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

Author

Listed:
  • Juan José Arjona Retamal

    (Faculty of Physiotherapy, King Juan Carlos University, 28922 Madrid, Spain)

  • Alejandro Fernández Seijo

    (Faculty of Physiotherapy, King Juan Carlos University, 28922 Madrid, Spain)

  • José David Torres Cintas

    (Faculty of Physiotherapy, King Juan Carlos University, 28922 Madrid, Spain)

  • Ana I. de-la-Llave-Rincón

    (Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Madrid, Spain)

  • Andrea Caballero Bragado

    (Faculty of Psychology, Autonomous University of Madrid, 28049 Madrid, Spain)

Abstract

The INYBI is an instrument used to release the suboccipital myofascial area. There is scarce evidence of its efficacy. A randomized controlled, double-blinded, longitudinal and prospective trial was performed. Ninety-six subjects (aged 29.47 ± 5.16 years) (70 women) with chronic neck pain were randomly assigned to the manual suboccipital inhibition technique (MSIT), instrumental suboccipital inhibition (INYBI) or the INYBI plus upper cervical manipulation technique (INYBI + UCMT) groups and received two sessions with a week interval between them. The Neck Disability Index was used before the first intervention and two weeks after the second intervention. Pre- and post-measurements were taken on both intervention days for pressure pain threshold of the upper trapezius and suboccipital muscles, self-perceived pain and cervical range of motion. In spite of a significant general improvement in time that was found for the three groups for all of the outcome measurements ( p < 0.05 in all cases), no between-groups differences were found ( p > 0.05 in all cases), with the exception of self-perceived pain for left rotation ( p = 0.024), with the MSIT group showing the lower improvement. However, the higher degree of within-group improvements was found for the INYBI + UCMT group. It was concluded that the myofascial release therapy in the suboccipital area is effective in patients with chronic neck pain, either through a manual application or by means of the INYBI tool. Moreover, the addition of craniocervical manipulation achieved the higher within-group improvements, but with no statistical significance.

Suggested Citation

  • 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.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8636-:d:615168
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    References listed on IDEAS

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    1. 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.
    2. 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.
    3. Valeria Estefanía Aguilar Rojas & Arisandy Flores Pluma & Daniel Pecos-Martín & Alexander Achalandabaso-Ochoa & Rubén Fernández-Matías & Patricia Martinez-Merinero & Susana Nuñez-Nagy & Tomás Gallego-, 2021. "Relationship between Neuromuscular Mechanosensitivity and Chronic Neck Pain in Guitarists: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(5), pages 1-11, March.
    4. 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.
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