Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trial

Spinal Manipulation (SM) has been purported to decrease pain and improve function in subjects with non-specific neck pain. Previous research has investigated which individuals with non-specific neck pain will be more likely to benefit from SM. It has not yet been proven whether or not the effectiven...

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Authors: Casanova-Méndez, Amaloha, Oliva Pascual-Vaca, Ángel, Rodríguez Blanco, Cleofás, Heredia Rizo, Alberto Marcos, Gogorza-Arroitaonandia, Kristobal, Almazán-Campos, Ginés
Format: article
Status:Versión aceptada para publicación
Publication Date:2014
Country:España
Institution:Universidad de Sevilla (US)
Repository:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/162753
Online Access:https://hdl.handle.net/11441/162753
https://doi.org/10.1016/j.math.2014.03.002
Access Level:Open access
Keyword:Cervical spine
Neck pain
Randomized controlled trial
Spinal manipulation
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spelling Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trialCasanova-Méndez, AmalohaOliva Pascual-Vaca, ÁngelRodríguez Blanco, CleofásHeredia Rizo, Alberto MarcosGogorza-Arroitaonandia, KristobalAlmazán-Campos, GinésCervical spineNeck painRandomized controlled trialSpinal manipulationSpinal Manipulation (SM) has been purported to decrease pain and improve function in subjects with non-specific neck pain. Previous research has investigated which individuals with non-specific neck pain will be more likely to benefit from SM. It has not yet been proven whether or not the effectiveness of thoracic SM depends on the specific technique being used. This double-blind randomized trial has compared the short-term effects of two thoracic SM maneuvers in subjects with chronic non-specific neck pain. Sixty participants were distributed randomly into two groups. One group received the Dog technique (n ¼ 30), with the subject in supine position, and the other group underwent the Toggle-Recoil technique (n ¼ 30), with the participant lying prone, T4 being the targeted area in both cases. Evaluations were made of self-reported neck pain (Visual Analogue Scale); neck mobility (Cervical Range of Motion); and pressure pain threshold at the cervical and thoracic levels (C4 and T4 spinous process) and over the site described for location of tense bands of the upper trapezius muscle. Measurements were taken before intervention, immediately afterward, and 20 min later. Both maneuvers improved neck mobility and mechanosensitivity and reduced pain in the short term. No major or clinical differences were found between the groups. In the between-groups comparison slightly better results were observed in the Toggle-Recoil group only for cervical extension (p ¼ 0.009), right lateral flexion (p ¼ 0.004) and left rotation (p < 0.05).Churchill Livingstone; Elsevier BVFisioterapia2014info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/162753https://doi.org/10.1016/j.math.2014.03.002reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésManual Therapy, 19 (4), 331-337.https://www.sciencedirect.com/science/article/pii/S1356689X14000356?via=ihubinfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1627532026-06-17T12:51:07Z
dc.title.none.fl_str_mv Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trial
title Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trial
spellingShingle Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trial
Casanova-Méndez, Amaloha
Cervical spine
Neck pain
Randomized controlled trial
Spinal manipulation
title_short Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trial
title_full Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trial
title_fullStr Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trial
title_full_unstemmed Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trial
title_sort Comparative short-term effects of two thoracic spinal manipulation techniques in subjects with chronic mechanical neck pain: A randomized controlled trial
dc.creator.none.fl_str_mv Casanova-Méndez, Amaloha
Oliva Pascual-Vaca, Ángel
Rodríguez Blanco, Cleofás
Heredia Rizo, Alberto Marcos
Gogorza-Arroitaonandia, Kristobal
Almazán-Campos, Ginés
author Casanova-Méndez, Amaloha
author_facet Casanova-Méndez, Amaloha
Oliva Pascual-Vaca, Ángel
Rodríguez Blanco, Cleofás
Heredia Rizo, Alberto Marcos
Gogorza-Arroitaonandia, Kristobal
Almazán-Campos, Ginés
author_role author
author2 Oliva Pascual-Vaca, Ángel
Rodríguez Blanco, Cleofás
Heredia Rizo, Alberto Marcos
Gogorza-Arroitaonandia, Kristobal
Almazán-Campos, Ginés
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Fisioterapia
dc.subject.none.fl_str_mv Cervical spine
Neck pain
Randomized controlled trial
Spinal manipulation
topic Cervical spine
Neck pain
Randomized controlled trial
Spinal manipulation
description Spinal Manipulation (SM) has been purported to decrease pain and improve function in subjects with non-specific neck pain. Previous research has investigated which individuals with non-specific neck pain will be more likely to benefit from SM. It has not yet been proven whether or not the effectiveness of thoracic SM depends on the specific technique being used. This double-blind randomized trial has compared the short-term effects of two thoracic SM maneuvers in subjects with chronic non-specific neck pain. Sixty participants were distributed randomly into two groups. One group received the Dog technique (n ¼ 30), with the subject in supine position, and the other group underwent the Toggle-Recoil technique (n ¼ 30), with the participant lying prone, T4 being the targeted area in both cases. Evaluations were made of self-reported neck pain (Visual Analogue Scale); neck mobility (Cervical Range of Motion); and pressure pain threshold at the cervical and thoracic levels (C4 and T4 spinous process) and over the site described for location of tense bands of the upper trapezius muscle. Measurements were taken before intervention, immediately afterward, and 20 min later. Both maneuvers improved neck mobility and mechanosensitivity and reduced pain in the short term. No major or clinical differences were found between the groups. In the between-groups comparison slightly better results were observed in the Toggle-Recoil group only for cervical extension (p ¼ 0.009), right lateral flexion (p ¼ 0.004) and left rotation (p < 0.05).
publishDate 2014
dc.date.none.fl_str_mv 2014
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/162753
https://doi.org/10.1016/j.math.2014.03.002
url https://hdl.handle.net/11441/162753
https://doi.org/10.1016/j.math.2014.03.002
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Manual Therapy, 19 (4), 331-337.
https://www.sciencedirect.com/science/article/pii/S1356689X14000356?via=ihub
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Churchill Livingstone; Elsevier BV
publisher.none.fl_str_mv Churchill Livingstone; Elsevier BV
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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