Manual Therapy Versus Therapeutic Exercise in non-specific chronic neck pain: study protocol for a randomized controlled trial.

Abstract • Background: The underlying mechanisms that are causes of non-specific chronic neck pain relapses are not clear, but it could be associated with a deficit and alteration of the proprioception of the neck muscles that play a decisive role in the cervical joint position, motor control of the head and about postural stability. Numerous treatments for non-specific chronic neck pain have been described in the scientific literature. However, few studies analyze its influence on postural stability, since these alterations are not fully described, and various theories emerge about the reasons that cause it. Our mainly aim is analyze the differences in postural stability, pain, cervical disability and the relation between them produced by a treatment based on manual therapy and another based on therapeutic exercise. • Methods: The short-term and mid-term changes produced by different therapies on subjects with non-specific chronic neck pain will be studied. The sample will be randomly divided into three groups, manual therapy, therapeutic exercise and placebo. The general stability index, measured through a dynamic stabilometric platform, pain based on the visual analog scale and the pressure pain threshold, and the cervical disability through the cervical disability index were taken as dependent variables of the study. The findings will be analyzed statistically considering a 5% significance level (p ≤ 0.05) • Discussion: Our study aims to provide knowledge about postural stability and its relationship with pain in subjects with non-specific chronic neck pain. Analyzing the results produced by different types of therapy will allow us to draw conclusions about the mechanisms that provoke these alterations, structural or central mechanisms. • Trial registration: Brazilian Clinical Trial Registry, RBR-2vj7sw. Registered on 28 November 2018.

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Manual Therapy Versus Therapeutic Exercise in non-specific chronic neck pain: study protocol for a randomized controlled trial.

10.21203/rs.2.467/v3 ◽

2019 ◽

Author(s):

Carlos Bernal-Utrera ◽

Juan Jose Gonzalez-Gerez ◽

Manuel Saavedra-Hernandez ◽

Miguel Angel Lerida-Ortega ◽

Cleofas Rodriguez-Blanco

Keyword(s):

Neck Pain ◽

Manual Therapy ◽

Postural Stability ◽

Controlled Trial ◽

Pressure Pain Threshold ◽

Decisive Role ◽

Chronic Neck Pain ◽

Therapeutic Exercise ◽

Clinical Trial Registry ◽

Significance Level

Abstract • Background: Underlying mechanisms of non-specific chronic neck pain relapses are not clear, but it could be associated with a deficit and alteration of neck muscles propioception that play a decisive role in cervical joint position, motor control of the head and postural stability. Numerous treatments for non-specific chronic neck pain have been described in the scientific literature. However, few studies analyze its influence on postural stability, since these alterations are not fully described, and various theories emerge about the reasons that cause it. Our mainly aim is analyze the differences in postural stability, pain, cervical disability and the relation between them produced by a treatment based on manual therapy and other based on therapeutic exercise. • Methods: The short-term and mid-term changes produced by different therapies on subjects with non-specific chronic neck pain will be studied. The sample will be randomly divided into three groups, manual therapy, therapeutic exercise and placebo. As dependent variables of the study, we will take: a) overall balance index, measured through a dynamic stabilometric platform; b) pain, based on the visual analog scale and the pressure pain threshold; c) cervical disability, through the cervical disability index. The findings will be analyzed statistically considering a 5% significance level (p ≤ 0.05) • Discussion: Our study aims to provide knowledge about postural stability and its relationship with pain in subjects with non-specific chronic neck pain. Analyzing the results produced by different types of therapy will allow us to draw conclusions about the mechanisms that may elicit these alterations, structural or central mechanisms. • Trial registration: Brazilian Clinical Trial Registry, RBR-2vj7sw. Registered on 28 November 2018.

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

Trials ◽

10.1186/s13063-020-04610-w ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Carlos Bernal-Utrera ◽

Juan Jose Gonzalez-Gerez ◽

Ernesto Anarte-Lazo ◽

Cleofas Rodriguez-Blanco

Keyword(s):

Randomized Controlled Trial ◽

Neck Pain ◽

Manual Therapy ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Therapeutic Exercise ◽

Randomized Controlled

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Immediate effects on cervical mobility and spiratory flow, after bilateral manipulation of first rib, in non-specific chronic neck pain: study protocol for a randomized controlled trial

10.21203/rs.3.rs-19708/v2 ◽

2020 ◽

Author(s):

Juan Jose Gonzalez-Gerez ◽

Carlos Bernal Utrera ◽

Ernesto Anarte ◽

Cleofas Rodriguez-Blanco

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Pulmonary Function ◽

Thoracic Spine ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Easy Access ◽

Clinical Trial Registry ◽

Significance Level ◽

First Rib

Abstract Background: Numerous publications have showed the biomechanical influence of thoracic spine on cervical spine. Recently, some authors have pointed out the role of other physiological systems in this relationship, what have been calle interdependence regional model. It has been studies that interventions applied over thoracic spine have a neurophysiological influence on cervical spine and respiratory system. Our study evaluates the influence of bilateral manipulative technique of first rib on pain and pulmonary function in subjects with chronic non-specific neck pain.Methods: The immediate changes produced by bilateral direct manipulation (HVLA) of first rib in subjects with non-specific chronic neck pain will be studied. The sample will be randomly divided into two groups, experimental and placebo. As dependent variables of the study, we will measure the peak expiratory flow and cervical rom. Findings will be analyzed statistically considering a 5% significance level (p ≤ 0.05)Discussion: Our study aims to provide knowledge about the influence of bilateral manipulative technique of first rib in pain and pulmonary capacity in subjects with non-specific chronic neck pain. The efficacy of this technique may entail an easy access and low cost strategy in patients with pain and a reduction in pulmonary function. Trial registration Brazilian Clinical Trial Registry, RBR-4dsvfy. Registered on 17 March 2020.

