Hullumani Sharath, Raghumahanti Raghuveer, Qureshi Irshad, Ladkhedkar Pooja
Department of Paediatric Physiotherapy, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India
Department of Neuro Physiotherapy, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India.
BMJ Open. 2025 Apr 28;15(4):e100971. doi: 10.1136/bmjopen-2025-100971.
Postural neck pain is a prevalent musculoskeletal condition associated with discomfort, disability and impaired quality of life. Osteopathic manipulation has emerged as a potential intervention for managing postural neck pain, but a comprehensive synthesis of the existing evidence is lacking. This systematic review protocol introduces the rationale and objective to evaluate the effectiveness of osteopathic manipulation in alleviating postural neck pain and improving associated outcomes, including pain intensity, disability, range of motion and reposition sense.
We outline a rigorous methodology for this systematic review. A comprehensive search strategy will be implemented across various databases to identify relevant studies. This systematic review will encompass randomised controlled trials through electronic and manual searches. Electronic searches will be carried out in databases such as PubMed, Medline, Scopus and Web of Science. The search will span articles published from 2004 to December 2024; predefined eligibility criteria involve participants without a history of postural neck pain within the past 6 months. Exposure includes participants diagnosed with postural neck pain, while the comparison group comprises participants without neck pain.
Outcome measures focus on pain intensity, range of motion, disability and reposition sense. Two independent reviewers will conduct study selection, data extraction and risk of bias assessment. The primary outcomes encompassing pain intensity, disability, range of motion and reposition sense will be systematically analysed.
As no primary data will be collected, ethical approval is not required. The findings will be presented at relevant conferences and published in a peer-reviewed journal.
CRD42023471857.
姿势性颈部疼痛是一种常见的肌肉骨骼疾病，会导致不适、功能障碍和生活质量下降。整骨手法已成为治疗姿势性颈部疼痛的一种潜在干预措施，但目前缺乏对现有证据的全面综合分析。本系统评价方案介绍了评估整骨手法在缓解姿势性颈部疼痛及改善相关结局（包括疼痛强度、功能障碍、活动范围和复位觉）方面有效性的基本原理和目标。
我们为本系统评价概述了严格的方法。将在多个数据库中实施全面的检索策略，以识别相关研究。本系统评价将通过电子检索和手工检索纳入随机对照试验。电子检索将在PubMed、Medline、Scopus和Web of Science等数据库中进行。检索范围涵盖2004年至2024年12月发表的文章；预定义的纳入标准包括在过去6个月内无姿势性颈部疼痛病史的参与者。暴露组包括被诊断为姿势性颈部疼痛的参与者，而对照组包括无颈部疼痛的参与者。
结局指标聚焦于疼痛强度、活动范围、功能障碍和复位觉。两名独立的评审员将进行研究筛选、数据提取和偏倚风险评估。将对包括疼痛强度、功能障碍、活动范围和复位觉在内的主要结局进行系统分析。
由于不收集原始数据，因此无需伦理批准。研究结果将在相关会议上展示，并发表在同行评审期刊上。
PROSPERO注册号：CRD42023471857。
