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.	劉生發, 張鋒, 王雅楠. 綜合治療神經根型頸椎病效果研究. 中華中醫藥學刊, 2017, 35(7): 1867-1869.
2.	魏戌, 高云, 謝琪, 等. 真實世界研究神經根型頸椎病非藥物療法的臨床應用. 世界科學技術-中醫藥現代化, 2017, 19(12): 1960-1965.
3.	劉會玲, 郝曉宇. 神經根型頸椎病患者生活質量調查. 西部中醫藥, 2017, 30(5): 51-53.
4.	陳萍. 溫針治療神經根型頸椎病的療效觀察. 臨床醫藥文獻電子雜志, 2016, 3(18): 3562-3562, 3563.
5.	白玉, 潘富偉. 基于平樂正骨筋骨互用平衡理論治療腰椎間盤突出癥思路探析. 中國中醫骨傷科雜志, 2018, 26(6): 80-81, 84.
6.	中華中醫藥學會. 神經根型頸椎病ZYYXH/T409-2012. 風濕病與關節炎, 2013, 2(2): 78-80.
7.	徐新宇, 彭阿梅, 張文燕, 等. 藥枕聯合中醫外治法治療神經根型頸椎病研究進展. 湖北中醫雜志, 2019, 41(1): 54-57.
8.	張俊華, 李幼平, 張伯禮. 循證中醫藥學: 理論與實踐. 中國中藥雜志, 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.	陳昊, 王艷, 陳耀龍, 等. 從GRADE系統方法學看中醫藥臨床證據體系的構建. 中華中醫藥雜志, 2017, 32(1): 25-28.
11.	陶歡, 楊樂天, 平安, 等. 隨機或非隨機防治性研究系統評價的質量評價工具AMSTAR 2解讀. 中國循證醫學雜志, 2018, 18(1): 101-108.
12.	張方圓, 沈傲梅, 曾憲濤, 等. 系統評價方法學質量評價工具AMSTAR 2解讀. 中國循證心血管醫學雜志, 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, 劉福水, 吳翔, 等. 針刺聯合推拿治療神經根型頸椎病的Meta分析. 中醫藥通報, 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.	王艷國, 郭秀琴, 張琪, 等. 手法治療神經根型頸椎病的系統評價. 中華中醫藥雜志, 2013, (2): 499-503.
17.	楊佳, 張瑞春, 王新軍. 推拿與牽引治療神經根型頸椎病的Meta分析. 環球中醫藥, 2013, (9): 641-648.
18.	郭凱, 李林, 詹紅生, 等. 手法治療神經根型頸椎病臨床隨機對照試驗的系統評價. 環球中醫藥, 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.	王賓. 手法治療神經根型頸椎病隨機對照試驗的系統評價及施治規律探討. 北京: 北京中醫藥大學, 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分析中的異質性及其處理方法. 中國循證醫學雜志, 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.	溫萬鑫, 盧靜敏, 陸麗明, 等. 國內應用CONSORT及STRICTA評價RCT的現狀分析. 中醫雜志, 2015, 56(18): 1559-1563.
27.	陳耀龍, 李幼平, 杜亮, 等. 醫學研究中證據分級和推薦強度的演進. 中國循證醫學雜志, 2008, 8(2): 127-133.
28.	李雨谿, 李涓, 張亞, 等. 針刺治療偏頭痛系統評價的再評價. 中醫雜志, 2018, 59(9): 750-755.

1. 劉生發, 張鋒, 王雅楠. 綜合治療神經根型頸椎病效果研究. 中華中醫藥學刊, 2017, 35(7): 1867-1869.
2. 魏戌, 高云, 謝琪, 等. 真實世界研究神經根型頸椎病非藥物療法的臨床應用. 世界科學技術-中醫藥現代化, 2017, 19(12): 1960-1965.
3. 劉會玲, 郝曉宇. 神經根型頸椎病患者生活質量調查. 西部中醫藥, 2017, 30(5): 51-53.
4. 陳萍. 溫針治療神經根型頸椎病的療效觀察. 臨床醫藥文獻電子雜志, 2016, 3(18): 3562-3562, 3563.
5. 白玉, 潘富偉. 基于平樂正骨筋骨互用平衡理論治療腰椎間盤突出癥思路探析. 中國中醫骨傷科雜志, 2018, 26(6): 80-81, 84.
6. 中華中醫藥學會. 神經根型頸椎病ZYYXH/T409-2012. 風濕病與關節炎, 2013, 2(2): 78-80.
7. 徐新宇, 彭阿梅, 張文燕, 等. 藥枕聯合中醫外治法治療神經根型頸椎病研究進展. 湖北中醫雜志, 2019, 41(1): 54-57.
8. 張俊華, 李幼平, 張伯禮. 循證中醫藥學: 理論與實踐. 中國中藥雜志, 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. 陳昊, 王艷, 陳耀龍, 等. 從GRADE系統方法學看中醫藥臨床證據體系的構建. 中華中醫藥雜志, 2017, 32(1): 25-28.
11. 陶歡, 楊樂天, 平安, 等. 隨機或非隨機防治性研究系統評價的質量評價工具AMSTAR 2解讀. 中國循證醫學雜志, 2018, 18(1): 101-108.
12. 張方圓, 沈傲梅, 曾憲濤, 等. 系統評價方法學質量評價工具AMSTAR 2解讀. 中國循證心血管醫學雜志, 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, 劉福水, 吳翔, 等. 針刺聯合推拿治療神經根型頸椎病的Meta分析. 中醫藥通報, 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. 王艷國, 郭秀琴, 張琪, 等. 手法治療神經根型頸椎病的系統評價. 中華中醫藥雜志, 2013, (2): 499-503.
17. 楊佳, 張瑞春, 王新軍. 推拿與牽引治療神經根型頸椎病的Meta分析. 環球中醫藥, 2013, (9): 641-648.
18. 郭凱, 李林, 詹紅生, 等. 手法治療神經根型頸椎病臨床隨機對照試驗的系統評價. 環球中醫藥, 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. 王賓. 手法治療神經根型頸椎病隨機對照試驗的系統評價及施治規律探討. 北京: 北京中醫藥大學, 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分析中的異質性及其處理方法. 中國循證醫學雜志, 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. 溫萬鑫, 盧靜敏, 陸麗明, 等. 國內應用CONSORT及STRICTA評價RCT的現狀分析. 中醫雜志, 2015, 56(18): 1559-1563.
27. 陳耀龍, 李幼平, 杜亮, 等. 醫學研究中證據分級和推薦強度的演進. 中國循證醫學雜志, 2008, 8(2): 127-133.
28. 李雨谿, 李涓, 張亞, 等. 針刺治療偏頭痛系統評價的再評價. 中醫雜志, 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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