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Effect of Combined Manual Therapy and Therapeutic Exercise Protocols on the Postural Stability of Patients with Non-Specific Chronic Neck Pain. A Secondary Analysis of Randomized Controlled Trial

Journal of Clinical Medicine ◽

10.3390/jcm11010084 ◽

2021 ◽

Vol 11 (1) ◽

pp. 84

Author(s):

Carlos Bernal-Utrera ◽

Ernesto Anarte-Lazo ◽

Juan Jose Gonzalez-Gerez ◽

Manuel Saavedra-Hernandez ◽

Elena De-La-Barrera-Aranda ◽

...

Keyword(s):

Clinical Trial ◽

Neck Pain ◽

Manual Therapy ◽

Postural Stability ◽

Chronic Neck Pain ◽

Control Group ◽

Placebo Control ◽

Therapeutic Exercise ◽

The Relationship

Postural stability is a little-studied factor in non-specific chronic neck pain; the causes that can alter it are unknown. The relationship with chronic pain could be a determining factor for its deficit. The aim of this study was to investigate the relationship between sustained pain and a postural stability deficit. A randomized and blinded clinical trial (double-blind; placebo control; 12 weeks follow-up) was conducted with a total of 69 subjects divided into three groups, two experimental (manual therapy and specific exercise) and a control treatment, and carried out over a treatment period of three weeks with a follow-up after 12 weeks. Their postural stability was assessed through the overall balance index (OBI). The postural stability of subjects with non-specific chronic neck pain improved in the experimental treatments. There were no statistically significant differences between the experimental groups. This trial found that manual therapy and therapeutic exercise significantly improved OBI compared to the control group. Trial registration: Brazilian Clinical Trial Registry, RBR-2vj7sw.

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Immediate effects on cervical mobility and spiratory flow, after bilateral manipulation of first rib, in non-specific chronic neck pain: study protocol for a randomized controlled trial

10.21203/rs.3.rs-19708/v1 ◽

2020 ◽

Author(s):

Juan Jose Gonzalez-Gerez ◽

Carlos Bernal Utrera ◽

Ernesto Anarte ◽

Cleofas Rodriguez-Blanco

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Pulmonary Function ◽

Thoracic Spine ◽

Controlled Trial ◽

Chronic Neck Pain ◽

Easy Access ◽

Clinical Trial Registry ◽

Significance Level ◽

First Rib

Abstract Background: Numerous publications have showed the biomechanical influence of thoracic spine on cervical spine. Recently, some authors have pointed out the role of other physiological systems in this relationship, what have been calle interdependence regional model. It has been studies that interventions applied over thoracic spine have a neurophysiological influence on cervical spine and respiratory system. Our study evaluates the influence of bilateral manipulative technique of first rib on pain and pulmonary function in subjects with chronic non-specific neck pain. Methods: The immediate changes produced by bilateral direct manipulation (HVLA) of first rib in subjects with non-specific chronic neck pain will be studied. The sample will be randomly divided into two groups, experimental and placebo. As dependent variables of the study, we will measure the peak expiratory flow and cervical rom. Findings will be analyzed statistically considering a 5% significance level (p ≤ 0.05) Discussion: Our study aims to provide knowledge about the influence of bilateral manipulative technique of first rib in pain and pulmonary capacity in subjects with non-specific chronic neck pain. The efficacy of this technique may entail an easy access and low cost strategy in patients with pain and a reduction in pulmonary function. Trial registration Brazilian Clinical Trial Registry, RBR-4dsvfy. Registered on 17 March 2020. Retrospectively registered

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Fascial treatment versus manual therapy (HVLA) in patients with chronic neck pain: A randomized controlled trial

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-191731 ◽

2021 ◽

pp. 1-10

Author(s):

Katrin Brück ◽

Kirsten Jacobi ◽

Tobias Schmidt

Keyword(s):

Neck Pain ◽

Manual Therapy ◽

Repeated Measures ◽

Primary Outcome ◽

Controlled Trial ◽

Severity Of Illness ◽

Chronic Neck Pain ◽

Secondary Outcome ◽

Control Group ◽

Industrialized Nations

BACKGROUND: Chronic neck pain (CNP) is a common health problem in western industrialized nations. In recent years, the fascial tissue has attracted the attention of therapists, and a treatment of the fasciae promises to be a meaningful approach in the therapy of patients with CNP. OBJECTIVE: The aim of this study was to investigate the effectiveness of a fascial treatment (FT) compared to manual therapy (MT) and to no intervention (control group, CG) in patients with CNP. METHODS: Sixty participants with CNP were randomized into three groups. Primary outcome parameters were pain intensity as measured by the visual analogue scale (VAS), and severity of illness as measured by the Neck Pain and Disability Scale (NPAD). Secondary outcome parameter was the range of motion (ROM) of the cervical spine. RESULTS: Repeated measures t-tests demonstrated significant decreases with medium to large effect sizes for the FT (VAS: dR⁢M= 1.14; NPAD: dR⁢M= 0.51) and for the MT (VAS: dR⁢M= 1.15; NPAD: dR⁢M= 0.72). CONCLUSION: Our results confirmed the effectiveness of MT on pain and severity of illness in the treatment of patients suffering from CNP. Furthermore, the results demonstrated the effectiveness and clinical relevance of FT for this population.

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