Efficacy and safety of massage for cervical spondylotic radiculopathy: an overview of systematic reviews_Chinese Journal of Evidence-Based Medicine

Authors：

WANG Xiaoyu ¹ , WANG Hucheng ² , LIU Leilei ³ , LI Huanan ^1,4 , SUN Qing ^1,4,5 , ZHANG Wei ^1,4 ,  WANG Jingui ^1,4

1. First Affiliated Hospital of Tianjin University of TCM, Tianjin, 300193, P.R.China;
2. Evidence-based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, P.R.China;
3. Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, P.R.China;
4. Laboratory for Biological Effects of Massage, State Administration of Traditional Chinese Medicine, Tianjin, 300193, P.R.China;
5. The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, P.R.China;

Corresponding author：

WANG Jingui, Email: wjg65tj@163.com

Keywords：

Massage; Cervical spondylotic radiculopathy; Efficacy; Safety; Overview of systematic review; AMSTAR2 tool; GRADE

DOI：

10.7507/1672-2531.201902089

Video：

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Objective To provide an overview of systematic reviews on the efficacy and safety of massage for the treatment of cervical spondylotic radiculopathy.Methods CNKI, WanFang Data, VIP, CBM, PubMed, The Cochrane Library and EMbase databases were electronically searched to collect the systematic reviews on the efficacy and safety of massage for the treatment of cervical spondylotic radiculopathy from inception to December 30^th, 2018. Two reviewers independently screened the literature and extracted the data, applied the AMSTAR2 scale to evaluate its methodological quality, and GRADE to evaluate the quality of the evidence.Results A total of 7 systematic reviews/meta-analysis were included. The AMSTAR2 scale evaluation showed that the quality of the included studies was extremely low. The GRADE evidence grading results showed that the quality of the VAS score outcome index of the two literatures was intermediate, and the quality of the OASCSR outcome index of one literature was intermediate. The quality of the remaining outcome indicators reported is low or very low.Conclusion The available evidence shows that the efficacy and safety of manual treatment of cervical spondylotic radiculopathy is acceptable, but the overall methodological quality of the systematic review is extremely low, and the quality level of evidence is generally low. The future clinical trials and systematic reviews should be strictly followed. The scientific research design of the medical science provides high-quality evidence and provides reference for clinical practice.

Citation： WANG Xiaoyu, WANG Hucheng, LIU Leilei, LI Huanan, SUN Qing, ZHANG Wei, WANG Jingui. Efficacy and safety of massage for cervical spondylotic radiculopathy: an overview of systematic reviews. Chinese Journal of Evidence-Based Medicine, 2019, 19(8): 976-982. doi: 10.7507/1672-2531.201902089 Copy

