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

A randomized clinical trial

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

Resultado de la investigación: Contribución a RevistaArtículo

Resumen

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.

Idioma originalEnglish (US)
Páginas (desde-hasta)133-145
Número de páginas13
PublicaciónJournal of Back and Musculoskeletal Rehabilitation
Volumen31
N.º1
DOI
EstadoPublished - ene 1 2018

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Citar esto

Galindez-Ibarbengoetxea, X., Setuain, I., Ramírez-Velez, R., Andersen, L. L., González-Izal, M., Jauregi, A., & Izquierdo, M. (2018). Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: A randomized clinical trial. Journal of Back and Musculoskeletal Rehabilitation, 31(1), 133-145. https://doi.org/10.3233/BMR-169723
Galindez-Ibarbengoetxea, Xabier ; Setuain, Igor ; Ramírez-Velez, Robinson ; Andersen, Lars L. ; González-Izal, Miriam ; Jauregi, Andoni ; Izquierdo, Mikel. / Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain : A randomized clinical trial. En: Journal of Back and Musculoskeletal Rehabilitation. 2018 ; Vol. 31, N.º 1. pp. 133-145.
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Galindez-Ibarbengoetxea, X, Setuain, I, Ramírez-Velez, R, Andersen, LL, González-Izal, M, Jauregi, A & Izquierdo, M 2018, 'Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: A randomized clinical trial', Journal of Back and Musculoskeletal Rehabilitation, vol. 31, n.º 1, pp. 133-145. https://doi.org/10.3233/BMR-169723

Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain : A randomized clinical trial. / Galindez-Ibarbengoetxea, Xabier; Setuain, Igor; Ramírez-Velez, Robinson; Andersen, Lars L.; González-Izal, Miriam; Jauregi, Andoni; Izquierdo, Mikel.

En: Journal of Back and Musculoskeletal Rehabilitation, Vol. 31, N.º 1, 01.01.2018, p. 133-145.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain

T2 - A randomized clinical trial

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 - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

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