Efficacy of Yijinjing combined with Tuina for patients with non-specific chronic neck pain: study protocol for a randomized controlled trial

Abstract Background Non-specific chronic neck pain (NCNP) is a common musculoskeletal disorder which has caused a huge economic burden due to its expensive health costs and high re-occurrence rate. Yijinjing and Tuina are widely used for non-specific chronic neck pain in China. But there is little scientific evidence to evaluate their efficacy for NCNP. The aim of this research is to compare the efficacy of Yijinjng combined with Tuina versus Tuina for patients with NCNP. Methods/design A randomized controlled trial in which 102 patients with non-specific chronic neck pain will be recruited and randomly allocated to either the Tuina group or the Yijinjng combined with Tuina group in a 1:1 ratio. The interventions for both groups will be carried out three times a week for 8 weeks. The patients in the two groups will receive follow-up 1 month after the intervention. The primary outcome will be the changes in the visual analog scale (VAS). Secondary outcomes will be measured by the Neck Disability Index (NDI), Self-Rating Anxiety Scale (SAS), and Tissue Hardness and Active Range of Motion (AROM). The data will be analyzed at the baseline, 4 weeks during the intervention, at the end of the intervention, and 1 month after the intervention. The significance level sets as 5%. The safety of interventions will be evaluated after each treatment session. Discussion The purpose of this trial is to determine whether Yijinjing combined with Tuina is not inferior to Tuina for patients with NCNP. This study will provide clinicians and stakeholders much-needed knowledge for a complementary and alternative therapy for patients with non-specific chronic neck pain. Trial registration ChiCTR registry (ChiCTR) 2000036805. Registered on August 25, 2020

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Clinical outcomes of maitland mobilization in patients with Myofascial Chronic Neck Pain: A randomized controlled trial

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.37.4.4220 ◽

2021 ◽

Vol 37 (4) ◽

Author(s):

Maryam Shabbir ◽

Naveed Arshad ◽

Anam Naz ◽

Nadia Saleem

Keyword(s):

Randomized Controlled Trial ◽

Neck Pain ◽

Range Of Motion ◽

Clinical Outcomes ◽

Controlled Trial ◽

Neck Disability Index ◽

Chronic Neck Pain ◽

Placebo Treatment ◽

Control Group ◽

Randomized Controlled

Background and Objective: Myofascial neck pain is a common musculoskeletal problem caused by presence of trigger points and local and referred pain patterns. Chronic neck pain is responsible for the involvement of joints, ligaments, fascia and connective tissue as well. The objective of this study was to assess the effect of Maitland mobilization in patients with myofascial chronic neck pain. Methods: In this randomized, placebo treatment-controlled trial, 30 patients consecutively aged 25-45 years meeting inclusion criteria were isolated into two groups. The study group was treated with Maitland mobilization consistently for eight weeks while the control group got placebo treatment for a similar timeframe. Visual analog Scale (VAS), Neck disability index (NDI) and cervical range of motion (ROM) questionnaire was filled by patients before, intermediate and after the intervention to evaluate the severity of pain, functional ability and range of motion. Results: Following eight weeks of treatment, when compared the post treatment effects of both groups, the significance value for VAS was 0.008, for NDI p=0.030, for Flexion p=0.573, for extension p=0.001, for right rotation p<0.001, for left rotation p=0.002, for right and left side bending p<0.001. Conclusion: The study concluded that Maitland mobilization grades (I-IV) are effective in reducing pain and improving functional level of NDI scale and the ranges of cervical spine in patients with myofascial chronic neck pain. doi: https://doi.org/10.12669/pjms.37.4.4220 How to cite this:Shabbir M, Arshad N, Naz A, Saleem N. Clinical outcomes of maitland mobilization in patients with Myofascial Chronic Neck Pain: A randomized controlled trial . Pak J Med Sci. 2021;37(4):---------. doi: https://doi.org/10.12669/pjms.37.4.4220 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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The clinical and EMG assessment of the effects of stabilization exercise on nonspecific chronic neck pain: A randomized controlled trial

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-160735 ◽

2017 ◽

Vol 30 (2) ◽

pp. 211-219 ◽

Cited By ~ 11

Author(s):

Fariba Ghaderi ◽

Mohammad Asghari Jafarabadi ◽

Khodabakhsh Javanshir

Keyword(s):