1.	刘生发, 张锋, 王雅楠. 综合治疗神经根型颈椎病效果研究. 中华中医药学刊, 2017, 35(7): 1867-1869.
2.	魏戌, 高云, 谢琪, 等. 真实世界研究神经根型颈椎病非药物疗法的临床应用. 世界科学技术-中医药现代化, 2017, 19(12): 1960-1965.
3.	刘会玲, 郝晓宇. 神经根型颈椎病患者生活质量调查. 西部中医药, 2017, 30(5): 51-53.
4.	陈萍. 温针治疗神经根型颈椎病的疗效观察. 临床医药文献电子杂志, 2016, 3(18): 3562-3562, 3563.
5.	白玉, 潘富伟. 基于平乐正骨筋骨互用平衡理论治疗腰椎间盘突出症思路探析. 中国中医骨伤科杂志, 2018, 26(6): 80-81, 84.
6.	中华中医药学会. 神经根型颈椎病ZYYXH/T409-2012. 风湿病与关节炎, 2013, 2(2): 78-80.
7.	徐新宇, 彭阿梅, 张文燕, 等. 药枕联合中医外治法治疗神经根型颈椎病研究进展. 湖北中医杂志, 2019, 41(1): 54-57.
8.	张俊华, 李幼平, 张伯礼. 循证中医药学: 理论与实践. 中国中药杂志, 2018, 43(1): 1-7.
9.	Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
10.	陈昊, 王艳, 陈耀龙, 等. 从GRADE系统方法学看中医药临床证据体系的构建. 中华中医药杂志, 2017, 32(1): 25-28.
11.	陶欢, 杨乐天, 平安, 等. 随机或非随机防治性研究系统评价的质量评价工具AMSTAR 2解读. 中国循证医学杂志, 2018, 18(1): 101-108.
12.	张方圆, 沈傲梅, 曾宪涛, 等. 系统评价方法学质量评价工具AMSTAR 2解读. 中国循证心血管医学杂志, 2018, 10(1): 14-18.
13.	Atkins D, Best D, Briss PA, et al. Grading quality of evidence and strength of recommendations. BMJ, 2004, 328(7454): 1490.
14.	周凡媛, 刘福水, 吴翔, 等. 针刺联合推拿治疗神经根型颈椎病的Meta分析. 中医药通报, 2016, 15(2): 37-39.
15.	Zhu L, Wei X, Wang S. Does cervical spine manipulation reduce pain in people with degenerative cervical radiculopathy? A systematic review of the evidence, and a meta-analysis. Clin Rehabil, 2016, 30(2): 145-155.
16.	王艳国, 郭秀琴, 张琪, 等. 手法治疗神经根型颈椎病的系统评价. 中华中医药杂志, 2013, (2): 499-503.
17.	杨佳, 张瑞春, 王新军. 推拿与牵引治疗神经根型颈椎病的Meta分析. 环球中医药, 2013, (9): 641-648.
18.	郭凯, 李林, 詹红生, 等. 手法治疗神经根型颈椎病临床随机对照试验的系统评价. 环球中医药, 2012, (1): 3-7.
19.	Lin JH, Chiu TT, Hu J. Chinese manipulation for mechanical neck pain: a systematic review. Clin Rehabil, 2012, 26(11): 963-973.
20.	王宾. 手法治疗神经根型颈椎病随机对照试验的系统评价及施治规律探讨. 北京: 北京中医药大学, 2011.
21.	Oremus M, Oremus C, Hall GB, et al. Inter-rater and test-retest reliability of quality assessments by novice student raters using the Jadad and Newcastle-Ottawa Scales. BMJ Open, 2012, 2(4): e001368.
22.	Green S. Cochrane handbook for systematic reviews of interventions: cochrane book series. Naunyn Schmiedebergs Arch Exp Pathol Pharmakol, 2011, 5(2): S38.
23.	Maher CG, Sherrington C, Herbert RD, et al. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther, 2003, 83(8): 713-721.
24.	王丹, 翟俊霞, 牟振云, 等. Meta分析中的异质性及其处理方法. 中国循证医学杂志, 2009, 9(10): 1115-1118.
25.	Boutron I, Altman DG, Moher D, et al. CONSORT statement for randomized trials of nonpharmacologic treatments: a 2017 update and a CONSORT extension for nonpharmacologic trial abstracts. Ann Intern Med, 2017, 167(1): 40-47.
26.	温万鑫, 卢静敏, 陆丽明, 等. 国内应用CONSORT及STRICTA评价RCT的现状分析. 中医杂志, 2015, 56(18): 1559-1563.
27.	陈耀龙, 李幼平, 杜亮, 等. 医学研究中证据分级和推荐强度的演进. 中国循证医学杂志, 2008, 8(2): 127-133.
28.	李雨谿, 李涓, 张亚, 等. 针刺治疗偏头痛系统评价的再评价. 中医杂志, 2018, 59(9): 750-755.

