Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial
Abstract Background Manual therapy according to the School of Manual Therapy Utrecht (MTU) is a specific type of passive manual joint mobilization. MTU has not yet been systematically compared to other manual therapies and physical therapy. In this study the effectiveness of MTU is compared to physi...
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | Chiropractic & Manual Therapies |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12998-017-0141-3 |
| _version_ | 1819107023262842880 |
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| author | Ruud Groeneweg Luite van Assen Hans Kropman Huco Leopold Jan Mulder Bouwien C. M. Smits-Engelsman Raymond W J. G. Ostelo Rob A. B. Oostendorp Maurits W. van Tulder |
| author_facet | Ruud Groeneweg Luite van Assen Hans Kropman Huco Leopold Jan Mulder Bouwien C. M. Smits-Engelsman Raymond W J. G. Ostelo Rob A. B. Oostendorp Maurits W. van Tulder |
| author_sort | Ruud Groeneweg |
| collection | DOAJ |
| description | Abstract Background Manual therapy according to the School of Manual Therapy Utrecht (MTU) is a specific type of passive manual joint mobilization. MTU has not yet been systematically compared to other manual therapies and physical therapy. In this study the effectiveness of MTU is compared to physical therapy, particularly active exercise therapy (PT) in patients with non-specific neck pain. Methods Patients neck pain, aged between 18–70 years, were included in a pragmatic randomized controlled trial with a one-year follow-up. Primary outcome measures were global perceived effect and functioning (Neck Disability Index), the secondary outcome was pain intensity (Numeric Rating Scale for Pain). Outcomes were measured at 3, 7, 13, 26 and 52 weeks. Multilevel analyses (intention-to-treat) were the primary analyses for overall between-group differences. Additional to the primary and secondary outcomes the number of treatment sessions of the MTU group and PT group was analyzed. Data were collected from September 2008 to February 2011. Results A total of 181 patients were included. Multilevel analyses showed no statistically significant overall differences at one year between the MTU and PT groups on any of the primary and secondary outcomes. The MTU group showed significantly lower treatment sessions compared to the PT group (respectively 3.1 vs. 5.9 after 7 weeks; 6.1 vs. 10.0 after 52 weeks). Conclusions Patients with neck pain improved in both groups without statistical significantly or clinically relevant differences between the MTU and PT groups during one-year follow-up. Trial registration ClinicalTrials.gov Identifier: NCT00713843 . |
| first_indexed | 2024-12-22T02:47:26Z |
| format | Article |
| id | doaj.art-09975721616546bc8e130ff6e2726ea8 |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-12-22T02:47:26Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-09975721616546bc8e130ff6e2726ea82022-12-21T18:41:28ZengBMCChiropractic & Manual Therapies2045-709X2017-04-0125111210.1186/s12998-017-0141-3Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trialRuud Groeneweg0Luite van Assen1Hans Kropman2Huco Leopold3Jan Mulder4Bouwien C. M. Smits-Engelsman5Raymond W J. G. Ostelo6Rob A. B. Oostendorp7Maurits W. van Tulder8Radboud University Nijmegen Medical Centre, Scientific Institute for Quality of Health CareRadboud University Nijmegen Medical Centre, Scientific Institute for Quality of Health CareAvans+, University of Applied ScienceAvans+, University of Applied ScienceRadboud University Nijmegen Medical Centre, Scientific Institute for Quality of Health CareDepartment of Health and Rehabilitation Sciences, University of Cape TownDepartment of Health Sciences, Faculty of Earth & Life Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health research instituteRadboud University Nijmegen Medical Centre, Scientific Institute for Quality of Health CareDepartment of Health Sciences, Faculty of Earth & Life Sciences, Vrije Universiteit Amsterdam, Amsterdam Public Health research instituteAbstract Background Manual therapy according to the School of Manual Therapy Utrecht (MTU) is a specific type of passive manual joint mobilization. MTU has not yet been systematically compared to other manual therapies and physical therapy. In this study the effectiveness of MTU is compared to physical therapy, particularly active exercise therapy (PT) in patients with non-specific neck pain. Methods Patients neck pain, aged between 18–70 years, were included in a pragmatic randomized controlled trial with a one-year follow-up. Primary outcome measures were global perceived effect and functioning (Neck Disability Index), the secondary outcome was pain intensity (Numeric Rating Scale for Pain). Outcomes were measured at 3, 7, 13, 26 and 52 weeks. Multilevel analyses (intention-to-treat) were the primary analyses for overall between-group differences. Additional to the primary and secondary outcomes the number of treatment sessions of the MTU group and PT group was analyzed. Data were collected from September 2008 to February 2011. Results A total of 181 patients were included. Multilevel analyses showed no statistically significant overall differences at one year between the MTU and PT groups on any of the primary and secondary outcomes. The MTU group showed significantly lower treatment sessions compared to the PT group (respectively 3.1 vs. 5.9 after 7 weeks; 6.1 vs. 10.0 after 52 weeks). Conclusions Patients with neck pain improved in both groups without statistical significantly or clinically relevant differences between the MTU and PT groups during one-year follow-up. Trial registration ClinicalTrials.gov Identifier: NCT00713843 .http://link.springer.com/article/10.1186/s12998-017-0141-3Randomized controlled trialNeck painManual therapyPhysical therapyEffectiveness |
| spellingShingle | Ruud Groeneweg Luite van Assen Hans Kropman Huco Leopold Jan Mulder Bouwien C. M. Smits-Engelsman Raymond W J. G. Ostelo Rob A. B. Oostendorp Maurits W. van Tulder Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial Chiropractic & Manual Therapies Randomized controlled trial Neck pain Manual therapy Physical therapy Effectiveness |
| title | Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial |
| title_full | Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial |
| title_fullStr | Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial |
| title_full_unstemmed | Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial |
| title_short | Manual therapy compared with physical therapy in patients with non-specific neck pain: a randomized controlled trial |
| title_sort | manual therapy compared with physical therapy in patients with non specific neck pain a randomized controlled trial |
| topic | Randomized controlled trial Neck pain Manual therapy Physical therapy Effectiveness |
| url | http://link.springer.com/article/10.1186/s12998-017-0141-3 |
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