The Effectiveness of Manual Therapy
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Added on 2020-05-11
The Effectiveness of Manual Therapy
Added on 2020-05-11
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Running head: A SYSTEMATIC REVIEW 1A Systematic Literature ReviewStudent’s NameUniversity of Affiliation
A SYSTEMATIC REVIEW 2Usefulness of Manual Therapy for Individuals with Cervicogenic Dizziness (CD); A SystematicLiterature Review and Metal AnalysisAbstractFor the past two decades, there had been a heated debate regarding the existence of cervicogenic dizziness (CD) and as of late, report and studies have provided proof in favour of its existence (Bodes-Pardo et al., 2013). Dizziness is a common problem among people that usually leads to physical complications like falls, unsteadiness and social/emotional/financial problems. Although there are myriad causes of dizziness, the most common cause is dysfunction or complications in the upper cervical spine. Björklund et al., (2012) asserts that this condition is where cervicogenic dizziness comes in, a condition characterised by unsteadiness or imbalance related to positions or movements of the neck. The symptoms of the condition can range from neck stiffness or pain to general weakness plus psychological issues like poor memory, lack of concentration or anxiety. Although there is no known treatment for treatment of CD, studies show that manual therapy (MT) can help alleviates the problem (Bronfort et al., 2010). It has been observed that about a third of people with the condition have their onsets as a result of whiplash, spinal degeneration and other causes. Statistically, whiplash is experienced by a population of 0.2% where the incidences of dizziness in the victims have escalated from 19 to 59%, 42 to79% and as high as 82 to 93%. In a study conducted in Maryland University in 2006, individuals with whiplash associated dizziness(n=106) were reported to have a higher joint position errors plus neck pain index compared to the control treatments n=42. However, in 1992, Mulligan Brian developed manual therapy for the treatment of CD referred to SNAG, Sustained Apophyseal Glides (D’Sylva et al., 2010).
A SYSTEMATIC REVIEW 3Since the treatment is widely used by physiotherapists, little research has been done to access theeffectiveness of CD.The rationale of this systemic review with metal analysis is to provide a review and discuss the usefulness of MT in preventing signs of CD plus the associated pain. It will compare the effects of two manual therapies as well as to the placebo intervention. Other objectives will be to identify the impact of intervention on head balance and repositioning, identify the cost usefulness of the intervention, report the common side effects, and treatment gratification.Design/MethodsParticipants were randomly allocated to the sustained Glides and placebo groups. Every participant received up to five treatments by a professional physiotherapist over 42 days over the discretion of treating therapists used clinical judgement to identify the dosage as per the client’s response. The treatments stopped when the participants that the condition was adequately improved or when where was o further improvement over two continuous visits. Participants/recruitment90 participants with CD were recruited in Canada through press release as well as radio interviews/ newspaper blogs, via advertisement in daily newspaper, plus referral from healthcare professionals like neurologists. Hence forth, exclusion and inclusion criteria were summarised asshown in the table below.
A SYSTEMATIC REVIEW 4Screening of participant by a healthcareprofessional, physiotherapistParticipant assessment(physiotherapist) Assessment by a neurologistAssessment BaselineCRA, concealed random allocationSNAG & self SNAG house workoutsDeactivated lasers of the placeboBlind examination, post treatment, 42, days, 3months, 0.5 years and I yearExtractionExtractionExtraction
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