{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T16:23:52Z","timestamp":1785860632141,"version":"3.56.0"},"reference-count":77,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"7","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p> OBJECTIVE: To evaluate the impact of articular and neural mobilization on pain intensity and disability in patients with cervical radicular pain. <\/jats:p><jats:p> DESIGN: Intervention systematic review with network meta-analysis. <\/jats:p><jats:p> LITERATURE RESEARCH: The MEDLINE, SciELO, PubMed, PEDro, Scopus, Web of Science, and Cochrane databases were searched up to February 2024. <\/jats:p><jats:p> STUDY SELECTION CRITERIA: Randomized controlled trials studying the effects of articular or neural mobilization in adults with cervical radicular pain were included. <\/jats:p><jats:p> DATA SYNTHESIS: A frequentist network meta-analysis was used to assess pain intensity and disability. The risk of bias and the certainty of the evidence were evaluated using Version 2 of the Cochrane Risk of Bias (RoB 2) tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach, respectively. <\/jats:p><jats:p> RESULTS: Out of 777 reports, 50 were analyzed quantitatively. The combination of articular and neural mobilization with usual care was most effective in reducing short-term pain intensity compared to wait and see, sham, or placebo interventions (mean difference [MD], \u22123.23; 95% confidence interval [CI]: \u22124.33, \u22122.12) and to standard care alone (MD, \u22121.52; 95% CI: \u22122.31, \u22120.73). There were significant improvements in pain-related disability with neural mobilization plus usual care, surpassing wait and see, sham, placebo interventions (standardized mean difference [SMD], \u22121.57; 95% CI: \u22122.53, \u22120.61), and usual care alone (SMD, \u22121.31; 95% CI: \u22121.88, \u22120.73). Risk of bias and heterogeneity of included trials downgraded the certainty of evidence. <\/jats:p><jats:p> CONCLUSION: Combining mobilization techniques with standard care may be considered in clinical practice, although with care due to the moderate to very low certainty of the evidence. J Orthop Sports Phys Ther 2025;55(7):468-481. 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