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

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-t...

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Detalhes bibliográficos
Autores: Rodríguez-Sanz, Jacobo, Malo-Urriés, Miguel, Corral-de-Toro, Jaime, López-de-Celis, Carlos, Orosia Lucha-López, María, Tricás-Moreno, José Miguel, Lorente, Ana I., Hidalgo-García, César
Formato: artículo
Fecha de publicación:2020
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.12328/2056
Acesso em linha:http://hdl.handle.net/20.500.12328/2056
https://dx.doi.org/10.3390/ijerph17186601
Access Level:acceso abierto
Palavra-chave:Dolor crònic
Cervicàlgia
Medicina física
Dolor crónico
Cervicalgia
Chronic pain
Cervical pain
Physical medicine
61
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spelling 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 trialRodríguez-Sanz, JacoboMalo-Urriés, MiguelCorral-de-Toro, JaimeLópez-de-Celis, CarlosOrosia Lucha-López, MaríaTricás-Moreno, José MiguelLorente, Ana I.Hidalgo-García, CésarDolor crònicCervicàlgiaMedicina físicaDolor crónicoCervicalgiaMedicina físicaChronic painCervical painPhysical medicine61Chronic 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.info:eu-repo/semantics/publishedVersionMDPI2020info:eu-repo/semantics/article19http://hdl.handle.net/20.500.12328/2056https://dx.doi.org/10.3390/ijerph17186601reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésInternational Journal of Environmental Research and Public Health17;18© 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/).https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/20562026-05-29T05:05:01Z
dc.title.none.fl_str_mv 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
title 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
spellingShingle 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
Rodríguez-Sanz, Jacobo
Dolor crònic
Cervicàlgia
Medicina física
Dolor crónico
Cervicalgia
Medicina física
Chronic pain
Cervical pain
Physical medicine
61
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
dc.creator.none.fl_str_mv Rodríguez-Sanz, Jacobo
Malo-Urriés, Miguel
Corral-de-Toro, Jaime
López-de-Celis, Carlos
Orosia Lucha-López, María
Tricás-Moreno, José Miguel
Lorente, Ana I.
Hidalgo-García, César
author Rodríguez-Sanz, Jacobo
author_facet Rodríguez-Sanz, Jacobo
Malo-Urriés, Miguel
Corral-de-Toro, Jaime
López-de-Celis, Carlos
Orosia Lucha-López, María
Tricás-Moreno, José Miguel
Lorente, Ana I.
Hidalgo-García, César
author_role author
author2 Malo-Urriés, Miguel
Corral-de-Toro, Jaime
López-de-Celis, Carlos
Orosia Lucha-López, María
Tricás-Moreno, José Miguel
Lorente, Ana I.
Hidalgo-García, César
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Dolor crònic
Cervicàlgia
Medicina física
Dolor crónico
Cervicalgia
Medicina física
Chronic pain
Cervical pain
Physical medicine
61
topic Dolor crònic
Cervicàlgia
Medicina física
Dolor crónico
Cervicalgia
Medicina física
Chronic pain
Cervical pain
Physical medicine
61
description 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.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.12328/2056
https://dx.doi.org/10.3390/ijerph17186601
url http://hdl.handle.net/20.500.12328/2056
https://dx.doi.org/10.3390/ijerph17186601
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Journal of Environmental Research and Public Health
17;18
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 19
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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