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 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 less than 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. © 2018 - IOS Press and the authors. All rights reserved.

• Fecha de publicación: 2018
• Institución: Universidad del Rosario
• Repositorio: Repositorio EdocUR - U. Rosario
• Idioma: eng
• OAI Identifier: oai:repository.urosario.edu.co:10336/22265
• Acceso en línea: https://doi.org/10.3233/BMR-169723; https://repository.urosario.edu.co/handle/10336/22265
• Palabra clave: Article; Chronic pain; Clinical article; Controlled study; Cranio cervical flexion test; Electromyography; Female; Function test; Home exercise therapy; Human; Kinesiotherapy; Male; Manipulative medicine; Neck Disability Index; Neck pain; Pain intensity; Priority journal; Randomized controlled trial; Range of motion; Single blind procedure; Visual analog scale; Adult; Chronic pain; Follow up; Kinesiotherapy; Middle aged; Neck pain; Pain measurement; Pain threshold; Pathophysiology; Physiology; Procedures; Spine manipulation; Time factor; Treatment outcome; Young adult; Adult; Chronic Pain; Electromyography; Exercise Therapy; Female; Follow-Up Studies; Humans; Male; Middle Aged; Neck Pain; Pain Measurement; Pain Threshold; Single-Blind Method; Time Factors; Treatment Outcome; Young Adult; Cervical vertebrae; Electromyography; Neck pain; Spinal manipulation; Thoracic vertebrae; Spinal; Manipulation
• License: Abierto (Texto Completo)