Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial

Background: Nonspecific chronic neck pain is a fairly common disorder that causes a great impact, and it is greatly influenced by psychosocial factors. Among a number of treatment modalities described for its management, the most common approach is based on manual therapy and specific therapeutic ex...

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Autores: Bernal Utrera, Carlos, González Gerez, Juan José, Anarte-Lazo, Ernesto, Rodríguez Blanco, Cleofás
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/143914
Acceso en línea:https://hdl.handle.net/11441/143914
https://doi.org/10.1186/s13063-020-04610-w
Access Level:acceso abierto
Palabra clave:Neck pain
Chronic pain
Exercise therapy
Musculoskeletal manipulations
Physical therapy specialty
Randomized controlled trial
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spelling Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trialBernal Utrera, CarlosGonzález Gerez, Juan JoséAnarte-Lazo, ErnestoRodríguez Blanco, CleofásNeck painChronic painExercise therapyMusculoskeletal manipulationsPhysical therapy specialtyRandomized controlled trialBackground: Nonspecific chronic neck pain is a fairly common disorder that causes a great impact, and it is greatly influenced by psychosocial factors. Among a number of treatment modalities described for its management, the most common approach is based on manual therapy and specific therapeutic exercise, which have shown a moderate effect on subjects with chronic non-specific neck pain. However, the effect times of these treatments have not been accurately detailed. Our study aims to break down and compare the effects of two experimental treatments based on manual therapy and therapeutic exercise. Methods: The short-term and mid-term changes produced by different therapies on subjects with non-specific chronic neck pain were studied. The sample was randomized divided into three groups: manual therapy, therapeutic exercise, and placebo. As dependent variables of our research, we studied (a) pain, based on the visual analog scale and the pressure pain threshold, and (b) cervical disability, through the Neck Disability Index (NDI). Outcomes were registered on week 1, week 4, and week 12. The findings were analyzed statistically considering a 5% significance level (P ≤ 0.05). Results: No statistically significant differences (P 0.05) were obtained between the experimental groups, if they exist against the control group. Nonetheless, we found that manual therapy improved perceived pain before than therapeutic exercise, while therapeutic exercise reduced cervical disability before than manual therapy. Effect size (R2 ) shows medium and large effects for both experimental treatments. Conclusion: There are no differences between groups in short and medium terms. Manual therapy achieves a faster reduction in pain perception than therapeutic exercise. Therapeutic exercise reduces disability faster than manual therapy. Clinical improvement could potentially be influenced by central processes.BMCFisioterapiaCTS954: Innovaciones en Salud y Calidad de Vida2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/143914https://doi.org/10.1186/s13063-020-04610-wreponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésTrials, 21, 1-10.https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-020-04610-winfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1439142026-06-17T12:51:07Z
dc.title.none.fl_str_mv Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial
title Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial
spellingShingle Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial
Bernal Utrera, Carlos
Neck pain
Chronic pain
Exercise therapy
Musculoskeletal manipulations
Physical therapy specialty
Randomized controlled trial
title_short Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial
title_full Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial
title_fullStr Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial
title_full_unstemmed Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial
title_sort Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial
dc.creator.none.fl_str_mv Bernal Utrera, Carlos
González Gerez, Juan José
Anarte-Lazo, Ernesto
Rodríguez Blanco, Cleofás
author Bernal Utrera, Carlos
author_facet Bernal Utrera, Carlos
González Gerez, Juan José
Anarte-Lazo, Ernesto
Rodríguez Blanco, Cleofás
author_role author
author2 González Gerez, Juan José
Anarte-Lazo, Ernesto
Rodríguez Blanco, Cleofás
author2_role author
author
author
dc.contributor.none.fl_str_mv Fisioterapia
CTS954: Innovaciones en Salud y Calidad de Vida
dc.subject.none.fl_str_mv Neck pain
Chronic pain
Exercise therapy
Musculoskeletal manipulations
Physical therapy specialty
Randomized controlled trial
topic Neck pain
Chronic pain
Exercise therapy
Musculoskeletal manipulations
Physical therapy specialty
Randomized controlled trial
description Background: Nonspecific chronic neck pain is a fairly common disorder that causes a great impact, and it is greatly influenced by psychosocial factors. Among a number of treatment modalities described for its management, the most common approach is based on manual therapy and specific therapeutic exercise, which have shown a moderate effect on subjects with chronic non-specific neck pain. However, the effect times of these treatments have not been accurately detailed. Our study aims to break down and compare the effects of two experimental treatments based on manual therapy and therapeutic exercise. Methods: The short-term and mid-term changes produced by different therapies on subjects with non-specific chronic neck pain were studied. The sample was randomized divided into three groups: manual therapy, therapeutic exercise, and placebo. As dependent variables of our research, we studied (a) pain, based on the visual analog scale and the pressure pain threshold, and (b) cervical disability, through the Neck Disability Index (NDI). Outcomes were registered on week 1, week 4, and week 12. The findings were analyzed statistically considering a 5% significance level (P ≤ 0.05). Results: No statistically significant differences (P 0.05) were obtained between the experimental groups, if they exist against the control group. Nonetheless, we found that manual therapy improved perceived pain before than therapeutic exercise, while therapeutic exercise reduced cervical disability before than manual therapy. Effect size (R2 ) shows medium and large effects for both experimental treatments. Conclusion: There are no differences between groups in short and medium terms. Manual therapy achieves a faster reduction in pain perception than therapeutic exercise. Therapeutic exercise reduces disability faster than manual therapy. Clinical improvement could potentially be influenced by central processes.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/143914
https://doi.org/10.1186/s13063-020-04610-w
url https://hdl.handle.net/11441/143914
https://doi.org/10.1186/s13063-020-04610-w
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Trials, 21, 1-10.
https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-020-04610-w
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 BMC
publisher.none.fl_str_mv BMC
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
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