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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

Bibliographic Data

ID15480332
AuthorsJacobo Rodríguez‐Sanz (0000-0003-0419-1943, Universitat Internacional de Catalunya, corresponding author), Miguel Malo-Urriés (0000-0002-9779-4323, Universidad de Zaragoza), Jaime Corral-de-Toro (Universidad de Zaragoza), Carlos López-de–Celis (0000-0002-9524-4248, Universitat Internacional de Catalunya), María Orosia Lucha-López (0000-0002-9930-3903, Universidad de Zaragoza), José Miguel Tricás-Moreno (0000-0002-3583-5206, Universidad de Zaragoza), Ana I Lorente (0000-0001-8292-6613, Universidad de Zaragoza), César Hidalgo-García (0000-0001-7667-2178, Universidad de Zaragoza)
Year2020
Volume17
Issue18
Pages6601-6601
Publication date2020-09-10
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17186601
PMID32927858
OpenAlexW3083818840
LanguageEN
Citations received4
References cited58

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

Alternative medicine · Chronic pain · Neck pain · Physical medicine and rehabilitation · Physical therapy · Randomized controlled trial · Term (time · Medical Practices and Rehabilitation · Medicine · Musculoskeletal pain and rehabilitation · Myofascial pain diagnosis and treatment · Surgery

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    Open Access•Vanessa González-Rueda, César Hidalgo-García et al.•International Journal of…•2020

  • Evaluation of Physical Therapy Interventions for Improving Musculoskeletal Pain and Quality of Life in Older Adults

    Open Access•Soraya Pacheco‐da‐Costa, Concepción Soto-Vidal et al.•International Journal of…•2022

  • Effects of Instrumental, Manipulative and Soft Tissue Approaches for the Suboccipital Region in Subjects with Chronic Mechanical Neck Pain. A Randomized Controlled Trial

    Open Access•Juan José Arjona Retamal, Alejandro Fernández Seijo et al.•International Journal of…•2021

  • Effects of the Manual Therapy Approach of Segments C0-1 and C2-3 in the Flexion-Rotation Test in Patients with Chronic Neck Pain

    Open Access•Jacobo Rodríguez‐Sanz, Miguel Malo-Urriés et al.•International Journal of…•2021

  • Using quality of life measures in the clinical setting

    Open Access•Irene J Higginson, Alison J Carr•BMJ•2001

  • The new subjective medicine

    Open Access•Mark D Sullivan, Mark Sullivan•Social Science & Medicine•2003

Unique citing works4
Citations per year0,67
Citation span2020 - 2022 (3)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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