IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i18p6601-d411796.html
   My bibliography  Save this article

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

Author

Listed:
  • Jacobo Rodríguez-Sanz

    (Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain)

  • Miguel Malo-Urriés

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

  • Jaime Corral-de-Toro

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

  • Carlos López-de-Celis

    (Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Sant Cugat del Vallès, Spain
    Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina, 08007 Barcelona, Spain)

  • María Orosia Lucha-López

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

  • José Miguel Tricás-Moreno

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

  • Ana I Lorente

    (Impact Laboratory, Aragón Institute of Engineering Research (I3A), Universidad de Zaragoza, 50018 Zaragoza, Spain)

  • César Hidalgo-García

    (Faculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, Spain
    Physiotherapy Research Unit, Universidad de Zaragoza, 50009 Zaragoza, Spain)

Abstract

Chronic neck pain is one of today’s most prevalent pathologies. The International Classification of Diseases categorizes four subgroups based on patients’ associated symptoms. However, this classification does not encompass upper cervical spine dysfunction. The aim is to compare the short- and mid-term effectiveness of adding a manual therapy approach to a cervical exercise protocol in patients with chronic neck pain and upper cervical spine dysfunction. Fifty-eight subjects with chronic neck pain and upper cervical spine dysfunction were recruited (29 = Manual therapy + Exercise; 29 = Exercise). Each group received four 20-min sessions, one per week during four consecutive weeks, and a home exercise regime. Upper flexion and flexion-rotation test range of motion, neck disability index, craniocervical flexion test, visual analogue scale, pressure pain threshold, global rating of change scale, and adherence to self-treatment were assessed at the beginning, end of the intervention and at 3- and 6-month follow-ups. The Manual therapy + Exercise group statistically improved short- and medium-term in all variables compared to the Exercise group. Four 20-min sessions of Manual therapy + Exercise along with a home-exercise program is more effective in the short- to mid-term than an exercise protocol and a home-exercise program for patients with chronic neck pain and upper cervical dysfunction.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6601-:d:411796
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/18/6601/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/18/6601/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Sullivan, Mark, 2003. "The new subjective medicine: taking the patient's point of view on health care and health," Social Science & Medicine, Elsevier, vol. 56(7), pages 1595-1604, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.
    2. Soraya Pacheco-da-Costa & Concepción Soto-Vidal & Victoria Calvo-Fuente & María José Yuste-Sánchez & Beatriz Sánchez-Sánchez & Ángel Asúnsolo-del-Barco, 2022. "Evaluation of Physical Therapy Interventions for Improving Musculoskeletal Pain and Quality of Life in Older Adults," IJERPH, MDPI, vol. 19(12), pages 1-13, June.
    3. 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.
    4. 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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Miller, Nancy & Weinstein, Marcie, 2007. "Participation and knowledge related to a nursing home admission decision among a working age population," Social Science & Medicine, Elsevier, vol. 64(2), pages 303-313, January.
    2. Christen, Regula Nelly & Alder, Judith & Bitzer, Johannes, 2008. "Gender differences in physicians' communicative skills and their influence on patient satisfaction in gynaecological outpatient consultations," Social Science & Medicine, Elsevier, vol. 66(7), pages 1474-1483, April.
    3. Natasa Sedlar & Mitja Lainscak & Jerneja Farkas, 2020. "Living with Chronic Heart Failure: Exploring Patient, Informal Caregiver, and Healthcare Professional Perceptions," IJERPH, MDPI, vol. 17(8), pages 1-16, April.