1. 刘生发, 张锋, 王雅楠. 综合治疗神经根型颈椎病效果研究. 中华中医药学刊, 2017, 35(7): 1867-1869.
2. 魏戌, 高云, 谢琪, 等. 真实世界研究神经根型颈椎病非药物疗法的临床应用. 世界科学技术-中医药现代化, 2017, 19(12): 1960-1965.
3. 刘会玲, 郝晓宇. 神经根型颈椎病患者生活质量调查. 西部中医药, 2017, 30(5): 51-53.
4. 陈萍. 温针治疗神经根型颈椎病的疗效观察. 临床医药文献电子杂志, 2016, 3(18): 3562-3562, 3563.
5. 白玉, 潘富伟. 基于平乐正骨筋骨互用平衡理论治疗腰椎间盘突出症思路探析. 中国中医骨伤科杂志, 2018, 26(6): 80-81, 84.
6. 中华中医药学会. 神经根型颈椎病ZYYXH/T409-2012. 风湿病与关节炎, 2013, 2(2): 78-80.
7. 徐新宇, 彭阿梅, 张文燕, 等. 药枕联合中医外治法治疗神经根型颈椎病研究进展. 湖北中医杂志, 2019, 41(1): 54-57.
8. 张俊华, 李幼平, 张伯礼. 循证中医药学: 理论与实践. 中国中药杂志, 2018, 43(1): 1-7.
9. Shea BJ, Reeves BC, Wells G, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ, 2017, 358: j4008.
10. 陈昊, 王艳, 陈耀龙, 等. 从GRADE系统方法学看中医药临床证据体系的构建. 中华中医药杂志, 2017, 32(1): 25-28.
11. 陶欢, 杨乐天, 平安, 等. 随机或非随机防治性研究系统评价的质量评价工具AMSTAR 2解读. 中国循证医学杂志, 2018, 18(1): 101-108.
12. 张方圆, 沈傲梅, 曾宪涛, 等. 系统评价方法学质量评价工具AMSTAR 2解读. 中国循证心血管医学杂志, 2018, 10(1): 14-18.
13. Atkins D, Best D, Briss PA, et al. Grading quality of evidence and strength of recommendations. BMJ, 2004, 328(7454): 1490.
14. 周凡媛, 刘福水, 吴翔, 等. 针刺联合推拿治疗神经根型颈椎病的Meta分析. 中医药通报, 2016, 15(2): 37-39.
15. Zhu L, Wei X, Wang S. Does cervical spine manipulation reduce pain in people with degenerative cervical radiculopathy? A systematic review of the evidence, and a meta-analysis. Clin Rehabil, 2016, 30(2): 145-155.
16. 王艳国, 郭秀琴, 张琪, 等. 手法治疗神经根型颈椎病的系统评价. 中华中医药杂志, 2013, (2): 499-503.
17. 杨佳, 张瑞春, 王新军. 推拿与牵引治疗神经根型颈椎病的Meta分析. 环球中医药, 2013, (9): 641-648.
18. 郭凯, 李林, 詹红生, 等. 手法治疗神经根型颈椎病临床随机对照试验的系统评价. 环球中医药, 2012, (1): 3-7.
19. Lin JH, Chiu TT, Hu J. Chinese manipulation for mechanical neck pain: a systematic review. Clin Rehabil, 2012, 26(11): 963-973.
20. 王宾. 手法治疗神经根型颈椎病随机对照试验的系统评价及施治规律探讨. 北京: 北京中医药大学, 2011.
21. Oremus M, Oremus C, Hall GB, et al. Inter-rater and test-retest reliability of quality assessments by novice student raters using the Jadad and Newcastle-Ottawa Scales. BMJ Open, 2012, 2(4): e001368.
22. Green S. Cochrane handbook for systematic reviews of interventions: cochrane book series. Naunyn Schmiedebergs Arch Exp Pathol Pharmakol, 2011, 5(2): S38.
23. Maher CG, Sherrington C, Herbert RD, et al. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther, 2003, 83(8): 713-721.
24. 王丹, 翟俊霞, 牟振云, 等. Meta分析中的异质性及其处理方法. 中国循证医学杂志, 2009, 9(10): 1115-1118.
25. Boutron I, Altman DG, Moher D, et al. CONSORT statement for randomized trials of nonpharmacologic treatments: a 2017 update and a CONSORT extension for nonpharmacologic trial abstracts. Ann Intern Med, 2017, 167(1): 40-47.
26. 温万鑫, 卢静敏, 陆丽明, 等. 国内应用CONSORT及STRICTA评价RCT的现状分析. 中医杂志, 2015, 56(18): 1559-1563.
27. 陈耀龙, 李幼平, 杜亮, 等. 医学研究中证据分级和推荐强度的演进. 中国循证医学杂志, 2008, 8(2): 127-133.
28. 李雨谿, 李涓, 张亚, 等. 针刺治疗偏头痛系统评价的再评价. 中医杂志, 2018, 59(9): 750-755.

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Efficacy and safety of massage for cervical spondylotic radiculopathy: an overview of systematic reviews

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