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Table 2

Excluded Studies

StudyStudy DesignParticipantsInterventionReason for Exclusion
Saal & Saal7Prospective case seriesn = 26Ice, rest, hard color for 2 wks, NSAIDS for 6–12 wks alongside 3 months of mechanical traction, home traction, exercise and postural educationNo HVLA procedures were utilized in the cervical spine
Shin et al12Randomized clinical trialn = 26Group 1: unspecified cervical traction
Group 2: Chuna manipulative therapy (stated to be ‘analogous to chiropractic manipulation’)
Manuscript was not peer-reviewed
Moretti et al14Randomized clinical trialn = 80Group 1: Manipulative therapy and traditional physiotherapy
Group 2: traditional physiotherapy
Patient population suffered cervicobrachialgia of mechanical origin
Walker et al15Randomized clinical trialn = 98Group 1: cervical joint thrust and non-thrust mobilization, muscle energy or stretching techniques and a standard home exercise program
Group 2: postural advice, cervical ROM exercises, subtherapeutic ultrasound and encouragement to maintain daily activities.
No subgroup specifically identified with CR was listed.
Honet & Puri16Prospective case seriesn = 82Group 1: Cervical collar for 4 days, then over-the-door continuous traction at home with standard medication
Group 2: received outpatient care, intermittent cervical traction
Group 3: hospitalization, horizontal cervical bed traction, standard medication and surgical consultation after 10–21 days
No HVLA procedures were utilized in the cervical spine
Rosomoff et al17Case series of undefined perspectiven = 30Aggressive physical medicine, behavioral medicine, vocational and recreational rehabilitationNo HVLA procedures were utilized in the cervical spine
Perrson et al18Randomized clinical trialn = 81Group 1: surgical
Group 2: 3 months with a hard collar
Group 3: 3 months of physiotherapy
No HVLA procedures were utilized in the cervical spine
Sampath et al19Prospective, multi-centre case seriesn = 246No clear plan was outlined. Interventions included narcotics, NSAID’s, steroids, injections, bed rest, home exercise, cervical traction, bracing and surgeryNo HVLA procedures were utilized in the cervical spine
Heckman et al20Retrospective clinical trialn = 119Group 1: conservative therapy
Group 2: surgery
No HVLA procedures were utilized in the cervical spine
Moetti & Marchetti21Prospective case seriesn = 15Postural education, aerobic exercise, deep neck flexor strengthening and moist heatNo HVLA procedures were utilized in the cervical spine
Allison et al22Randomized controlled trialn = 30Group 1: segmental lateral glide techniques, shoulder-girdle oscillation, muscle re-education and home mobilization
Group 2: Glenohumeral mobilization, thoracic joint mobilization and home exercises
Group 3: Control for 8 weeks, then allocated to Group 1 for cross-over protocol
No HVLA procedures were utilized in the cervical spine
Schliesser et al23Retrospective case seriesn = 39Ultrasound, heat, ice and cervical spine flexion-distractionNo HVLA procedures were utilized in the cervical spine
Dougherty et al24Retrospective case seriesn = 80HVLA procedures, flexion-distraction, stretching and stabilization exercises, NSAID’s and pre-treatment lidocaine injectionsAs epidural lidocaine was used prior to manipulative procedures, this practice is not representative of a general chiropractors regimen
Joghataei et al25Randomized clinical trialn = 30Group 1: ultrasound and exercise
Group 2: ultrasound, exercise and manual traction
No HVLA procedures were utilized in the cervical spine
Dishman26Retrospective case seriesn = 80 (20 with CR)HVLA-SMT following the receipt of an imaging guided epidural injectionThis practice is not representative of a general chiropractors regimen
Cleland et al27Prospective case seriesn = 11Segmental lateral glide techniques, mechanical traction, deep neck flexor strengthening and thoracic manipulationNo HVLA procedures were utilized in the cervical spine
Cleland et al28Prospective (pragmatic) clinical case seriesn = 96Techniques frequently employed included non-thrust manipulation to the cervical and thoracic spine, manual and mechanical traction, electrotherapeutic modalities and stretching/strengthening exercisesNo HVLA procedures were utilized in the cervical spine
Christiansen et al29Retrospective case seriesn = 162Within cases of cervical radiculopathy, low-velocity, low-amplitude procedures were utilizedNo HVLA procedures were utilized in the cervical spine
Young et al30Randomized clinical trialn = 81Manual and exercise therapy was combined with either intermittent cervical traction or sham tractionNo HVLA procedures were utilized in the cervical spine
Kuijper et al31Randomized controlled trialn = 205Group 1: Semi-rigid cervical collar and at-home rest
Group 2: physiotherapy and home exercise
Group 3: continuation of daily activities (control)
No HVLA procedures were utilized in the cervical spine
Ragonese32Randomized clinical trialn = 30Group 1: Manual therapy (segmental lateral gliding, thoracic mobilizations and neural dynamic techniques)
Group 2: Strengthening of the deep neck flexors, lower and middle trapezius and serratus anterior muscles
Group 3: Both manual and exercise therapy
No HVLA procedures were utilized in the cervical spine