Guidelines should be consulted as a valuable source of information providing evidence-based physical therapy. Clinical Questions (CQ) 1-10 in the second edition of the Physical Therapy Guidelines for Cervical Dysfunction were judged to be weak recommendation, conditional recommendation, or conditional recommendation against, all with a strength of evidence of D (Very low). In CQ, which compares the intervention group to other conservative therapies rather than wait-and-see, the true effect of the intervention group remains unclear. One reason for the change in recommendations between CQ1 in the second edition and manual physical therapy in the first edition is that CQ1 in the second edition describes the therapeutic effect of joint mobilization alone. Many of the recommendations in the second edition of the Physical Therapy Guidelines for Cervical Dysfunction differ slightly from those in the European and American guidelines. However, the conclusions are almost the same as those of the European and American guidelines, and further studies are awaited. The recommendations of the second edition of the Physical Therapy Guidelines for Cervical Dysfunction Physical Therapy must be considered comprehensively, including evidence from systematic reviews and the knowledge and skills of the physical therapists themselves, and the final decision on application must be made in collaboration with the patient.
"},{"@language":"ja","@value":"ガイドラインは，エビデンスに基づいて理学療法を提供するための貴重な情報源として参考にすべきである。頸部機能障害理学療法ガイドライン第2版のCQ（Clinical Question）1-10は，弱い推奨，条件付き推奨，反対する条件付き推奨のいずれかに判断され，エビデンスの強さはすべてがD（ほとんど確信できない）であった。経過観察ではなく他の保存療法と比較しているCQでは，介入群の真の効果については不明確のままである。第2版のCQ1と第1版の徒手的理学療法で推奨の方向が変わった理由の一つは，第2版のCQ1では関節モビライゼーション単独の治療効果を述べていることにある。頸部機能障害理学療法ガイドライン第2版では，欧米のガイドラインとは少し異なった推奨となっているものが少なくない。しかし，結論としては欧米のガイドラインとほぼ同じ内容となっており，今後のさらなる研究が待たれる。頸部機能障害理学療法ガイドライン第2版の推奨は，システマティックレビューによるエビデンス，理学療法士自身の知識・技術なども含めて総合的に勘案し，最終的な適用の判断は患者と協働して行わなければならない。
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410858773324447488","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Yamauchi Masao"},{"@language":"ja","@value":"山内 正雄"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"びわこリハビリテーション専門職大学 リハビリテーション学部 理学療法学科"},{"@language":"en","@value":"Department of Physical Therapy, Faculty of Rehabilitation, Biwako Professional University of Rehabilitation"}]},{"@id":"https://cir.nii.ac.jp/crid/1410858773324447489","@type":"Researcher","foaf:name":[{"@language":"en","@value":"Ishida Hiroshi"},{"@language":"ja","@value":"石田 弘"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"川崎医療福祉大学 リハビリテーション学部 理学療法学科"},{"@language":"en","@value":"Department of Physical Therapy, Faculty of Rehabilitation, Kawasaki University of Medical Welfare"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13469223"},{"@type":"EISSN","@value":"24344087"}],"prism:publicationName":[{"@language":"en","@value":"The Journal of Manual Physical Therapy"},{"@language":"ja","@value":"徒手理学療法"}],"dc:publisher":[{"@language":"en","@value":"The Society of Japanese Manual Physical Therapy"},{"@language":"ja","@value":"日本徒手理学療法学会"}],"prism:publicationDate":"2023","prism:volume":"23","prism:number":"1","prism:startingPage":"33","prism:endingPage":"39"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2023179852"}],"availableAt":"2023","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E9%A0%B8%E9%83%A8%E6%A9%9F%E8%83%BD%E9%9A%9C%E5%AE%B3","dc:title":"頸部機能障害"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%90%86%E5%AD%A6%E7%99%82%E6%B3%95","dc:title":"理学療法"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%82%AC%E3%82%A4%E3%83%89%E3%83%A9%E3%82%A4%E3%83%B3","dc:title":"ガイドライン"},{"@id":"https://cir.nii.ac.jp/all?q=cervical%20dysfunction","dc:title":"cervical dysfunction"},{"@id":"https://cir.nii.ac.jp/all?q=physical%20therapy","dc:title":"physical therapy"},{"@id":"https://cir.nii.ac.jp/all?q=guideline","dc:title":"guideline"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2010569629"}]}