{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T22:14:34Z","timestamp":1793398474415,"version":"4.5.0"},"reference-count":74,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100007480","name":"Universidad de Castilla-La Mancha","doi-asserted-by":"publisher","award":["2020-PREDUCLM-15596"],"award-info":[{"award-number":["2020-PREDUCLM-15596"]}],"id":[{"id":"10.13039\/501100007480","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007480","name":"Universidad de Castilla-La Mancha","doi-asserted-by":"publisher","award":["2020-PREDUCLM-16704"],"award-info":[{"award-number":["2020-PREDUCLM-16704"]}],"id":[{"id":"10.13039\/501100007480","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>A 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review methods<\/jats:title>\n                    <jats:p>We 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 36 trials comparing 25 interventions composed by eight active components. The components associated with a decrease in pain were neurodynamic techniques (SMD\u2009=\u2009-1.45; 95%CI: \u22121.88 to \u22121.02), cervical traction(SMD\u2009=\u2009-0.66; 95%CI: \u22121.08 to \u22120.25), articular treatment (SMD\u2009=\u2009-0.72; 95%CI:-1.29 to \u22120.15), and dry needling(SMD\u2009=\u2009-3.40; 95%CI: \u22125.40 to \u22121.39). 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251365193","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T07:19:06Z","timestamp":1754637546000},"page":"1296-1310","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["What components and formats of rehabilitation interventions are more effective to reduce pain in patients with cervical radiculopathy? 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