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Evidence-Based Practice: Chronic Neck Pain and Manipulative Therapy Essay

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  1. CINAHL Database Search
  2. Article Critique (CINAHL)
  3. JBI Database Search
  4. Article Critique (JBI)
  5. Reference List

Clinical Question: In patients with chronic neck pain, what is the dosage effect of spinal manipulative therapy on pain relief compared with a home exercise program within a specific duration?

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The PICO (T) (Boswell & Cannon, 2014) elements are:

  • Population (P) = patients with chronic neck pain
  • Intervention (I) = spinal manipulative therapy
  • Comparison (C) = home exercise program
  • Outcome (O) = pain relief
Search NumberPICOT# of ResultsNotes
1Patients chronic neck pain9,592I searched the database by typing “Patients chronic neck pain
” into the basic search field and clicking “Search.” The conjunction was omitted, as the use of conjunctions and prepositions often messes the search results.
2Spinal manipulative therapy26,261I cleared the “search” field and typed in “Spinal manipulative therapy.” Afterward, I clicked “Search” again.
3Home exercise program23,243I clicked “Clear” and typed “relaxation” in the search field. CINAHL suggested “relaxation techniques” so I chose to search on this.
4Pain relief25,803I clicked “Clear” and typed “pain relief” in the search field and clicked “Search.”
5Patients chronic neck painSpinal manipulative therapy1,231I clicked on “advanced search” and combined Search #1 with Search #2 with the help of the Boolean operator “AND”. After I clicked “Search,” the database returned 1,231 results.
Patients chronic neck painSpinal manipulative therapyHome exercise programTo narrow down the number of results, I combined the “P,” “I” and “C” elements of the PICO search. As a result, I retrieved 463 results.
6Patients chronic neck painSpinal manipulative therapyHome exercise programPain relief273I incorporated the “O” element into the search as well by clicking the plus button to select one more field.
7Patients chronic neck painSpinal manipulative therapyHome exercise programPain reliefI incorporated the “T” element into the search as well by clicking the plus button to select one more field.
8Patients chronic neck painSpinal manipulative therapyHome exercise programPain relief273I chose all elements of the PICO, narrowed the number of search items to full-text papers and clicked “Search.”
9Patients chronic neck painSpinal manipulative therapyHome exercise programPain relief2011–201422I moved the slider on the publication date scale to limit the search results to 2011–2014 articles. Since the rest of the limitations might have jeopardized the objectivity of the information (i.e., geographical location of the authors), it was decided to stop at this point.

*This table reports the history of an actual search of this clinical question in CINAHL

Article Critique (CINAHL)

In a study by Jonali and Scalzitti (2014), the article retrieved in the course of the search appeared to be rather peculiar in terms of its content. The research can be considered rather impressive in terms of the conciseness of the results layout. However, the study could use a better description of the key limitations. Detailed and embracing every major aspect of manipulation for neck pain, the study can be credited for its accuracy and depth.

Search NumberPICOT# of ResultsNotes
1Patients with chronic neck pain5I searched the JBI database for “Patients with chronic neck pain” by typing the above-mentioned phrase in the search field. Because of an extremely small number of research results, it was decided to use the phrase “neck pain” as “P” instead.
2Neck pain36I searched on the P, “neck pain” by typing it into the search field and clicking “Search.”
3Spinal manipulative therapy22I cleared the search field and typed “spinal manipulative therapy” in it, clicking “Search.”
4Home exercise program16I cleared the search field once again and typed the “C” element (Home exercise program) in it.
Pain relief288I cleared the search filed and typed “pain relief” (the “O” element of PICO) in it.
Neck painSpinal manipulative therapy0I typed “neck pain in the search field” and “spinal manipulative therapy” in the second field choosing the “AND” operator. However, instead, the search did not return any results, so it was decided to use “spinal therapy” instead.
5Neck painSpinal therapy0I clicked on “multi-field search” and combined “neck pain” with “spinal therapy” using the Boolean operator “AND”. I clicked “Search.” The search did not return any results, though. It was decided to modify the “I” element and use “therapy” instead of “spinal therapy”.
6Neck painTherapy24I cleared the search field, typed in “neck pain,” chose the AND Boolean operator and added another search field with the word “therapy” in it.
7Neck painTherapy2010–201524I used the “P” and “I” elements in the search fields, reducing the amount of search results by choosing the “past five years” filter.

It was decided to stop at the given stage, as any further modification of the search (adding or removing at least one word) resulted in retrieving either 0 results (was too narrow), or more than 30 results (turned too broad).

Article Critique (JBI)

Chu’s article on the topic of neck pain and the methods of diagnosing neck disorders (Chu, 2014) is quite profound and very detailed, which is obviously its key strength. However, the article suffers from the lack of information on the tools for fighting neck disorders. Consequently, the research seems somewhat narrow. The use of credible resource, however, makes the research quite trustworthy.

Reference List

Boswell, C. & Cannon, S. (2014). Introduction to nursing research: incorporating evidence-based practice. Hoboken: Jones & Bartlett Publishers.

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Jonali, H. & Scalzitti, D. A. (2014). In a 36-year-old woman with neck pain, will manipulation and mobilization be beneficial for reducing her reports of neck pain? LEAP, 94(2), 179–84.

Chu, V. (2014). Neck disorders: Stretching and strengthening exercises. Adelaide, SA: Joanne Briggs Institute. Web.

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"Evidence-Based Practice: Chronic Neck Pain and Manipulative Therapy." IvyPanda, 11 Apr. 2022, ivypanda.com/essays/evidence-based-practice-chronic-neck-pain-and-manipulative-therapy/.

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IvyPanda. (2022) 'Evidence-Based Practice: Chronic Neck Pain and Manipulative Therapy'. 11 April.

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IvyPanda. 2022. "Evidence-Based Practice: Chronic Neck Pain and Manipulative Therapy." April 11, 2022. https://ivypanda.com/essays/evidence-based-practice-chronic-neck-pain-and-manipulative-therapy/.

1. IvyPanda. "Evidence-Based Practice: Chronic Neck Pain and Manipulative Therapy." April 11, 2022. https://ivypanda.com/essays/evidence-based-practice-chronic-neck-pain-and-manipulative-therapy/.


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IvyPanda. "Evidence-Based Practice: Chronic Neck Pain and Manipulative Therapy." April 11, 2022. https://ivypanda.com/essays/evidence-based-practice-chronic-neck-pain-and-manipulative-therapy/.

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