Immediate Effects of Osteopathic Treatment Versus Therapeutic Exercise on Patients With Chronic Cervical Pain.
Context • Alternatives to medication for immediate pain relief are needed because long-term use of pain medication has been associated with adverse effects. High-velocity, low-amplitude (HVLA) manipulation techniques (MTs) and craniocervical flexion (CCF) exercises have been frequently used in the m...
| Publicado en: | Alternative Therapies in Health & Medicine Vol. 24; no. 3; pp. 24 - 33 |
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| Autores principales: | , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
InnoVisions Professional Media
May/Jun2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130886392&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130886392 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10786791 88C jtl: Alternative Therapies in Health & Medicine issn: 10786791 maglogo: N pubinfo: dt: May/Jun2018 vid: 24 iid: 3 pid: 65582 pub: InnoVisions Professional Media place: Eagan, Minnesota artinfo: ui: 130886392 130886392 NLM29135458 130886392 NLM29135458 130886392 ppf: 24 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Immediate Effects of Osteopathic Treatment Versus Therapeutic Exercise on Patients With Chronic Cervical Pain. aug: au: Galindez-Ibarbengoetxea, Xabier Setuain, Igor Ramírez-Velez, Robinson Andersen, Lars L. González-Izal, Miriam Jauregi, Andoni Izquierdo, Mikel affil: Assistant professor at the International School of Osteopathy Bilbao, Spain. sug: subj: Range of Motion Physiology Therapeutic Exercise Cervical Vertebrae Neck Pain Therapy Chronic Pain Therapy Treatment Outcomes Chronic Pain Physiopathology Human Pain Threshold Physiology Neck Pain Physiopathology Pain Measurement Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials ab: Context • Alternatives to medication for immediate pain relief are needed because long-term use of pain medication has been associated with adverse effects. High-velocity, low-amplitude (HVLA) manipulation techniques (MTs) and craniocervical flexion (CCF) exercises have been frequently used in the management of chronic cervical pain. Objective • The study intended to compare the immediate effects on pain of a treatment using HVLA manipulation versus one using a CCF exercise protocol. Design • The research team designed a single-blinded, randomized clinical trial. Setting • The study was conducted at osteopathic clinics. Participants • Participants were 25 volunteer patients with chronic neck pain. Intervention • Participants were randomly enrolled in one of 2 groups: the HVLA manipulation group (MT group), n = 12, or the CCF exercise protocol group (CCF group), n = 13. Participants in the CCF group performed the exercise for 10 repetitions of a 10-s duration, with a 10-s rest interval between each contraction, for a total contraction time of 100 s and a total time of the session of 190 s. Outcome Measures • The outcomes were measured at baseline and at 60 s postintervention. The measures included (1) a visual analogue scale (VAS) completed during range of motion (ROM) measurement, (2) an evaluation of the ROM of the cervical spine, (3) a test of pressure pain thresholds (PPTs), and (4) electromyographic (EMG) activation of sternocleidomastoid muscle during a craniocervical flexion test. Results • Following both interventions, significant changes were found between baseline and immediately postintervention in the VAS score during ROM measurement for both groups, with P = .004 and P = .015, respectively. In the MT group, the measures for flexion (P = .001), right-side bending (P = .002), and left rotation (P = .005) changed significantly between baseline and postintervention; however, only flexion (P = .026) and extension (P = .040) ROM changed significantly between baseline and postintervention in the CCF group. Significant changes were observed in upper trapezius PPT following both interventions-MT group, P = .043, and CCF group, P = .005. In addition, significant changes in C5 PPT had occurred in the CCR group (P = .020). Between-group differences were significant for extension and right-side-bending ROM, with P = .019 and P = .012, respectively, and the changes between baseline and postintervention were greater in the MT group. None of the interventions led to changes in EMG. Conclusions • Although both interventions were associated with immediately improved ROM and pain after treatment, HVLA manipulation was more effective than CCF exercise in improving ROM and VAS during ROM. None of the interventions led to changes in EMG. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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