Randomized Controlled Trial ◽

Neck Pain ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Stabilization Exercise ◽

Randomized Controlled

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Efficacy And Central Mechanism of Acupuncture Treatment In Patients With Neck Pain: Study Protocol For A Randomized Controlled Trial

10.21203/rs.3.rs-377610/v1 ◽

2021 ◽

Author(s):

Zhen Gao ◽

Tao Yin ◽

Lei Lan ◽

Dehua Li ◽

Ruirui Sun ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Neck Pain ◽

Acupuncture Treatment ◽

Clinical Symptoms ◽

Controlled Trial ◽

Neck Disability Index ◽

Pressure Pain Threshold ◽

Central Mechanism ◽

Cerebral Activity ◽

Randomized Controlled

Abstract Background: Acupuncture is effective for reducing the symptoms of neck pain (NP). However, the underlying mechanisms are not fully elucidated. Based on evaluating the efficacy of two acupuncture prescriptions for treating NP. This study aims to investigate the potential central mechanism of acupuncture treatment for NP by functional magnetic resonance imaging (fMRI). Methods: This is a randomized controlled trial, 86 patients will be randomly assigned into two acupuncture treatment groups at a ratio of 1:1. The whole study period includes 2 weeks baseline, 2 weeks treatments and 12 weeks follow-up (4 and 12 weeks after treatment). The pain severity, the neck disability index, the cervical range of motion, the pressure pain threshold, etc. will be used to evaluate clinical efficacy of two acupuncture prescriptions for NP treatment. The MRI scans will be performed to detect cerebral activity changes of 20 patients in each group. The clinical data and MRI data will be analysed, respectively. Pearson correlation coefficient will be used to evaluate the association between changes of cerebral activity features and improvement of clinical symptoms.Discussion: The results might provide further evidence for the clinical application of acupuncture in the treatment of NP.Trial registration: Chinese Clinical Trial Registry, ChiCTR2000040930. Registered on December 16, 2020.

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Manual therapy versus therapeutic exercise in non-specific chronic neck pain: study protocol for a randomized controlled trial

Trials ◽

10.1186/s13063-019-3598-7 ◽

2019 ◽

Vol 20 (1) ◽

Author(s):

Carlos Bernal-Utrera ◽

Juan José González-Gerez ◽

Manuel Saavedra-Hernandez ◽

Miguel Ángel Lérida-Ortega ◽

Cleofás Rodríguez-Blanco

Keyword(s):

Randomized Controlled Trial ◽

Neck Pain ◽

Manual Therapy ◽

Study Protocol ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Therapeutic Exercise ◽

Randomized Controlled

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Resistance training vs general physical exercise in multidisciplinary rehabilitation of chronic neck pain: A randomized controlled trial

Journal of Rehabilitation Medicine ◽

10.2340/16501977-2370 ◽

2018 ◽

Vol 50 (8) ◽

pp. 743-750 ◽

Cited By ~ 1

Author(s):

V Iversen ◽

O Vasseljen ◽

P Mork ◽

M Fimland

Keyword(s):

Randomized Controlled Trial ◽

Resistance Training ◽

Physical Exercise ◽

Neck Pain ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Multidisciplinary Rehabilitation ◽

Randomized Controlled ◽

General Physical

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Effect of therapeutic exercise routine on pain, disability, posture, and health status in dentists with chronic neck pain: a randomized controlled trial

International Archives of Occupational and Environmental Health ◽

10.1007/s00420-019-01480-x ◽

2019 ◽

Vol 93 (3) ◽

pp. 281-290 ◽

Cited By ~ 1

Author(s):

Amir Letafatkar ◽

Pouya Rabiei ◽

Gelareh Alamooti ◽

Lucia Bertozzi ◽

Niloufar Farivar ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Health Status ◽

Neck Pain ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Therapeutic Exercise ◽

Randomized Controlled ◽

Pain Disability ◽

Exercise Routine

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“Short- and mid-term effects of adding upper cervical manual therapy to a conventional physical therapy program in patients with chronic mechanical neck pain. Randomized controlled clinical trial.”

Clinical Rehabilitation ◽

10.1177/0269215520965054 ◽

2020 ◽

pp. 026921552096505

Author(s):

Vanessa González-Rueda ◽

Carlos López-de-Celis ◽

Elena Bueno-Gracia ◽

Jacobo Rodríguez-Sanz ◽

Albert Pérez-Bellmunt ◽

...

