Immediate effects of osteopathic treatment versus therapeutic exercise on patients with chronic cervical pain

Título traducido de la contribución: Efectos inmediatos del tratamiento osteopático versus ejercicio terapéutico en pacientes con dolor cervical crónico

Xabier Galindez-Ibarbengoetxea, Igor Setuain, Robinson Ramírez-Velez, Lars L. Andersen, Miriam González-Izal, Andoni Jauregi, Mikel Izquierdo

Resultado de la investigación: Contribución a una revistaArtículo

Resumen

Contexto. Se necesitan alternativas a la medicación para el alivio inmediato del dolor porque el uso a largo plazo de la medicación para el dolor se ha asociado con efectos adversos. Los ejercicios de alta velocidad y baja amplitud (HVLA) y los ejercicios de flexión craneocervical (CCF) se han utilizado con frecuencia en el tratamiento del dolor cervical crónico. Objetivo. El estudio pretendía comparar los efectos inmediatos sobre el dolor de un tratamiento que utilizaba manipulación HVLA versus uno que utilizaba un protocolo de ejercicio CCF. Diseño. El equipo de investigación diseñó un ensayo clínico aleatorio, ciego y sencillo. Ajuste. El estudio se llevó a cabo en clínicas osteopáticas. Participantes. Los participantes fueron 25 pacientes voluntarios con dolor de cuello crónico. Intervención. Los participantes fueron inscritos aleatoriamente en uno de dos grupos: el grupo de manipulación HVLA (grupo MT), n = 12, o el grupo de protocolo de ejercicio CCF (grupo CCF), n = 13. Los participantes en el grupo de CCF realizaron el ejercicio durante 10 repeticiones de una duración de 10 segundos, con un intervalo de descanso de 10 segundos entre cada contracción, para un tiempo total de contracción de 100 s y un tiempo total de la sesión de 190 s. Medidas de resultado - Los resultados se midieron al inicio y a 60 s después de la intervención. Las medidas incluyeron (1) una escala analógica visual (VAS) completada durante la medición de la amplitud de movimiento (ROM), (2) una evaluación de la ROM de la columna cervical, (3) una prueba de umbrales de dolor por presión (PPT) y (4) activación electromiográfica (EMG) del músculo esternocleidomastoideo durante una prueba de flexión craneocervical. Resultados - Después de ambas intervenciones, se encontraron cambios significativos entre el punto de partida y la postintervención inmediata en la puntuación del SVA durante la medición de la ROM para ambos grupos, con P = 0,004 y P = 0,015, respectivamente. En el grupo de MT, las medidas de flexión (P = 0,001), flexión del lado derecho (P = 0,002) y rotación del lado izquierdo (P = 0,005) cambiaron significativamente entre la línea de base y la postintervención; sin embargo, sólo la flexión (P = 0,026) y la extensión (P = 0,040) de la ROM cambiaron significativamente entre la línea de base y la postintervención en el grupo de CCF. Se observaron cambios significativos en la TPP del trapecio superior después de ambas intervenciones: grupo de MT, p = 0,043, y grupo de FCP, p = 0,005. Además, se habían producido cambios significativos en C5 PPT en el grupo de CCR (P = 0,020). Las diferencias entre los grupos fueron significativas para la ROM de extensión y de flexión del lado derecho, con P = 0,019 y P = 0,012, respectivamente, y los cambios entre la línea de base y la postintervención fueron mayores en el grupo de MT. Ninguna de las intervenciones produjo cambios en la EMG. Conclusiones - Aunque ambas intervenciones se asociaron con una mejora inmediata de la ROM y el dolor después del tratamiento, la manipulación de la HVLA fue más efectiva que el ejercicio de FEC para mejorar la ROM y la SVA durante la ROM. Ninguna de las intervenciones produjo cambios en la EMG.
Idioma originalInglés estadounidense
Páginas (desde-hasta)24-32
Número de páginas9
PublicaciónAlternative Therapies in Health and Medicine
Volumen24
N.º3
EstadoPublicada - may 1 2018

