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Cervical manipulation, commonly known as neck manipulation, is a procedure involving adjustment of the upper seven vertebrae of the spinal column. This procedure is most often utilized by chiropractors , as well as osteopathic physicians who practice osteopathic manipulation . [ 1 ]
A 2008 randomised controlled trial by Reid et al. suggested a statistically significant correlation between SNAGS treatment and reduced dizziness, cervical pain and disability caused by cervical dysfunction, [4] whilst another randomised controlled trial in 2007 by Hall et al. suggested that a self-sustained C1-C2 SNAG technique was effective ...
For neck pain, manipulation and mobilization produce similar changes, and manual therapy and exercise are more effective than other strategies. [12] A 2015 Cochrane systematic review found that there is no high-quality evidence assessing the effectiveness of spinal manipulation for treating neck pain. [13]
Spinal mobilization is a type of passive movement of a spinal segment or region. It is usually performed with the aim of achieving a therapeutic effect. Spinal mobilization has been described as "a gentle, often oscillatory, passive movement applied to a spinal region or segment so as gently to increase the passive range of motion of that segment or region."
Spinal manipulation, which chiropractors call "spinal adjustment" or "chiropractic adjustment", is the most common treatment used in chiropractic care. [83] Spinal manipulation is a passive manual maneuver during which a three-joint complex is taken past the normal range of movement, but not so far as to dislocate or damage the joint. [84]
Their job was to evaluate the appropriateness of manipulation or mobilization of the cervical spine in those cases (including a few cases not performed by chiropractors). "According to the report ... 57.6% of reported indications for cervical manipulation was considered inappropriate, with 31.3% uncertain. Only 11.1% could be labeled appropriate.
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