove the role of manipulation in thetreatment of cervical spondylotic radiculopathy.
