An Exploratory Practice-Oriented Pilot Study into Matched Treatments in Patients with Non-Specific Neck Pain
Background: Even though physiotherapists attempt to match care to the patient’s needs, there is little knowledge about which treatments are applied in daily practice and which treatments have the most potential to improve ROM in patients with non-specific neck pain with a limited ROM. The objective...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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IJPHY
2023-06-01
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| Series: | International Journal of Physiotherapy |
| Subjects: | |
| Online Access: | https://ijphy.com/index.php/journal/article/view/1316 |
| _version_ | 1797799599958654976 |
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| author | Francois Maissan Jan Pool Harriet Wittink Edwin de Raaij Raymond Ostelo Paul Westers Marloes de Graaf Glenn Kroon |
| author_facet | Francois Maissan Jan Pool Harriet Wittink Edwin de Raaij Raymond Ostelo Paul Westers Marloes de Graaf Glenn Kroon |
| author_sort | Francois Maissan |
| collection | DOAJ |
| description |
Background: Even though physiotherapists attempt to match care to the patient’s needs, there is little knowledge about which treatments are applied in daily practice and which treatments have the most potential to improve ROM in patients with non-specific neck pain with a limited ROM. The objective of this study was 1) to establish the measurement error of the Sensamove cervical training accelerometer (SCT); 2) to describe the applied treatments for patients with non-specific neck pain with an identified restriction in cervical Range of Motion (ROM) in primary care physiotherapy clinics; 3) to explore if the cervical ROM, pain, (perceived) disability and motor control improved after one manual therapy treatment.
Methods: The standard error of measurement (SEM) and the smallest detectable difference (SDD) were calculated based on a test-retest study. Second, an explorative, longitudinal study design (follow-up one week) was performed. Inclusion criterion: nonspecific neck pain with an identified restriction in cervical ROM. Measurements: pre- (T0) and post-treatment (T1), and one-week post-treatment (T2). Outcomes: ROM, motor control movement task, Numerical Pain Rating Scale (NPRS), and Patient Specific Function Scale (PSFS).
Results: The SEM varied from 1.62° (lateral flexion right) to 3.46° (extension). The SDD varied from 4.49° (lateral flexion right) to 9.58° (extension). Four physiotherapists included 24 patients and used eight different treatments. The T0-T2 improvement in cervical ROM ranged from 2.95° (SD 6.09) (right lateral flexion) to 11.00° (SD11.87) (left rotation). The movement task was performed 3.96 (SD 4.24) seconds faster. The NPRS decreased by 3.08 (SD 1.82) points, and PSFS improved by 7.71 (SD 5.34) points.
Conclusion: The measurement error has been established. Moreover, this study illustrates that matched treatments, as applied in daily practice, have the potential to induce short-term improvements.
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| format | Article |
| id | doaj.art-fb8d0f458d2a4472a50ecb8496e6a097 |
| institution | Directory Open Access Journal |
| issn | 2349-5987 2348-8336 |
| language | English |
| last_indexed | 2024-03-13T04:21:20Z |
| publishDate | 2023-06-01 |
| publisher | IJPHY |
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| series | International Journal of Physiotherapy |
| spelling | doaj.art-fb8d0f458d2a4472a50ecb8496e6a0972023-06-20T10:07:42ZengIJPHYInternational Journal of Physiotherapy2349-59872348-83362023-06-0110210.15621/ijphy/2023/v10i2/1316An Exploratory Practice-Oriented Pilot Study into Matched Treatments in Patients with Non-Specific Neck PainFrancois Maissan0Jan Pool1Harriet Wittink2Edwin de Raaij3Raymond Ostelo4Paul Westers5Marloes de Graaf6Glenn Kroon7University of Applied Sciences Utrecht, Heidelberglaan 7, 3584 CS Utrecht, The Netherlands. E-mail address: francois.maissan@hu.nlDepartment of Health Sciences, VU University, Amsterdam, The Netherlands.Research Group Lifestyle and