Efficacy of Manual Therapy and Transcutaneous Electrical Nerve Stimulation in Cervical Mobility and Endurance in Subacute and Chronic Neck Pain: A Randomized Clinical Trial

Neck pain is a frequent health problem. Manual therapy (MT) and transcutaneous electrical nerve stimulation (TENS) are recommended techniques for treatment of mechanical neck disorders (MND) in Spanish Public Primary Care Physiotherapy Services. The aim of this study was to compare the efficacy of MT versus TENS in active mobility and endurance in cervical subacute or chronic neck pain. Ninety patients with MND were randomly allocated to receive ten 30-min sessions of either MT or TENS, in a multi-centered study through 12 Primary Care Physiotherapy Units in the Madrid community. Active cervical range of motion (CD-ROM) and endurance (Palmer and Epler test) were evaluated pre- and post-intervention and at 6-month follow-up. A generalized linear model of repeated measures was constructed for the analysis of differences. Post-intervention MT yielded a significant improvement in active mobility and endurance in patients with subacute or chronic MND, and at 6-month follow-up the differences were only significant in endurance and in sagittal plane active mobility. In the TENS group, no significant improvement was detected. With regard to other variables, MT improved mobility and endurance more effectively than TENS at post-intervention and at 6-month follow-up in the sagittal plane. Only MT generated significant improvements in cervical mobility and endurance in the three movement planes.

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Transcutaneous electrical nerve stimulation (TENS) for chronic neck pain

Cochrane Database of Systematic Reviews ◽

10.1002/14651858.cd011927 ◽

2015 ◽

Cited By ~ 3

Author(s):

Gustavo JM Porfírio ◽

Ana Luiza C Martimbianco ◽

Gert Brønfort ◽

Maria R Torloni ◽

Rachel Riera

Keyword(s):

Neck Pain ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Chronic Neck Pain ◽

Electrical Nerve Stimulation

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Bilateral Transcutaneous Electrical Nerve Stimulation Improves Upper Limb Motor Recovery in Stroke: A Randomized Controlled Trial

Stroke ◽

10.1161/strokeaha.121.036895 ◽

2021 ◽

Author(s):

Peiming Chen ◽

Tai-Wa Liu ◽

Patrick W.H. Kwong ◽

Claudia K.Y. Lai ◽

Raymond C.K. Chung ◽

...

Keyword(s):

Upper Extremity ◽

Upper Limb ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Controlled Trial ◽

Motor Recovery ◽

Mean Difference ◽

Post Intervention ◽

Electrical Nerve Stimulation

Background and Purpose: Recent evidence has shown bilateral transcutaneous electrical nerve stimulation (Bi-TENS) combined with task-oriented training (TOT) to be superior to unilateral transcutaneous electrical nerve stimulation (Uni-TENS)+TOT in improving lower limb motor functioning following stroke. However, no research explored the effect of Bi-TENS+TOT in improving upper limb motor recovery. This study aimed to compare Bi-TENS+TOT with Uni-TENS+TOT, Placebo transcutaneous electrical nerve stimulation (Placebo-TENS)+TOT, and no treatment (Control) groups in upper limb motor recovery. Methods: This is a 4-group parallel design. One hundred and twenty subjects were given either Bi-TENS+TOT, Uni-TENS+TOT, Placebo-TENS+TOT, or Control without treatment in this randomized controlled trial. Twenty 60-minute sessions were administered 3× per week for 7 weeks. The outcome measure was the Fugl-Meyer Assessment of Upper Extremity, which was assessed at baseline, after 10 sessions (mid-intervention) and 20 sessions (post-intervention) of intervention, and at 1- and 3-month follow-up. Results: Patients in the Bi-TENS+TOT group showed greater improvement in the Fugl-Meyer Assessment of Upper Extremity scores than Uni-TENS+TOT (mean difference, 2.13; P =0.004), Placebo-TENS+TOT (mean difference, 2.63; P <0.001), and Control groups (mean difference, 3.11; P <0.001) at post-intervention. Both Bi-TENS+TOT (mean difference, 3.39; P <0.001) and Uni-TENS+TOT (mean difference, 1.26; P =0.018) showed significant within-group improvement in the Fugl-Meyer Assessment of Upper Extremity scores. Patients in the Bi-TENS+TOT group showed earlier within-group improvement in the Fugl-Meyer Assessment of Upper Extremity scores at mid-intervention than Uni-TENS+TOT. These improvements were maintained at the 3-month follow-up assessment. Conclusions: Bi-TENS combined with TOT is an effective therapy for improving upper limb motor recovery following stroke. Registration: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT03112473.

