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Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: A randomized clinical trial

dc.creatorGalindez-Ibarbengoetxea, Xabierspa
dc.creatorSetuain, Igorspa
dc.creatorRamírez-Vélez, Robinson
dc.creatorAndersen, Lars Lspa
dc.creatorGonzález-Izal, Miriamspa
dc.creatorJauregi, Andonispa
dc.creatorIzquierdo, Mikelspa
dc.date.accessioned2020-05-25T23:55:56Z
dc.date.available2020-05-25T23:55:56Z
dc.date.created2018spa
dc.description.abstractBACKGROUND: While both manipulative treatment and physical exercises are used to treat cervical pain, it remains unclear which is most effective. OBJECTIVE: To compare the short-term effects of high-velocity, low-amplitude manipulation techniques (MT) with those of home-exercise (HE) with stretching and low-intensity (10% of max) isometric contractions on pain and function. METHODS: Single-blind randomized clinical trial was performed. A total of 27 asymptomatic subjects were randomly assigned to 2 groups: manipulation techniques (MT, n= 13) and home exercise (HE, n= 14). The visual analogue scale (VAS); neck disability index (NDI); pressure pain thresholds; cervical spine range of motion and electromyography during the cranio-cervical flexion test was measured before and one week after the intervention. RESULTS: After the intervention, both groups showed improved (P less than 0.05) NDI and VAS scores and flexion in both rotation ranges compared with the pre-intervention values. For the NDI, pain intensity, and neck flexion, the effects sizes were large; for the majority of the other measurements, the effect sizes were small to moderate. The MT group showed significantly better results than the HE group for 2 out of 17 tests. CONCLUSIONS: Both interventions improved function and pain after one week, with only marginal between-group differences in favor of MT. © 2018 - IOS Press and the authors. All rights reserved.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.3233/BMR-169723
dc.identifier.issn10538127
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22265
dc.language.isoengspa
dc.publisherIOS Pressspa
dc.relation.citationEndPage145
dc.relation.citationIssueNo. 1
dc.relation.citationStartPage133
dc.relation.citationTitleJournal of Back and Musculoskeletal Rehabilitation
dc.relation.citationVolumeVol. 31
dc.relation.ispartofJournal of Back and Musculoskeletal Rehabilitation, ISSN:10538127, Vol.31, No.1 (2018); pp. 133-145spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85048121955&doi=10.3233%2fBMR-169723&partnerID=40&md5=981dd003651e15c1f397fbd51bfcfab7spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordArticlespa
dc.subject.keywordSpinaleng
dc.subject.keywordClinical articlespa
dc.subject.keywordControlled studyspa
dc.subject.keywordCranio cervical flexion testspa
dc.subject.keywordElectromyographyspa
dc.subject.keywordFemalespa
dc.subject.keywordFunction testspa
dc.subject.keywordHome exercise therapyspa
dc.subject.keywordHumanspa
dc.subject.keywordKinesiotherapyspa
dc.subject.keywordMalespa
dc.subject.keywordManipulative medicinespa
dc.subject.keywordNeck Disability Indexspa
dc.subject.keywordNeck painspa
dc.subject.keywordPain intensityspa
dc.subject.keywordPriority journalspa
dc.subject.keywordRandomized controlled trialspa
dc.subject.keywordRange of motionspa
dc.subject.keywordSingle blind procedurespa
dc.subject.keywordVisual analog scalespa
dc.subject.keywordAdultspa
dc.subject.keywordChronic painspa
dc.subject.keywordFollow upspa
dc.subject.keywordKinesiotherapyspa
dc.subject.keywordMiddle agedspa
dc.subject.keywordNeck painspa
dc.subject.keywordPain measurementspa
dc.subject.keywordPain thresholdspa
dc.subject.keywordPathophysiologyspa
dc.subject.keywordPhysiologyspa
dc.subject.keywordProceduresspa
dc.subject.keywordSpine manipulationspa
dc.subject.keywordTime factorspa
dc.subject.keywordTreatment outcomespa
dc.subject.keywordYoung adultspa
dc.subject.keywordAdultspa
dc.subject.keywordChronic Painspa
dc.subject.keywordElectromyographyspa
dc.subject.keywordExercise Therapyspa
dc.subject.keywordFemalespa
dc.subject.keywordFollow-Up Studiesspa
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordManipulationeng
dc.subject.keywordMiddle Agedspa
dc.subject.keywordNeck Painspa
dc.subject.keywordPain Measurementspa
dc.subject.keywordPain Thresholdspa
dc.subject.keywordSingle-Blind Methodspa
dc.subject.keywordTime Factorsspa
dc.subject.keywordTreatment Outcomespa
dc.subject.keywordYoung Adultspa
dc.subject.keywordCervical vertebraespa
dc.subject.keywordElectromyographyspa
dc.subject.keywordNeck painspa
dc.subject.keywordSpinal manipulationspa
dc.subject.keywordThoracic vertebraespa
dc.titleShort-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: A randomized clinical trialspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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