Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial
dc.contributor.author | Galindez Ibarbengoetxea, Xabier | |
dc.contributor.author | Setuain Chourraut, Igor | |
dc.contributor.author | Ramírez Vélez, Robinson | |
dc.contributor.author | González Izal, Miriam | |
dc.contributor.author | Izquierdo Redín, Mikel | |
dc.contributor.department | Ciencias de la Salud | es_ES |
dc.contributor.department | Osasun Zientziak | eu |
dc.date.accessioned | 2020-11-12T13:59:54Z | |
dc.date.available | 2020-11-12T13:59:54Z | |
dc.date.issued | 2018 | |
dc.description.abstract | 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< 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. | en |
dc.format.extent | 13 p. | |
dc.format.mimetype | application/pdf | en |
dc.identifier.doi | 10.3233/BMR-169723 | |
dc.identifier.issn | 1878-6324 | |
dc.identifier.uri | https://academica-e.unavarra.es/handle/2454/38626 | |
dc.language.iso | eng | en |
dc.publisher | IOS Press | en |
dc.relation.ispartof | Journal of Back and Musculoskeletal Rehabilitation, 2018, 31(1), 133-145 | en |
dc.relation.publisherversion | https://doi.org/10.3233/BMR-169723 | |
dc.rights | © 2017 IOS Press and the authors. All rights reserved. | en |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | |
dc.subject | Spinal manipulation | en |
dc.subject | Neck pain | en |
dc.subject | Cervical vertebrae | en |
dc.subject | Thoracic vertebrae | en |
dc.subject | Electromyography | en |
dc.title | Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial | en |
dc.type | info:eu-repo/semantics/article | |
dc.type.version | info:eu-repo/semantics/acceptedVersion | |
dspace.entity.type | Publication | |
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