What components and formats of rehabilitation interventions are more effective to reduce pain in patients with cervical radiculopathy? A Systematic review and component network meta-analysis
Rattachement africain : es, fr, gr, cl. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
ObjectivesTo estimate the comparative efficacy of rehabilitation interventions for pain reduction in cervical radiculopathy and evaluate the individual components of combined treatments to support clinical decision-making.Data sourcesA systematic search was conducted across the Cochrane, PubMed, Scopus, WOS, and PEDro databases up to 1 July 2025, for randomized controlled trials comparing rehabilitation interventions against no intervention or other rehabilitation approaches for cervical radiculopathy-related pain.Review methodsWe conducted a frequentist random effects network meta-analysis and a component network meta-analysis to isolate the effects of individual treatment components. We used CINeMA software to assess the confidence in our estimates.ResultsWe included 36 trials comparing 25 interventions composed by eight active components. The components associated with a decrease in pain were neurodynamic techniques (SMD = -1.45; 95%CI: -1.88 to -1.02), cervical traction(SMD = -0.66; 95%CI: -1.08 to -0.25), articular treatment (SMD = -0.72; 95%CI:-1.29 to -0.15), and dry needling(SMD = -3.40; 95%CI: -5.40 to -1.39). The most promising interventions for reducing pain in cervical radiculopathy patients were a combination of the above components (except dry needling) with analgesic electrotherapy and strengthening exercises with a moderate confidence rating.ConclusionsA combination of articular treatment, analgesic electrotherapy neurodynamic techniques strengthening exercises and cervical traction appears to offer the most effective pain relief for patients with cervical radiculopathy, with a moderate confidence rating. Individually, neurodynamic techniques, cervical traction, and articular treatment were the components associated with a significant reduction in pain. Although dry needling showed encouraging results, its limited presence in the network prevents drawing firm conclusions about its effectiveness.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- What components and formats of rehabilitation interventions are more effective to reduce pain in patients with cervical radiculopathy? A Systematic review and component network meta-analysis
- Date Crossref
- 08/08/2025
- Éditeur
- SAGE Publications
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Castilla-La Mancha pays non établi dans la noticeUniversité ou école supérieure
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Délégation Paris 5 pays non établi dans la noticeOrganisme public
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University of Ioannina Department of Primary Education pays non établi dans la noticeUniversité ou école supérieure
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Université Paris Cité pays non établi dans la noticeUniversité ou école supérieure
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Universidad Autónoma de Chile pays non établi dans la noticeUniversité ou école supérieure
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Health and Social Research Center pays non établi dans la noticeStructure de recherche
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Faculté de Médecine pays non établi dans la noticeUniversité ou école supérieure
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Facultad de Ciencias de la Salud pays non établi dans la noticeInstitution
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Facultad de Fisioterapia y Enfermería pays non établi dans la noticeInstitution
University of Castilla-La Mancha, Délégation Paris 5 et Department of Primary Education — University of Ioannina, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.