Is Cervical Stabilization Exercise Immediately Effective in Patients with Chronic Neck Pain and Upper Cervical Spine Dysfunction? Randomized Controlled Trial
Purpose: To compare the effectiveness of a single exercise session with manual therapy techniques in the segments of the upper cervical spine (C0–1, C1–2 and C2–3), against a single exercise session in patients with chronic neck pain and mobility deficits in the upper cervical spine. Methods: A sing...
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MDPI AG
2022-05-01
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| Online Access: | https://www.mdpi.com/2075-1729/12/5/714 |
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| author | Jacobo Rodríguez-Sanz Miguel Malo-Urriés María Orosia Lucha-López Jaime Corral-de-Toro Vanessa González-Rueda Carlos López-de-Celis Albert Pérez-Bellmunt César Hidalgo-García |
| author_facet | Jacobo Rodríguez-Sanz Miguel Malo-Urriés María Orosia Lucha-López Jaime Corral-de-Toro Vanessa González-Rueda Carlos López-de-Celis Albert Pérez-Bellmunt César Hidalgo-García |
| author_sort | Jacobo Rodríguez-Sanz |
| collection | DOAJ |
| description | Purpose: To compare the effectiveness of a single exercise session with manual therapy techniques in the segments of the upper cervical spine (C0–1, C1–2 and C2–3), against a single exercise session in patients with chronic neck pain and mobility deficits in the upper cervical spine. Methods: A single-blind randomized controlled trial was performed. Fifty-eight patients were recruited (29 for the manual therapy and exercise group and 29 for the exercise group) who presented chronic neck pain and upper cervical spine dysfunction. The exercise focused on the deep muscles. The manual therapy combined manipulations and mobilizations with these exercises. Cervical range of motion, flexion-rotation test, pressure pain threshold and pain intensity were measured by a blind evaluator before and after the intervention. Results: Compared to pre-intervention, after intervention, the exercise group was significantly lower in terms of the range of motion, flexion-rotation test, and pressure pain threshold (<i>p</i> < 0.05). The manual therapy and exercise group improved in upper cervical flexion, the flexion-rotation test and intensity of pain (<i>p</i> < 0.05). Conclusions: It may be necessary to normalize the mobility of the upper cervical spine before cervical stabilization training, in patients with chronic neck pain and mobility deficits in the upper cervical spine. |
| first_indexed | 2024-03-10T03:33:42Z |
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| id | doaj.art-55b635f4000b43b6b3083db0db1089f2 |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-10T03:33:42Z |
| publishDate | 2022-05-01 |
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| series | Life |
| spelling | doaj.art-55b635f4000b43b6b3083db0db1089f22023-11-23T11:50:23ZengMDPI AGLife2075-17292022-05-0112571410.3390/life12050714Is Cervical Stabilization Exercise Immediately Effective in Patients with Chronic Neck Pain and Upper Cervical Spine Dysfunction? Randomized Controlled TrialJacobo Rodríguez-Sanz0Miguel Malo-Urriés1María Orosia Lucha-López2Jaime Corral-de-Toro3Vanessa González-Rueda4Carlos López-de-Celis5Albert Pérez-Bellmunt6César Hidalgo-García7Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, SpainFaculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainFaculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainFaculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainFaculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, SpainFaculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, SpainFaculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, 08195 Barcelona, SpainFaculty of Health Sciences, Universidad de Zaragoza, 50009 Zaragoza, SpainPurpose: To compare the effectiveness of a single exercise session with manual therapy techniques in the segments of the upper cervical spine (C0–1, C1–2 and C2–3), against a single exercise session in patients with chronic neck pain and mobility deficits in the upper cervical spine. Methods: A single-blind randomized controlled trial was performed. Fifty-eight patients were recruited (29 for the manual therapy and exercise group and 29 for the exercise group) who presented chronic neck pain and upper cervical spine dysfunction. The exercise focused on the deep muscles. The manual therapy combined manipulations and mobilizations with these exercises. Cervical range of motion, flexion-rotation test, pressure pain threshold and pain intensity were measured by a blind evaluator before and after the intervention. Results: Compared to pre-intervention, after intervention, the exercise group was significantly lower in terms of the range of motion, flexion-rotation test, and pressure pain threshold (<i>p</i> < 0.05). The manual therapy and exercise group improved in upper cervical flexion, the flexion-rotation test and intensity of pain (<i>p</i> < 0.05). Conclusions: It may be necessary to normalize the mobility of the upper cervical spine before cervical stabilization training, in patients with chronic neck pain and mobility deficits in the upper cervical spine.https://www.mdpi.com/2075-1729/12/5/714spineneck painmanual therapyexerciseorthopedic manipulation |
| spellingShingle | Jacobo Rodríguez-Sanz Miguel Malo-Urriés María Orosia Lucha-López Jaime Corral-de-Toro Vanessa González-Rueda Carlos López-de-Celis Albert Pérez-Bellmunt César Hidalgo-García Is Cervical Stabilization Exercise Immediately Effective in Patients with Chronic Neck Pain and Upper Cervical Spine Dysfunction? Randomized Controlled Trial Life spine neck pain manual therapy exercise orthopedic manipulation |
| title | Is Cervical Stabilization Exercise Immediately Effective in Patients with Chronic Neck Pain and Upper Cervical Spine Dysfunction? Randomized Controlled Trial |
| title_full | Is Cervical Stabilization Exercise Immediately Effective in Patients with Chronic Neck Pain and Upper Cervical Spine Dysfunction? Randomized Controlled Trial |
| title_fullStr | Is Cervical Stabilization Exercise Immediately Effective in Patients with Chronic Neck Pain and Upper Cervical Spine Dysfunction? Randomized Controlled Trial |
| title_full_unstemmed | Is Cervical Stabilization Exercise Immediately Effective in Patients with Chronic Neck Pain and Upper Cervical Spine Dysfunction? Randomized Controlled Trial |
| title_short | Is Cervical Stabilization Exercise Immediately Effective in Patients with Chronic Neck Pain and Upper Cervical Spine Dysfunction? Randomized Controlled Trial |
| title_sort | is cervical stabilization exercise immediately effective in patients with chronic neck pain and upper cervical spine dysfunction randomized controlled trial |
| topic | spine neck pain manual therapy exercise orthopedic manipulation |
| url | https://www.mdpi.com/2075-1729/12/5/714 |
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