Is cervical stabilization exercise immediately effective in patients with chronic neck pain and upper cervical spine dysfunction? Randomized controlled trial
Author
Malo-Urriés, Miguel
Lucha López, María Orosia
Corral-de-Toro, Jaime
Hidalgo García, Cesar
Publication date
2022ISSN
2075-1729
Abstract
Purpose: To compare the effectiveness of a single exercise session with manual therapy techniques in the segments of the upper cervical spine (C0–1, C1–2 and C2–3), against a single exercise session in patients with chronic neck pain and mobility deficits in the upper cervical spine. Methods: A single-blind randomized controlled trial was performed. Fifty-eight patients were recruited (29 for the manual therapy and exercise group and 29 for the exercise group) who presented chronic neck pain and upper cervical spine dysfunction. The exercise focused on the deep muscles. The manual therapy combined manipulations and mobilizations with these exercises. Cervical range of motion, flexion-rotation test, pressure pain threshold and pain intensity were measured by a blind evaluator before and after the intervention. Results: Compared to pre-intervention, after intervention, the exercise group was significantly lower in terms of the range of motion, flexion-rotation test, and pressure pain threshold (p < 0.05). The manual therapy and exercise group improved in upper cervical flexion, the flexion-rotation test and intensity of pain (p < 0.05). Conclusions: It may be necessary to normalize the mobility of the upper cervical spine before cervical stabilization training, in patients with chronic neck pain and mobility deficits in the upper cervical spine.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
616.7 - Pathology of the organs of locomotion. Skeletal and locomotor systems
Keywords
Columna vertebral
Dolor de coll
Teràpia manual
Exercici
Manipulació ortopèdica
Columna vertebral
Dolor de cuello
Terapia manual
Ejercicio
Manipulación ortopédica
Spine
Neck pain
Manual therapy
Exercise
Orthopedic manipulation
Pages
16
Publisher
MDPI
Collection
12
Is part of
Life
Citation
Rodríguez-Sanz, Jacobo; Malo-Urriés, Miguel; Lucha López, María Orosia [et al.]. Is cervical stabilization exercise immediately effective in patients with chronic neck pain and upper cervical spine dysfunction? Randomized controlled trial. Life , 2022, 12(5), 714. Disponible en: <https://www.mdpi.com/2075-1729/12/5/714>. Fecha de acceso: 25 oct. 2022. DOI: 10.3390/life12050714
Link to the related item
This item appears in the following Collection(s)
- Odontologia [228]
Rights
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/