Does the addition of manual therapy approach to a cervical exercise program improve clinical outcomes for patients with chronic neck pain in short -and mid-term? A randomized controlled trial
Author
Malo-Urriés, Miguel
Corral-de-Toro, Jaime
Orosia Lucha-López, María
Tricás-Moreno, José Miguel
Lorente, Ana I.
Hidalgo-García, César
Publication date
2020ISSN
1660-4601
Abstract
Chronic neck pain is one of today’s most prevalent pathologies. The International Classification of Diseases categorizes four subgroups based on patients’ associated symptoms. However, this classification does not encompass upper cervical spine dysfunction. The aim is to compare the short- and mid-term effectiveness of adding a manual therapy approach to a cervical exercise protocol in patients with chronic neck pain and upper cervical spine dysfunction. Fifty-eight subjects with chronic neck pain and upper cervical spine dysfunction were recruited (29 = Manual therapy + Exercise; 29 = Exercise). Each group received four 20-min sessions, one per week during four consecutive weeks, and a home exercise regime. Upper flexion and flexion-rotation test range of motion, neck disability index, craniocervical flexion test, visual analogue scale, pressure pain threshold, global rating of change scale, and adherence to self-treatment were assessed at the beginning, end of the intervention and at 3- and 6-month follow-ups. The Manual therapy + Exercise group statistically improved short- and medium-term in all variables compared to the Exercise group. Four 20-min sessions of Manual therapy + Exercise along with a home-exercise program is more effective in the short- to mid-term than an exercise protocol and a home-exercise program for patients with chronic neck pain and upper cervical dysfunction.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Dolor crònic
Cervicàlgia
Medicina física
Dolor crónico
Cervicalgia
Medicina física
Chronic pain
Cervical pain
Physical medicine
Pages
19
Publisher
MDPI
Collection
17; 18
Is part of
International Journal of Environmental Research and Public Health
Citation
Rodríguez-Sanz, Jacobo; Malo-Urriés, Miguel; Corral-de-Toro, Jaime [et al.]. Does the addition of manual therapy approach to a cervical exercise program improve clinical outcomes for patients with chronic neck pain in short -and mid-term? A randomized controlled trial. International Journal of Environmental Research and Public Health, 2020, 17(18), 6601. Disponible en: <https://www.mdpi.com/1660-4601/17/18/6601>. Fecha de acceso: 5 mar. 2021.
This item appears in the following Collection(s)
- Ciències de la Salut [745]
Rights
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open accessarticle distributed under the terms and conditions of the Creative Commons Attribution(CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/