Effect of Instrumental Chiropractic Manipulation on The Neck: A Systematic Review
Márcio Luiz Tosi, Maria Eduarda de Souza Melo Oliveira, Henrique Baumgarth, Edgar Idogava
Neck pain is a multifactorial disease and is a major problem in modern society. There is no definitive
treatment for neck pain. However, different pharmacological and non-pharmacological treatments
have been recommended, including instrumental chiropractic manipulation. Objective: This study
will evaluate the efficacy and safety of chiropractic manipulation techniques instrumental for the
treatment of neck pain. Method: Four databases were searched between October 20 and November 17,
2022: PubMed, Embase, VHL REGIONAL / LILAC, and Scopus with the keywords: "Chiropractic
Manipulation", "Instrumental Chiropractic Manipulation", "neck pain", "Chiropractic". Two people
independently examined the records for article inclusion. Results: 369 published articles were found,
and three randomized studies were selected for this systematic review. Conclusion: There is moderatequality evidence that instrumental chiropractic manipulation reduces pain and restores cervical function
without adverse effects and with complete patient safety.
