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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

Author

Listed:
  • Jacobo Rodríguez-Sanz

    (Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, C/Josep Trueta s/n, Sant Cugat del Vallés, 08195 Barcelona, Spain)

  • Miguel Malo-Urriés

    (Departamento de Fisiatría y Enfermería, Unidad de Investigación en Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Zaragoza, C/Domingo Miral, s/n, 50009 Zaragoza, Spain)

  • María Orosia Lucha-López

    (Departamento de Fisiatría y Enfermería, Unidad de Investigación en Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Zaragoza, C/Domingo Miral, s/n, 50009 Zaragoza, Spain)

  • Albert Pérez-Bellmunt

    (Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, C/Josep Trueta s/n, Sant Cugat del Vallés, 08195 Barcelona, Spain)

  • Andoni Carrasco-Uribarren

    (Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, C/Josep Trueta s/n, Sant Cugat del Vallés, 08195 Barcelona, Spain)

  • Pablo Fanlo-Mazas

    (Departamento de Fisiatría y Enfermería, Unidad de Investigación en Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Zaragoza, C/Domingo Miral, s/n, 50009 Zaragoza, Spain)

  • Jaime Corral-de-Toro

    (Departamento de Fisiatría y Enfermería, Unidad de Investigación en Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Zaragoza, C/Domingo Miral, s/n, 50009 Zaragoza, Spain)

  • César Hidalgo-García

    (Departamento de Fisiatría y Enfermería, Unidad de Investigación en Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Zaragoza, C/Domingo Miral, s/n, 50009 Zaragoza, Spain)

Abstract

Background : Flexion-rotation test predominantly measures rotation in C1-2 segment. Restriction in flexion-rotation may be due to direct limitation in C1-2, but also to a premature tightening of the alar ligament as a result of lack of movement in C0-1 or C2-3. The aim of this study was to compare the effect of a 20-min single cervical exercise session, with or without manual therapy of C0-1 and C2-3 segment in flexion-rotation test, in patients with chronic neck pain and positive flexion-rotation test. Methods : Randomized controlled clinical trial in 48 subjects (24 manual therapy+exercise/24 exercise). Range of motion and pain during flexion-rotation test, neck pain intensity and active cervical range of motion were measured before and after the intervention. Results : Significant differences were found in favour of the manual therapy group in the flexion-rotation test: right ( p < 0.001) and left rotation ( p < 0.001); pain during the flexion-rotation test: right ( p < 0.001) and left rotation ( p < 0.001); neck pain intensity: ( p < 0.001); cervical flexion ( p < 0.038), extension ( p < 0.010), right side-bending ( p < 0.035), left side-bending ( p < 0.002), right rotation ( p < 0.001), and left rotation ( p < 0.006). Conclusions : Addition of one C0-C1 and C2-C3 manual therapy session to cervical exercise can immediately improve flexion-rotation test and cervical range of motion and reduce pain intensity.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:753-:d:481824
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    References listed on IDEAS

    as
    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. 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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    Cited by:

    1. Paul Fauris & Carlos López-de-Celis & Max Canet-Vintró & Juan Carlos Martin & Luis Llurda-Almuzara & Jacobo Rodríguez-Sanz & Noé Labata-Lezaun & Mathias Simon & Albert Pérez-Bellmunt, 2021. "Does Self-Myofascial Release Cause a Remote Hamstring Stretching Effect Based on Myofascial Chains? A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(23), pages 1-10, 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.

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