All Science Journal Classification (ASJC) codes

  • Medicina complementaria y alternativa

Citar esto

Galindez-Ibarbengoetxea, X., Setuain, I., Ramírez-Velez, R., Andersen, L. L., González-Izal, M., Jauregi, A., & Izquierdo, M. (2018). Immediate effects of osteopathic treatment versus therapeutic exercise on patients with chronic cervical pain. Alternative Therapies in Health and Medicine, 24(3), 24-32.
Galindez-Ibarbengoetxea, Xabier ; Setuain, Igor ; Ramírez-Velez, Robinson ; Andersen, Lars L. ; González-Izal, Miriam ; Jauregi, Andoni ; Izquierdo, Mikel. / Immediate effects of osteopathic treatment versus therapeutic exercise on patients with chronic cervical pain. En: Alternative Therapies in Health and Medicine. 2018 ; Vol. 24, N.º 3. pp. 24-32.
@article{e0b1c8a0a4cf4dfd9ee08624fd2cdbb5,
title = "Immediate effects of osteopathic treatment versus therapeutic exercise on patients with chronic cervical pain",
abstract = "Context. Alternatives to medication for immediate pain relief are needed because long-term use of pain medication has been associated with adverse effects. High-velocity, low-amplitude (HVLA) manipulation techniques (MTs) and craniocervical flexion (CCF) exercises have been frequently used in the management of chronic cervical pain. Objective. The study intended to compare the immediate effects on pain of a treatment using HVLA manipulation versus one using a CCF exercise protocol. Design. The research team designed a single-blinded, randomized clinical trial. Setting. The study was conducted at osteopathic clinics. Participants. Participants were 25 volunteer patients with chronic neck pain. Intervention. Participants were randomly enrolled in one of 2 groups: the HVLA manipulation group (MT group), n = 12, or the CCF exercise protocol group (CCF group), n = 13. Participants in the CCF group performed the exercise for 10 repetitions of a 10-s duration, with a 10-s rest interval between each contraction, for a total contraction time of 100 s and a total time of the session of 190 s. Outcome Measures • The outcomes were measured at baseline and at 60 s postintervention. The measures included (1) a visual analogue scale (VAS) completed during range of motion (ROM) measurement, (2) an evaluation of the ROM of the cervical spine, (3) a test of pressure pain thresholds (PPTs), and (4) electromyographic (EMG) activation of sternocleidomastoid muscle during a craniocervical flexion test. Results • Following both interventions, significant changes were found between baseline and immediately postintervention in the VAS score during ROM measurement for both groups, with P =.004 and P =.015, respectively. In the MT group, the measures for flexion (P =.001), right-side bending (P =.002), and left rotation (P =.005) changed significantly between baseline and postintervention; however, only flexion (P =.026) and extension (P =.040) ROM changed significantly between baseline and postintervention in the CCF group. Significant changes were observed in upper trapezius PPT following both interventions—MT group, P =.043, and CCF group, P =.005. In addition, significant changes in C5 PPT had occurred in the CCR group (P =.020). Between-group differences were significant for extension and right-side-bending ROM, with P =.019 and P =.012, respectively, and the changes between baseline and postintervention were greater in the MT group. None of the interventions led to changes in EMG. Conclusions • Although both interventions were associated with immediately improved ROM and pain after treatment, HVLA manipulation was more effective than CCF exercise in improving ROM and VAS during ROM. None of the interventions led to changes in EMG.",
author = "Xabier Galindez-Ibarbengoetxea and Igor Setuain and Robinson Ram{\'i}rez-Velez and Andersen, {Lars L.} and Miriam Gonz{\'a}lez-Izal and Andoni Jauregi and Mikel Izquierdo",
year = "2018",
month = "5",
day = "1",
language = "English (US)",
volume = "24",
pages = "24--32",
journal = "Alternative Therapies in Health and Medicine",
issn = "1078-6791",
publisher = "InnoVision Communications",
number = "3",

}

Galindez-Ibarbengoetxea, X, Setuain, I, Ramírez-Velez, R, Andersen, LL, González-Izal, M, Jauregi, A & Izquierdo, M 2018, 'Immediate effects of osteopathic treatment versus therapeutic exercise on patients with chronic cervical pain', Alternative Therapies in Health and Medicine, vol. 24, n.º 3, pp. 24-32.

Immediate effects of osteopathic treatment versus therapeutic exercise on patients with chronic cervical pain. / Galindez-Ibarbengoetxea, Xabier; Setuain, Igor; Ramírez-Velez, Robinson; Andersen, Lars L.; González-Izal, Miriam; Jauregi, Andoni; Izquierdo, Mikel.

En: Alternative Therapies in Health and Medicine, Vol. 24, N.º 3, 01.05.2018, p. 24-32.

Resultado de la investigación: Contribución a una revistaArtículo

TY - JOUR

T1 - Immediate effects of osteopathic treatment versus therapeutic exercise on patients with chronic cervical pain

AU - Galindez-Ibarbengoetxea, Xabier

AU - Setuain, Igor

AU - Ramírez-Velez, Robinson

AU - Andersen, Lars L.