Keyword(s):

Neck Pain ◽

Rating Scale ◽

Controlled Trial ◽

Neck Disability Index ◽

Chronic Neck Pain ◽

Control Group ◽

Controlled Clinical Trial ◽

Primary Care Center ◽

Randomized Controlled ◽

Upper Cervical

Objective: To evaluate the effect of adding an Upper Cervical Translatoric Mobilization (UCTM) or an Inhibitory Suboccipital Technique (IST) to a physiotherapy treatment in the symptomatology and function of mechanical chronic neck pain patients. Design: Randomized controlled trial. Setting: Primary Care Center in Cornellà, Spain. Subjects: 78 patients (64 women), with mean age (SD) of 59.96 (13.30) years with mechanical chronic neck pain were divided in three groups: control, IST and UCTM groups. Interventions: All groups received 15 physiotherapy sessions for three weeks. The UCTM and IST groups added 5 minutes of the assigned technique during six sessions. Main measures: Neck disability index (NDI) and numeric pain rating scale (NPRS) for neck pain were measured baseline, three-weeks and 15-weeks follow-up. Results: NDI (SD) at baseline, three-weeks and 15-weeks were 11.62 (7.08), 9.65 (6.25), 7.58 (5.64) for the control group, 14.38 (6.92), 8.50 (6.11), 7.12 (4.98) for the IST group and 13.19(7.23), 5.35(6.10), 4.35(2.76) for the UCTM group. NPRS (SD) at baseline, three-weeks and 15-weeks were 58.69 (19.46), 45.19 (23.43), 44.58 (24.08) for the control group; 64.08 (19.26), 42.19 (19.69), 34 (21.14) for the IST group; and 67.65 (20.65), 36.23 (20.10), 39.85 (25.44) for the UCTM group. Conclusions: Compared with no treatment, both forms of mobilization were associated with reduced disability at three weeks, and UCTM remained better than control at 15 weeks; there were no significant differences between the two mobilization groups. Trial registration: This study was registered in Clinicaltrials.gov (NCT02832232).

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Scapular exercise combined with cognitive functional therapy is more effective at reducing chronic neck pain and kinesiophobia than scapular exercise alone: a randomized controlled trial

Clinical Rehabilitation ◽

10.1177/0269215520941910 ◽

2020 ◽

Vol 34 (12) ◽

pp. 1485-1496 ◽

Cited By ~ 2

Author(s):

Norollah Javdaneh ◽

Amir Letafatkar ◽

Sadredin Shojaedin ◽

Malihe Hadadnezhad

Keyword(s):

Randomized Controlled Trial ◽

Neck Pain ◽

Pain Intensity ◽

Effect Size ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Secondary Outcome ◽

Group Differences ◽

Functional Therapy ◽

Randomized Controlled

Objective: The aim of this study was to compare the effectiveness of scapular exercises alone and combined with cognitive functional therapy in treating patients with chronic neck pain and scapular downward rotation impairment. Design: Single-blind randomized controlled trial. Setting: Outpatient. Subjects: A total of 72 patients (20–45 years old) with chronic neck pain were studied. Intervention: Allocation was undertaken into three groups: scapular exercise ( n = 24), scapular exercise with cognitive functional therapy ( n = 24) and control ( n = 24) groups. Each programme lasted three times a week for six weeks. Main outcomes: The primary outcome measure was pain intensity measured by the visual analogue scale scores. The secondary outcome measures included kinesiophobia and muscles activity. Results: Statistically significant differences in pain intensity were found when multidisciplinary physiotherapy group including a cognitive functional approach was compared with the scapular exercise alone group at six weeks (effect size (95% CI) = −2.56 (−3.32 to −1.80); P = 0.019). Regarding kinesiophobia, a significant between-group difference was observed at six-week (effect size (95% CI) = −2.20 (−2.92 to −1.49); P = 0.005), with the superiority of effect in multidisciplinary physiotherapy group. A significant between-group differences was observed in muscle activity. Also, there were significant between-group differences favouring experimental groups versus control. Conclusion: A group-based multidisciplinary rehabilitation programme including scapular exercise plus cognitive functional therapy was superior to group-based scapular exercise alone for improving pain intensity, kinesiophobia and muscle activation in participants with chronic neck pain.

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