    4. Murali Sundaram & Jan Kavookjian & Julie Patrick, 2009. "Health-Related Quality of Life and Quality of Life in Type 2 Diabetes," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 2(2), pages 121-133, June.
    5. Eissens van der Laan, M.R. & van Offenbeek, M.A.G. & Broekhuis, H. & Slaets, J.P.J., 2014. "A person-centred segmentation study in elderly care: Towards efficient demand-driven care," Social Science & Medicine, Elsevier, vol. 113(C), pages 68-76.
    6. Cho, Sun Mi & Park, Chan-ung & Song, Min, 2020. "The evolution of social health research topics: A data-driven analysis," Social Science & Medicine, Elsevier, vol. 265(C).
    7. Martina F. Baumann & Daniel Frank & Lena-Charlotte Kulla & Thomas Stieglitz, 2020. "Obstacles to Prosthetic Care—Legal and Ethical Aspects of Access to Upper and Lower Limb Prosthetics in Germany and the Improvement of Prosthetic Care from a Social Perspective," Societies, MDPI, vol. 10(1), pages 1-20, January.
    8. Peña-Longobardo, L.M. & Rodríguez-Sánchez, B. & Oliva-Moreno, J., 2021. "The impact of widowhood on wellbeing, health, and care use: A longitudinal analysis across Europe," Economics & Human Biology, Elsevier, vol. 43(C).
    9. Finn, Mark & Sarangi, Srikant, 2008. "Quality of life as a mode of governance: NGO talk of HIV 'positive' health in India," Social Science & Medicine, Elsevier, vol. 66(7), pages 1568-1578, April.
    10. Ulrike Ravens-Sieberer & Michael Erhart & Nora Wille & Ralf Wetzel & Jennifer Nickel & Monika Bullinger, 2006. "Generic Health-Related Quality-of-Life Assessment in Children and Adolescents," PharmacoEconomics, Springer, vol. 24(12), pages 1199-1220, December.
    11. Erik Berglund & Emilie Friberg & Monika Engblom & Åsa Andersén & Veronica Svärd, 2022. "Coordination and Perceived Support for Return to Work: A Cross-Sectional Study among Patients in Swedish Healthcare," IJERPH, MDPI, vol. 19(7), pages 1-11, March.
    12. Gisquet, Elsa, 2008. "Cerebral implants and Parkinson's disease: A unique form of biographical disruption?," Social Science & Medicine, Elsevier, vol. 67(11), pages 1847-1851, December.
    13. Daniela R. Bien & Marion Danner & Vera Vennedey & Daniele Civello & Silvia M. Evers & Mickaël Hiligsmann, 2017. "Patients’ Preferences for Outcome, Process and Cost Attributes in Cancer Treatment: A Systematic Review of Discrete Choice Experiments," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 10(5), pages 553-565, October.
    14. Ahmad Shahabeddin Parizi & Paul F. M. Krabbe & Erik Buskens & Stephan J. L. Bakker & Karin M. Vermeulen, 2019. "A Scoping Review of Key Health Items in Self-Report Instruments Used Among Solid Organ Transplant Recipients," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 12(2), pages 171-181, April.
    15. Oviedo, Enrique & Fernández, Andrés, 2010. "Information and communication technologies in the health sector: opportunities and challenges for the reduction of inequalities in Latin America and the Caribbean," Políticas Sociales 6178, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
    16. Lehoux, Pascale & Poland, Blake & Daudelin, Genevieve, 2006. "Focus group research and "the patient's view"," Social Science & Medicine, Elsevier, vol. 63(8), pages 2091-2104, October.
    17. Henry S. Perkins, 2014. "The Varied Understandings of “Terminal Cancer†and Their Implications for Clinical Research and Patient Care," Medical Decision Making, , vol. 34(6), pages 696-698, August.
    18. Juan Oliva-Moreno & Julio López-Bastida & Pedro Serrano-Aguilar & Lilisbeth Perestelo-Pérez, 2010. "Determinants of health care costs of HIV-positive patients in the Canary Islands, Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(4), pages 405-412, August.
    19. Gill Hubbard & Nicola Illingworth & Neneh Rowa‐Dewar & Liz Forbat & Nora Kearney, 2010. "Treatment decision‐making in cancer care: the role of the carer," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(13‐14), pages 2023-2031, July.
    20. Paul F M Krabbe & Ruslan Jabrayilov & Patrick Detzel & Livia Dainelli & Karin M Vermeulen & Antoinette D I van Asselt, 2020. "A two-step procedure to generate utilities for the Infant health-related Quality of life Instrument (IQI)," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-14, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6601-:d:411796. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.