Journal of clinical medicine · 2020 · 統合分析（依標題推測）
Traction Therapy for Cervical Radicular Syndrome Is Statistically Significant but Not Clinically Relevant for Pain Relief. A Systematic Literature Review With Meta-Analysis and Trial Sequential Analysis
頸椎 · 頸椎神經根病變
中文閱讀摘要
系統性回顧與統合分析顯示，頸椎神經根病變患者加用牽引雖具統計顯著性，但證據品質低且無臨床意義。
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原始摘要
Aim
We aimed to investigate the effectiveness of traction therapy in reducing pain by performing a systematic review with meta-analysis. We also explore the best modality for administering traction to patients with cervical radicular syndrome (CRS).
Methods
We searched the Medline, Physiotherapy Evidence Database (PEDro), Cochrane Central Register of Controlled Trials, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) electronic databases. Two reviewers independently selected randomized controlled trials (RCTs) that compared traction in addition to other treatments versus the effectiveness of other treatments alone for pain outcome. We calculated the mean differences (MDs) and 95% confidence intervals (CIs). We used Cochrane's tool to assess risk of bias and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to evaluate the quality of evidence and summarize the study conclusions.
Results
A total of seven studies (589 patients), one with low risk of bias, were evaluated. An overall estimate of treatment modalities showed low evidence that adding traction to other treatments is statistically significant (MD -5.93 [95% CI, -11.81 to -0.04] P = 0.05 and I 2 = 57%) compared to other treatments alone. The subgroup analyses were still statistically significant only for mechanical and continuous modalities.
Conclusions
Overall analysis showed that, compared to controls, reduction in pain intensity after traction therapy was achieved in patients with cervical radiculopathy. However, the quality of evidence was generally low and none of these effects were clinically meaningful.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.3390/jcm9113389
- PMID／PMCID
- 33105668 / PMC7690405
- 作者
- Colombo C, Salvioli S, Gianola S, Castellini G, Castellini G, Testa M
- 首次發表日期
- 2020-10-22Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 9 ／ 11 ／ E3389
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
Colombo C, Salvioli S, Gianola S, Castellini G, Castellini G, Testa M. Traction Therapy for Cervical Radicular Syndrome Is Statistically Significant but Not Clinically Relevant for Pain Relief. A Systematic Literature Review With Meta-Analysis and Trial Sequential Analysis. Journal of clinical medicine. 2020;9(11):E3389. PMID: 33105668. PMCID: PMC7690405. doi:10.3390/jcm9113389
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