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...

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Autores: Galindez Ibarbengoetxea, Xabier, Setuain Chourraut, Igor, Ramírez Vélez, Robinson, González Izal, Miriam, Izquierdo Redín, Mikel
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2018
País:España
Institución:Universidad Pública de Navarra
Repositorio:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/38626
Acceso en línea:https://hdl.handle.net/2454/38626
Access Level:acceso abierto
Palabra clave:Spinal manipulation
Neck pain
Cervical vertebrae
Thoracic vertebrae
Electromyography
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spelling Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trialGalindez Ibarbengoetxea, XabierSetuain Chourraut, IgorRamírez Vélez, RobinsonGonzález Izal, MiriamIzquierdo Redín, MikelSpinal manipulationNeck painCervical vertebraeThoracic vertebraeElectromyographyBackground: 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< 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.IOS PressCiencias de la SaludOsasun Zientziak2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2454/38626reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarrainstname:Universidad Pública de NavarraInglés© 2017 IOS Press and the authors. All rights reserved.info:eu-repo/semantics/openAccessoai:academica-e.unavarra.es:2454/386262026-06-17T12:41:47Z
dc.title.none.fl_str_mv Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial
title Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial
spellingShingle Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial
Galindez Ibarbengoetxea, Xabier
Spinal manipulation
Neck pain
Cervical vertebrae
Thoracic vertebrae
Electromyography
title_short Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial
title_full Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial
title_fullStr Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial
title_full_unstemmed Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial
title_sort Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial
dc.creator.none.fl_str_mv Galindez Ibarbengoetxea, Xabier
Setuain Chourraut, Igor
Ramírez Vélez, Robinson
González Izal, Miriam
Izquierdo Redín, Mikel
author Galindez Ibarbengoetxea, Xabier
author_facet Galindez Ibarbengoetxea, Xabier
Setuain Chourraut, Igor
Ramírez Vélez, Robinson
González Izal, Miriam
Izquierdo Redín, Mikel
author_role author
author2 Setuain Chourraut, Igor
Ramírez Vélez, Robinson
González Izal, Miriam
Izquierdo Redín, Mikel
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Ciencias de la Salud
Osasun Zientziak
dc.subject.none.fl_str_mv Spinal manipulation
Neck pain
Cervical vertebrae
Thoracic vertebrae
Electromyography
topic Spinal manipulation
Neck pain
Cervical vertebrae
Thoracic vertebrae
Electromyography
description 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< 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.
publishDate 2018
dc.date.none.fl_str_mv 2018
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/2454/38626
url https://hdl.handle.net/2454/38626
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv © 2017 IOS Press and the authors. All rights reserved.
info:eu-repo/semantics/openAccess
rights_invalid_str_mv © 2017 IOS Press and the authors. All rights reserved.
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv IOS Press
publisher.none.fl_str_mv IOS Press
dc.source.none.fl_str_mv reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
instname:Universidad Pública de Navarra
instname_str Universidad Pública de Navarra
reponame_str Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
collection Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
repository.name.fl_str_mv
repository.mail.fl_str_mv
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