The short-term effects of TENS plus therapeutic ultrasound combinations in chronic neck pain

Objective: The aim of this review was to systematically assess and meta-analyze the effectiveness of yoga in relieving chronic neck pain. Methods: PubMed/MEDLINE, the Cochrane Library, Scopus, and IndMED were screened through January 2017 for randomized controlled trials assessing neck pain intensity and/or neck pain-related disability in chronic neck pain patients. Secondary outcome measures included quality of life, mood, and safety. Risk of bias was assessed using the Cochrane tool. Results: Three studies on 188 patients with chronic non-specific neck pain comparing yoga to usual care were included. Two studies had overall low risk of bias; and one had high or unclear risk of bias for several domains. Evidence for short-term effects was found for neck pain intensity (standardized mean difference (SMD) = −1.28; 95% confidence interval (CI) = −1.18, −0.75; P < 0.001), neck pain-related disability (SMD = −0.97; 95% CI = −1.44, −0.50; P < 0.001), quality of life (SMD = 0.57; 95% CI = 0.17, 0.197; P = 0.005), and mood (SMD = −1.02; 95% CI = −1.38, −0.65; P < 0.001). Effects were robust against potential methodological bias and did not differ between different intervention subgroups. In the two studies that included safety data, no serious adverse events occurred. Conclusion: Yoga has short-term effects on chronic neck pain, its related disability, quality of life, and mood suggesting that yoga might be a good treatment option.

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Immediate and Short-Term Effects of Upper Thoracic Manipulation on Myoelectric Activity of Sternocleidomastoid Muscles in Young Women With Chronic Neck Pain: A Randomized Blind Clinical Trial

Journal of Manipulative and Physiological Therapeutics ◽

10.1016/j.jmpt.2015.06.016 ◽

2015 ◽

Vol 38 (8) ◽

pp. 555-563 ◽

Cited By ~ 5

Author(s):

Paulo Fernandes Pires ◽

Amanda Carine Packer ◽

Almir Vieira Dibai-Filho ◽

Delaine Rodrigues-Bigaton

Keyword(s):

Clinical Trial ◽

Neck Pain ◽

Young Women ◽

Chronic Neck Pain ◽

Myoelectric Activity ◽

Short Term ◽

Upper Thoracic ◽

Short Term Effects

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Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial

Journal of Clinical Medicine ◽

10.3390/jcm9082580 ◽

2020 ◽

Vol 9 (8) ◽

pp. 2580

Author(s):

Francisco Gómez ◽

Pablo Escribá ◽

Jesús Oliva-Pascual-Vaca ◽

Roberto Méndez-Sánchez ◽

Ana Silvia Puente-González

Keyword(s):

Neck Pain ◽

Postural Control ◽

High Velocity ◽

Controlled Trial ◽

Short Term ◽

Upper Cervical ◽

Low Amplitude ◽

Cervical Rotation ◽

Short Term Effects

This study aimed to determine the immediate and short-term effects of a single upper cervical high-velocity, low-amplitude (HVLA) manipulation on standing postural control and cervical mobility in chronic nonspecific neck pain (CNSNP). A double-blinded, randomized placebo-controlled trial was performed. Forty-four patients with CNSNP were allocated to the experimental group (n = 22) or control group (n = 22). All participants were assessed before and immediately after the intervention, with a follow-up on the 7th and 15th days. In each evaluation, we assessed global and specific stabilometric parameters to analyze standing postural balance and performed the cervical flexion-rotation test (CFRT) to analyze upper cervical mobility. We obtained statistically significant differences, with a large effect size, in the limited cervical rotation and global stabilometric parameters. Upper cervical HVLA manipulation produced an improvement in the global stabilometric parameters, significantly decreasing the mean values of velocity, surface, path length, and pressure in all assessments (p < 0.001; ƞ 2 p = 0.323–0.856), as well as significantly decreasing the surface length ratio (L/S) on the 7th (−0.219 1/mm; p = 0.008; 95% confidence interval (CI): 0.042–0.395) and 15th days (−0.447 1/mm; p < 0.001; 95% CI: 0.265–0.629). Limited cervical rotation values increased significantly immediately after manipulation (7.409°; p < 0.001; 95% CI: 6.131–8.687) and were maintained during follow-up (p < 0.001). These results show that a single upper cervical HVLA manipulation produces an improvement in standing postural control and increases the rotational range of motion (ROM) in the upper cervical spine in patients with CNSNP.

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