Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trial

dc.contributor.authorGalindez Ibarbengoetxea, Xabier
dc.contributor.authorSetuain Chourraut, Igor
dc.contributor.authorRamírez Vélez, Robinson
dc.contributor.authorGonzález Izal, Miriam
dc.contributor.authorIzquierdo Redín, Mikel
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2020-11-12T13:59:54Z
dc.date.available2020-11-12T13:59:54Z
dc.date.issued2018
dc.description.abstractBackground: 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.extent13 p.
dc.format.mimetypeapplication/pdfen
dc.identifier.doi10.3233/BMR-169723
dc.identifier.issn1878-6324
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/38626
dc.language.isoengen
dc.publisherIOS Pressen
dc.relation.ispartofJournal of Back and Musculoskeletal Rehabilitation, 2018, 31(1), 133-145en
dc.relation.publisherversionhttps://doi.org/10.3233/BMR-169723
dc.rights© 2017 IOS Press and the authors. All rights reserved.en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.subjectSpinal manipulationen
dc.subjectNeck painen
dc.subjectCervical vertebraeen
dc.subjectThoracic vertebraeen
dc.subjectElectromyographyen
dc.titleShort-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: a randomized clinical trialen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dspace.entity.typePublication
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relation.isAuthorOfPublication.latestForDiscoverybbfbd7cf-6d42-49ef-905a-c08986c0da29

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