AU - González-Izal, Miriam

AU - Jauregi, Andoni

AU - Izquierdo, Mikel

PY - 2018/5/1

Y1 - 2018/5/1

N2 - Context. Alternatives to medication for immediate pain relief are needed because long-term use of pain medication has been associated with adverse effects. High-velocity, low-amplitude (HVLA) manipulation techniques (MTs) and craniocervical flexion (CCF) exercises have been frequently used in the management of chronic cervical pain. Objective. The study intended to compare the immediate effects on pain of a treatment using HVLA manipulation versus one using a CCF exercise protocol. Design. The research team designed a single-blinded, randomized clinical trial. Setting. The study was conducted at osteopathic clinics. Participants. Participants were 25 volunteer patients with chronic neck pain. Intervention. Participants were randomly enrolled in one of 2 groups: the HVLA manipulation group (MT group), n = 12, or the CCF exercise protocol group (CCF group), n = 13. Participants in the CCF group performed the exercise for 10 repetitions of a 10-s duration, with a 10-s rest interval between each contraction, for a total contraction time of 100 s and a total time of the session of 190 s. Outcome Measures • The outcomes were measured at baseline and at 60 s postintervention. The measures included (1) a visual analogue scale (VAS) completed during range of motion (ROM) measurement, (2) an evaluation of the ROM of the cervical spine, (3) a test of pressure pain thresholds (PPTs), and (4) electromyographic (EMG) activation of sternocleidomastoid muscle during a craniocervical flexion test. Results • Following both interventions, significant changes were found between baseline and immediately postintervention in the VAS score during ROM measurement for both groups, with P =.004 and P =.015, respectively. In the MT group, the measures for flexion (P =.001), right-side bending (P =.002), and left rotation (P =.005) changed significantly between baseline and postintervention; however, only flexion (P =.026) and extension (P =.040) ROM changed significantly between baseline and postintervention in the CCF group. Significant changes were observed in upper trapezius PPT following both interventions—MT group, P =.043, and CCF group, P =.005. In addition, significant changes in C5 PPT had occurred in the CCR group (P =.020). Between-group differences were significant for extension and right-side-bending ROM, with P =.019 and P =.012, respectively, and the changes between baseline and postintervention were greater in the MT group. None of the interventions led to changes in EMG. Conclusions • Although both interventions were associated with immediately improved ROM and pain after treatment, HVLA manipulation was more effective than CCF exercise in improving ROM and VAS during ROM. None of the interventions led to changes in EMG.

AB - Context. Alternatives to medication for immediate pain relief are needed because long-term use of pain medication has been associated with adverse effects. High-velocity, low-amplitude (HVLA) manipulation techniques (MTs) and craniocervical flexion (CCF) exercises have been frequently used in the management of chronic cervical pain. Objective. The study intended to compare the immediate effects on pain of a treatment using HVLA manipulation versus one using a CCF exercise protocol. Design. The research team designed a single-blinded, randomized clinical trial. Setting. The study was conducted at osteopathic clinics. Participants. Participants were 25 volunteer patients with chronic neck pain. Intervention. Participants were randomly enrolled in one of 2 groups: the HVLA manipulation group (MT group), n = 12, or the CCF exercise protocol group (CCF group), n = 13. Participants in the CCF group performed the exercise for 10 repetitions of a 10-s duration, with a 10-s rest interval between each contraction, for a total contraction time of 100 s and a total time of the session of 190 s. Outcome Measures • The outcomes were measured at baseline and at 60 s postintervention. The measures included (1) a visual analogue scale (VAS) completed during range of motion (ROM) measurement, (2) an evaluation of the ROM of the cervical spine, (3) a test of pressure pain thresholds (PPTs), and (4) electromyographic (EMG) activation of sternocleidomastoid muscle during a craniocervical flexion test. Results • Following both interventions, significant changes were found between baseline and immediately postintervention in the VAS score during ROM measurement for both groups, with P =.004 and P =.015, respectively. In the MT group, the measures for flexion (P =.001), right-side bending (P =.002), and left rotation (P =.005) changed significantly between baseline and postintervention; however, only flexion (P =.026) and extension (P =.040) ROM changed significantly between baseline and postintervention in the CCF group. Significant changes were observed in upper trapezius PPT following both interventions—MT group, P =.043, and CCF group, P =.005. In addition, significant changes in C5 PPT had occurred in the CCR group (P =.020). Between-group differences were significant for extension and right-side-bending ROM, with P =.019 and P =.012, respectively, and the changes between baseline and postintervention were greater in the MT group. None of the interventions led to changes in EMG. Conclusions • Although both interventions were associated with immediately improved ROM and pain after treatment, HVLA manipulation was more effective than CCF exercise in improving ROM and VAS during ROM. None of the interventions led to changes in EMG.

UR - http://www.scopus.com/inward/record.url?scp=85052621528&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052621528&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:85052621528

VL - 24

SP - 24

EP - 32

JO - Alternative Therapies in Health and Medicine

JF - Alternative Therapies in Health and Medicine

SN - 1078-6791

IS - 3

ER -

Galindez-Ibarbengoetxea X, Setuain I, Ramírez-Velez R, Andersen LL, González-Izal M, Jauregi A y otros. Immediate effects of osteopathic treatment versus therapeutic exercise on patients with chronic cervical pain. Alternative Therapies in Health and Medicine. 2018 may 1;24(3):24-32.