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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| Formato: | Artículo (Article) |
| Lenguaje: | Inglés (English) |
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IOS Press
2018
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| Acceso en línea: | https://repository.urosario.edu.co/handle/10336/22265 https://doi.org/10.3233/BMR-169723 |
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ir-10336-222652022-05-02T12:37:20Z Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: A randomized clinical trial Galindez-Ibarbengoetxea, Xabier Setuain, Igor Andersen, Lars L González-Izal, Miriam Jauregi, Andoni Izquierdo, Mikel Ramírez-Vélez, Robinson 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 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. 2018 2020-05-25T23:55:56Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 10538127 https://repository.urosario.edu.co/handle/10336/22265 https://doi.org/10.3233/BMR-169723 eng info:eu-repo/semantics/openAccess application/pdf IOS Press instname:Universidad del Rosario |
| institution |
EdocUR - Universidad del Rosario |
| collection |
DSpace |
| language |
Inglés (English) |
| topic |
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 |
| spellingShingle |
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 Galindez-Ibarbengoetxea, Xabier Setuain, Igor Andersen, Lars L González-Izal, Miriam Jauregi, Andoni Izquierdo, Mikel Ramírez-Vélez, Robinson Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: A randomized clinical trial |
| 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 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. |
| format |
Artículo (Article) |
| author |
Galindez-Ibarbengoetxea, Xabier Setuain, Igor Andersen, Lars L González-Izal, Miriam Jauregi, Andoni Izquierdo, Mikel Ramírez-Vélez, Robinson |
| author_facet |
Galindez-Ibarbengoetxea, Xabier Setuain, Igor Andersen, Lars L González-Izal, Miriam Jauregi, Andoni Izquierdo, Mikel Ramírez-Vélez, Robinson |
| author_sort |
Galindez-Ibarbengoetxea, Xabier |
| title |
Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: A randomized clinical trial |
| 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 |
| publisher |
IOS Press |
| publishDate |
2018 |
| url |
https://repository.urosario.edu.co/handle/10336/22265 https://doi.org/10.3233/BMR-169723 |
| _version_ |
1740172038574702592 |
| score |
12,131701 |