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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

Author

Listed:
  • Jacobo Rodríguez-Sanz

    (Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain)

  • Miguel Malo-Urriés

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

  • Jaime Corral-de-Toro

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

  • Carlos López-de-Celis

    (Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain
    Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, 08007 Barcelona, Spain)

  • María Orosia Lucha-López

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

  • José Miguel Tricás-Moreno

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

  • Ana I Lorente

    (Impact Laboratory, Aragón Institute of Engineering Research (I3A), Universidad de Zaragoza, 50018 Zaragoza, Spain)

  • César Hidalgo-García

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

Abstract

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.

Suggested Citation

  • Jacobo Rodríguez-Sanz & Miguel Malo-Urriés & Jaime Corral-de-Toro & Carlos López-de-Celis & María Orosia Lucha-López & José Miguel Tricás-Moreno & Ana I Lorente & César Hidalgo-García, 2020. "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," IJERPH, MDPI, vol. 17(18), pages 1-20, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6601-:d:411796
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    References listed on IDEAS

    as
    1. Sullivan, Mark, 2003. "The new subjective medicine: taking the patient's point of view on health care and health," Social Science & Medicine, Elsevier, vol. 56(7), pages 1595-1604, April.
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    Cited by:

    1. Vanessa González-Rueda & César Hidalgo-García & Jacobo Rodríguez-Sanz & Elena Bueno-Gracia & Albert Pérez-Bellmunt & Pere Ramón Rodríguez-Rubio & Carlos López-de-Celis, 2020. "Does Upper Cervical Manual Therapy Provide Additional Benefit in Disability and Mobility over a Physiotherapy Primary Care Program for Chronic Cervicalgia? A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(22), pages 1-14, November.
    2. Juan José Arjona Retamal & Alejandro Fernández Seijo & José David Torres Cintas & Ana I. de-la-Llave-Rincón & Andrea Caballero Bragado, 2021. "Effects of Instrumental, Manipulative and Soft Tissue Approaches for the Suboccipital Region in Subjects with Chronic Mechanical Neck Pain. A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    3. Soraya Pacheco-da-Costa & Concepción Soto-Vidal & Victoria Calvo-Fuente & María José Yuste-Sánchez & Beatriz Sánchez-Sánchez & Ángel Asúnsolo-del-Barco, 2022. "Evaluation of Physical Therapy Interventions for Improving Musculoskeletal Pain and Quality of Life in Older Adults," IJERPH, MDPI, vol. 19(12), pages 1-13, June.
    4. Jacobo Rodríguez-Sanz & Miguel Malo-Urriés & María Orosia Lucha-López & Albert Pérez-Bellmunt & Andoni Carrasco-Uribarren & Pablo Fanlo-Mazas & Jaime Corral-de-Toro & César Hidalgo-García, 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: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(2), pages 1-14, January.

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