Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: A randomized clinical trial
BACKGROUND: While both manipulative treatment and physical exercises are used to treat cervical pain, it remains unclear which is most effective. OBJECTIVE: To compare the short-term effects of high-velocity, low-amplitude manipulation techniques (MT) with those of home-exercise (HE) with stretching...
| Autores: | , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2018 |
| País: | Colombia |
| Institución: | Universidad del Rosario |
| Repositorio: | Repositorio EdocUR - U. Rosario |
| Idioma: | inglés |
| OAI Identifier: | oai:repository.urosario.edu.co:10336/22265 |
| Acceso en línea: | https://doi.org/10.3233/BMR-169723 https://repository.urosario.edu.co/handle/10336/22265 |
| Access Level: | acceso abierto |
| Palabra clave: | Article Chronic pain Clinical article Controlled study Cranio cervical flexion test Electromyography Female Function test Home exercise therapy Human Kinesiotherapy Male Manipulative medicine Neck Disability Index Neck pain Pain intensity Priority journal Randomized controlled trial Range of motion Single blind procedure Visual analog scale Adult Follow up Middle aged Pain measurement Pain threshold Pathophysiology Physiology Procedures Spine manipulation Time factor Treatment outcome Young adult Chronic Pain Exercise Therapy Follow-Up Studies Humans Middle Aged Neck Pain Pain Measurement Pain Threshold Single-Blind Method Time Factors Treatment Outcome Young Adult Cervical vertebrae Spinal manipulation Thoracic vertebrae Spinal Manipulation |
| Sumario: | BACKGROUND: While both manipulative treatment and physical exercises are used to treat cervical pain, it remains unclear which is most effective. OBJECTIVE: To compare the short-term effects of high-velocity, low-amplitude manipulation techniques (MT) with those of home-exercise (HE) with stretching and low-intensity (10% of max) isometric contractions on pain and function. METHODS: Single-blind randomized clinical trial was performed. A total of 27 asymptomatic subjects were randomly assigned to 2 groups: manipulation techniques (MT, n= 13) and home exercise (HE, n= 14). The visual analogue scale (VAS); neck disability index (NDI); pressure pain thresholds; cervical spine range of motion and electromyography during the cranio-cervical flexion test was measured before and one week after the intervention. RESULTS: After the intervention, both groups showed improved (P less than 0.05) NDI and VAS scores and flexion in both rotation ranges compared with the pre-intervention values. For the NDI, pain intensity, and neck flexion, the effects sizes were large; for the majority of the other measurements, the effect sizes were small to moderate. The MT group showed significantly better results than the HE group for 2 out of 17 tests. CONCLUSIONS: Both interventions improved function and pain after one week, with only marginal between-group differences in favor of MT. © 2018 - IOS Press and the authors. All rights reserved. |
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