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Transcutaneous electrical nerve stimulation (TENS) for chronic neck pain

Cochrane Database of Systematic Reviews ◽

10.1002/14651858.cd011927.pub2 ◽

2019 ◽

Cited By ~ 1

Author(s):

Ana Luiza C Martimbianco ◽

Gustavo JM Porfírio ◽

Rafael L Pacheco ◽

Maria Regina Torloni ◽

Rachel Riera

Keyword(s):

Neck Pain ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Chronic Neck Pain ◽

Electrical Nerve Stimulation

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Photobiomodulation therapy and transcutaneous electrical nerve stimulation on chronic neck pain patients

Medicine ◽

10.1097/md.0000000000019191 ◽

2020 ◽

Vol 99 (8) ◽

pp. e19191

Author(s):

Érika Patrícia Rampazo ◽

Ana Laura Martins de Andrade ◽

Viviane Ribeiro da Silva ◽

Cláudio Gregório Nuernberg Back ◽

Richard Eloin Liebano

Keyword(s):

Neck Pain ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Chronic Neck Pain ◽

Photobiomodulation Therapy ◽

Electrical Nerve Stimulation ◽

Pain Patients

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Effect of Application of Transcutaneous Electrical Nerve Stimulation and Laryngeal Manual Therapy in Dysphonic Women: Clinical Trial

Journal of Voice ◽

10.1016/j.jvoice.2014.06.003 ◽

2015 ◽

Vol 29 (2) ◽

pp. 200-208 ◽

Cited By ~ 19

Author(s):

Kelly Cristina Alves Silverio ◽

Alcione Ghedini Brasolotto ◽

Larissa Thaís Donalonso Siqueira ◽

Christiano Giácomo Carneiro ◽

Ana Paula Fukushiro ◽

...

Keyword(s):

Clinical Trial ◽

Manual Therapy ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Electrical Nerve Stimulation

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Transcutaneous Electrical Nerve Stimulation (TENS) and Laryngeal Manual Therapy (LMT): Immediate Effects in Women With Dysphonia

Journal of Voice ◽

10.1016/j.jvoice.2017.04.019 ◽

2018 ◽

Vol 32 (3) ◽

pp. 385.e17-385.e25 ◽

Cited By ~ 6

Author(s):

Mariana de Cásisa Macedo Conde ◽

Larissa Thaís Donalonso Siqueira ◽

José Eduardo Vendramini ◽

Alcione Ghedini Brasolotto ◽

Rinaldo Roberto de Jesus Guirro ◽

...

Keyword(s):

Manual Therapy ◽

Nerve Stimulation ◽

Transcutaneous Electrical Nerve Stimulation ◽

Electrical Nerve Stimulation

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The Effect of Manual Therapy and Stabilizing Exercises on Forward Head and Rounded Shoulder Postures: a six-week intervention with a one-month follow-up study (Preprint)

10.2196/preprints.9657 ◽

2017 ◽

Author(s):

Kiana Fatholahnezhad ◽

Amir Letafatkar ◽

Malihe Hadadnezhad

Keyword(s):

Neck Pain ◽

Manual Therapy ◽

Combined Treatment ◽

Control Group ◽

Post Intervention ◽

Before And After ◽

Group 2 ◽

And Function ◽

Group 1

BACKGROUND forward head and round shoulder posture is believed to alter scapular kinematics and muscle activity placing increased stress on the shoulder, leading to shoulder pain and dysfunction. OBJECTIVE The purpose of this study was to evaluate the effect of a six-week combined treatment consisting of manual therapy and stabilizing exercises, with a one-month follow-up, on neck pain with forward head and rounded shoulder postures. METHODS A total of 60 women aged 32-42 years of age with neck pain, and forward head and rounded shoulder postures were randomized into three groups: group 1 performed stabilizing exercises and received manual therapy (n=20), group 2 performed stabilizing exercises (n=20), and group 3 (control group) performed home exercises (n=20) over six weeks.The follow-up time was one month after the post test. The craniocervical and rounded shoulder angles, pain, and function were measured before and after six-week interventions, and a one-month follow- up. RESULTS The results showed significant positive changes within the experimental groupsin all variables, but there were minor changes in the control group in all variables before and after the intervention. Also, there were significant function and pain improvement in the experimental group 1 comparing to group 2. There were no differences between post intervention and one-month follow-up on posture and function in the experimental groups. CONCLUSIONS These findings suggest that both interventions were significantly effective for reducing neck pain, and improving function and posture in patients with chronic neck pain, and forward head and rounded shoulder postures. However, the improvement in function and pain was more effective in group 1 than those of group 2 suggesting that manual therapy can be used as a supplement method to the stabilizing intervention in the treatment of neck pain. More research is needed to confirm the result of this study.

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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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