Health, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands.3Department of Epidemiology and Data Science, Amsterdam UMC, Location VUUniversity, Amsterdam Movement Sciences, The Netherlands.Department of Health Sciences, VU University, Amsterdam, The Netherlands. Department of Epidemiology and Data Science, Amsterdam UMC, Location VUUniversity, Amsterdam Movement Sciences, The Netherlands.Department of Datascience and Biostatistics, Julius center for Health Sciences and Primary Care, the Netherlands.Fysio-Experts, Hazerswoude-Rijndijk, the Netherlands. Department of Manual Therapy, Breederode University of Applied Science, Rotterdam, the Netherlands.Fysio-alphen, Alphen aan de Rijn, the Netherlands. Background: Even though physiotherapists attempt to match care to the patient’s needs, there is little knowledge about which treatments are applied in daily practice and which treatments have the most potential to improve ROM in patients with non-specific neck pain with a limited ROM. The objective of this study was 1) to establish the measurement error of the Sensamove cervical training accelerometer (SCT); 2) to describe the applied treatments for patients with non-specific neck pain with an identified restriction in cervical Range of Motion (ROM) in primary care physiotherapy clinics; 3) to explore if the cervical ROM, pain, (perceived) disability and motor control improved after one manual therapy treatment. Methods: The standard error of measurement (SEM) and the smallest detectable difference (SDD) were calculated based on a test-retest study. Second, an explorative, longitudinal study design (follow-up one week) was performed. Inclusion criterion: nonspecific neck pain with an identified restriction in cervical ROM. Measurements: pre- (T0) and post-treatment (T1), and one-week post-treatment (T2). Outcomes: ROM, motor control movement task, Numerical Pain Rating Scale (NPRS), and Patient Specific Function Scale (PSFS). Results: The SEM varied from 1.62° (lateral flexion right) to 3.46° (extension). The SDD varied from 4.49° (lateral flexion right) to 9.58° (extension). Four physiotherapists included 24 patients and used eight different treatments. The T0-T2 improvement in cervical ROM ranged from 2.95° (SD 6.09) (right lateral flexion) to 11.00° (SD11.87) (left rotation). The movement task was performed 3.96 (SD 4.24) seconds faster. The NPRS decreased by 3.08 (SD 1.82) points, and PSFS improved by 7.71 (SD 5.34) points. Conclusion: The measurement error has been established. Moreover, this study illustrates that matched treatments, as applied in daily practice, have the potential to induce short-term improvements. https://ijphy.com/index.php/journal/article/view/1316neck pain, range of motion, physical therapy modality, spine, manual therapy, spinal column. |
| spellingShingle | Francois Maissan Jan Pool Harriet Wittink Edwin de Raaij Raymond Ostelo Paul Westers Marloes de Graaf Glenn Kroon An Exploratory Practice-Oriented Pilot Study into Matched Treatments in Patients with Non-Specific Neck Pain International Journal of Physiotherapy neck pain, range of motion, physical therapy modality, spine, manual therapy, spinal column. |
| title | An Exploratory Practice-Oriented Pilot Study into Matched Treatments in Patients with Non-Specific Neck Pain |
| title_full | An Exploratory Practice-Oriented Pilot Study into Matched Treatments in Patients with Non-Specific Neck Pain |
| title_fullStr | An Exploratory Practice-Oriented Pilot Study into Matched Treatments in Patients with Non-Specific Neck Pain |
| title_full_unstemmed | An Exploratory Practice-Oriented Pilot Study into Matched Treatments in Patients with Non-Specific Neck Pain |
| title_short | An Exploratory Practice-Oriented Pilot Study into Matched Treatments in Patients with Non-Specific Neck Pain |
| title_sort | exploratory practice oriented pilot study into matched treatments in patients with non specific neck pain |
| topic | neck pain, range of motion, physical therapy modality, spine, manual therapy, spinal column. |
| url | https://ijphy.com/index.php/journal/article/view/1316 |
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