The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injury

Whiplash injuries (WLs) are the most frequent cause of emergency room visits after motor vehicle collisions. In clinical practice, massage, electrotherapy, mobilization, or therapeutic exercise are used. As part of manual therapy, high-velocity, low-amplitude manipulative techniques can also be used...

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Autores: Parera, Joan|||0000-0002-3969-2433, Garolera, Maite, Navarro, José-Blas|||0000-0001-5929-4224, Esteve Bech-Decareda, Dolors, Gual-Beltran, Josep, Toledo-Marhuenda, José Vicente|||0000-0002-5336-6837, Poveda-Pagán, Emilio J.|||0000-0002-5286-2820
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:español
OAI Identifier:oai:ddd.uab.cat:310037
Acceso en línea:https://ddd.uab.cat/record/310037
https://dx.doi.org/urn:doi:10.3390/healthcare13070710
Access Level:acceso abierto
Palabra clave:Whiplash injuries
Manipulation
Manual therapy
Physical therapy
Exercises
Neck pain
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spelling The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injurya randomized controlled trialParera, Joan|||0000-0002-3969-2433Garolera, MaiteNavarro, José-Blas|||0000-0001-5929-4224Esteve Bech-Decareda, DolorsGual-Beltran, JosepToledo-Marhuenda, José Vicente|||0000-0002-5336-6837Poveda-Pagán, Emilio J.|||0000-0002-5286-2820Whiplash injuriesManipulationManual therapyPhysical therapyExercisesNeck painWhiplash injuries (WLs) are the most frequent cause of emergency room visits after motor vehicle collisions. In clinical practice, massage, electrotherapy, mobilization, or therapeutic exercise are used. As part of manual therapy, high-velocity, low-amplitude manipulative techniques can also be used. Objectives: To evaluate the effect of the cervical Specific Adjustment Technique (SAT) in adults affected by whiplash on pain, functionality, cervical mobility, and radiological changes in cervical curvature through a prospective, single-blind, randomized clinical trial. Methods: One hundred and nineteen patients with grade II acute WL were randomly assigned to either the manipulation group (MAN group = 59) or the rehabilitation group (RHB group = 60) to receive 3 or 20 sessions of treatment, respectively. Both groups were measured at baseline and 15, 30, and 120 days after starting treatment. Results: Statistically significant differences were found in the MAN group in flexion (p = 0.041) and left-side bending (p = 0.022); similar statistical values were found in the other measures. According to the interaction treatment-time effect, statistical significance for the Cobb angle was obtained in the MAN group (p = 0.047). Conclusions: the effects of SAT were comparable in terms of pain, functionality, and mobility of the cervical spine. Although further research is needed on its effects in the acute phase, due to its effectiveness and lower associated cost, SAT could be considered a useful technique, at least during the first 3 months after a traffic collision. 22025-01-0120252025-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/310037https://dx.doi.org/urn:doi:10.3390/healthcare13070710reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaEspañolspaopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3100372026-06-06T12:50:31Z
dc.title.none.fl_str_mv The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injury
a randomized controlled trial
title The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injury
spellingShingle The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injury
Parera, Joan|||0000-0002-3969-2433
Whiplash injuries
Manipulation
Manual therapy
Physical therapy
Exercises
Neck pain
title_short The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injury
title_full The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injury
title_fullStr The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injury
title_full_unstemmed The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injury
title_sort The Effects of cervical manipulation compared with a conventional physiotherapy program for patients with acute whiplash injury
dc.creator.none.fl_str_mv Parera, Joan|||0000-0002-3969-2433
Garolera, Maite
Navarro, José-Blas|||0000-0001-5929-4224
Esteve Bech-Decareda, Dolors
Gual-Beltran, Josep
Toledo-Marhuenda, José Vicente|||0000-0002-5336-6837
Poveda-Pagán, Emilio J.|||0000-0002-5286-2820
author Parera, Joan|||0000-0002-3969-2433
author_facet Parera, Joan|||0000-0002-3969-2433
Garolera, Maite
Navarro, José-Blas|||0000-0001-5929-4224
Esteve Bech-Decareda, Dolors
Gual-Beltran, Josep
Toledo-Marhuenda, José Vicente|||0000-0002-5336-6837
Poveda-Pagán, Emilio J.|||0000-0002-5286-2820
author_role author
author2 Garolera, Maite
Navarro, José-Blas|||0000-0001-5929-4224
Esteve Bech-Decareda, Dolors
Gual-Beltran, Josep
Toledo-Marhuenda, José Vicente|||0000-0002-5336-6837
Poveda-Pagán, Emilio J.|||0000-0002-5286-2820
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Whiplash injuries
Manipulation
Manual therapy
Physical therapy
Exercises
Neck pain
topic Whiplash injuries
Manipulation
Manual therapy
Physical therapy
Exercises
Neck pain
description Whiplash injuries (WLs) are the most frequent cause of emergency room visits after motor vehicle collisions. In clinical practice, massage, electrotherapy, mobilization, or therapeutic exercise are used. As part of manual therapy, high-velocity, low-amplitude manipulative techniques can also be used. Objectives: To evaluate the effect of the cervical Specific Adjustment Technique (SAT) in adults affected by whiplash on pain, functionality, cervical mobility, and radiological changes in cervical curvature through a prospective, single-blind, randomized clinical trial. Methods: One hundred and nineteen patients with grade II acute WL were randomly assigned to either the manipulation group (MAN group = 59) or the rehabilitation group (RHB group = 60) to receive 3 or 20 sessions of treatment, respectively. Both groups were measured at baseline and 15, 30, and 120 days after starting treatment. Results: Statistically significant differences were found in the MAN group in flexion (p = 0.041) and left-side bending (p = 0.022); similar statistical values were found in the other measures. According to the interaction treatment-time effect, statistical significance for the Cobb angle was obtained in the MAN group (p = 0.047). Conclusions: the effects of SAT were comparable in terms of pain, functionality, and mobility of the cervical spine. Although further research is needed on its effects in the acute phase, due to its effectiveness and lower associated cost, SAT could be considered a useful technique, at least during the first 3 months after a traffic collision.
publishDate 2025
dc.date.none.fl_str_mv 2
2025-01-01
2025
2025-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/310037
https://dx.doi.org/urn:doi:10.3390/healthcare13070710
url https://ddd.uab.cat/record/310037
https://dx.doi.org/urn:doi:10.3390/healthcare13070710
dc.language.none.fl_str_mv Español
spa
language_invalid_str_mv Español
language spa
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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