{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:08:47Z","timestamp":1774616927255,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T00:00:00Z","timestamp":1665014400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010883","name":"Traditional Chinese Medicine Bureau of Guangdong Province","doi-asserted-by":"publisher","award":["20183008"],"award-info":[{"award-number":["20183008"]}],"id":[{"id":"10.13039\/501100010883","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emergency Medicine International"],"published-print":{"date-parts":[[2022,10,6]]},"abstract":"<jats:p>Background. With the accelerated pace of life in modern society, changes in work style, and the popularity of computers, the prevalence of cervical spondylosis (CSR) is increasing, and the age of onset is advancing. Once suffering from this disease, it is often difficult to cure and recurring, with complex clinical symptoms, causing a serious impact on human health. Objective. To evaluate the efficacy of manipulation and cervical traction in the treatment of radical cervical spondylosis. Methods. The PubMed, CNKI, and Wanfang databases were searched for literature. The literature related to this study was included according to selective criteria and inhibitory elimination criteria, and valuable information was selected for statistical analysis, resulting in a total of 11 randomized controlled trials with 994 subjects. Results. The short-term efficacy of manual treatment for CSR was superior to that of cervical traction alone (<jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>&lt;<\/a:mo>\n                        <a:mn>0.05<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>); subgroup analysis showed that the short-term efficacy of pulling or rotational manipulation was superior to that of cervical traction (<jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>P<\/c:mi>\n                        <c:mo>&lt;<\/c:mo>\n                        <c:mn>0.05<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula>). The mean difference between symptoms and manipulation VAS scores was higher before and after treatment when compared with cervical traction for CSR (<jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>P<\/e:mi>\n                        <e:mo>&lt;<\/e:mo>\n                        <e:mn>0.05<\/e:mn>\n                     <\/e:math>\n                  <\/jats:inline-formula>); the subgroup analysis showed that VAS scores, upper extremity anesthesia scores, and survivorship scores were lower for pulling or rotating manipulation than for cervical traction (<jats:inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>P<\/g:mi>\n                        <g:mo>&lt;<\/g:mo>\n                        <g:mn>0.05<\/g:mn>\n                     <\/g:math>\n                  <\/jats:inline-formula>). Conclusion. The advantages of manual therapy in terms of short-term efficacy, VAS pain scores, neck pain, upper extremity anesthesia, and survivorship improvement provide a theoretical basis for its clinical impact.<\/jats:p>","DOI":"10.1155\/2022\/3837995","type":"journal-article","created":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T16:50:14Z","timestamp":1665075014000},"page":"1-10","source":"Crossref","is-referenced-by-count":5,"title":["Systematic Review and Meta-Analysis of the Evaluation of the Efficacy of Manipulation and Cervical Traction in the Treatment of Radical Cervical Spondylosis"],"prefix":"10.1155","volume":"2022","author":[{"given":"Jianquan","family":"Chen","sequence":"first","affiliation":[{"name":"The Second Clinical Medicine College, Guangzhou University of Chinese Medicine, Guangzhou, China"},{"name":"Department of Orthopaedics, Guang Dong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rongbin","family":"Chen","sequence":"additional","affiliation":[{"name":"The Second Clinical Medicine College, Guangzhou University of Chinese Medicine, Guangzhou, China"},{"name":"Department of Orthopaedics, Guang Dong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Guang Dong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maoshui","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Guang Dong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhouming","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Guang Dong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haobin","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Guang Dong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8513-9575","authenticated-orcid":true,"given":"Qiang","family":"Lian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Guang Dong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai, Guangdong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmra2003558"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-011-9218-z"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-017-5193-5"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.5692\/clinicalneurol.52.469"},{"key":"5","first-page":"5","article-title":"Therapeutic effect of shi\u2019s rotation manipulation treatment for cervical spondylotic radiculopathy","volume":"28","author":"D. Zhen","year":"2020","journal-title":"China Journal Traditional Medical Traumatic and Orthopedics"},{"key":"6","first-page":"81","article-title":"Cervical three steps nine manuevers in treatment of cervicalspondylosis radiculopathy by randomized controlled clinical trial","volume":"17","author":"Z. Ruichun","year":"2015","journal-title":"Journal Liaoning University Traditional China Medicine"},{"issue":"5","key":"7","first-page":"257","article-title":"Pulling-manipulation in dorsal position for the treatment of cervicalspondylotic radiculopathy: a randomized, multi-center controlled trial","volume":"19","author":"Z. Hong-sheng","year":"2006","journal-title":"Chinese Journal of Traumatology"},{"key":"8","first-page":"3","article-title":"Randomized controlled clinical study of the clinical efficacy of the sun manipulation of rotating treatment to cervical spondylotic radiculopathy","volume":"20","author":"Q. Yi","year":"2012","journal-title":"China Journal Traditional Medical Traumatic and Orthopedics"},{"issue":"8","key":"9","first-page":"571","article-title":"Treatment of cervical spondylotic radiculopathy with vertebral adjusting and promotion of blood circulation coordination improved reduction manipulation","volume":"20","author":"L. Zhi-kun","year":"2007","journal-title":"Chinese Journal of Traumatology"},{"key":"10","first-page":"2267","article-title":"Clinical observation of \u201cguo-style changqi tongluo\u201d in the treatment of cervical spondylotic radiculopathy","volume":"27","author":"F. Jingqing","year":"2011","journal-title":"Practice and Clinical Medicine"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.3736\/jcim20120109"},{"key":"12","first-page":"1225","article-title":"Clinical observation on \u201cthree steps and nine methods\u201d for treatment of the cervical spondylotic radiculopathy","volume":"36","author":"Z. 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