Effectiveness of a specific manual approach to the suboccipital region in patients with chronic mechanical neck pain and rotation deficit in the upper cervical spine: study protocol for a randomized controlled trial

Rueda, Vanessa González; López-de-Celis, Carlos; Barra-López, Martín Eusebio; Carrasco‐Uribarren, Andoni; Tomás, Sara Castillo; Hidalgo-García, César

doi:10.1186/s12891-017-1744-5

Cited by 15 publications

(22 citation statements)

References 40 publications

(39 reference statements)

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“…Several studies have shown that this improvement is sustained over the long term for one to three years, even when the continuation of home exercises after initial treatment has been inconsistent [37,53]. However, unlike previous studies [8,19,20], the improvement of the upper cervical range of motion was not present in our exercise group. Our specific inclusion criteria may explain this difference as patients with upper cervical spine restriction of movement could experience greater difficulty in improving the upper cervical range of motion while performing the cervical exercise [54].…”

Section: Discussioncontrasting

confidence: 63%

“…The movement stopped at whichever situation occurred first, either the subject presented symptoms, or a firm end feel was encountered [13,23]. A CROM device (floating compass; Plastimo Airguide, Inc, Buffalo Groove, IL, USA) was used, and three measurements were taken for each rotation, with the result being the mean of the three measurements [20]. The range of motion to the more restricted (+) and less restricted (-) rotation was considered.…”

Section: Measurementsmentioning

confidence: 99%

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Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

Rodríguez-Sanz

Malo-Urriés

Corral-de-Toro

et al. 2020

IJERPH

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Chronic neck pain is one of today’s most prevalent pathologies. The International Classification of Diseases categorizes four subgroups based on patients’ associated symptoms. However, this classification does not encompass upper cervical spine dysfunction. The aim is to compare the short- and mid-term effectiveness of adding a manual therapy approach to a cervical exercise protocol in patients with chronic neck pain and upper cervical spine dysfunction. Fifty-eight subjects with chronic neck pain and upper cervical spine dysfunction were recruited (29 = Manual therapy + Exercise; 29 = Exercise). Each group received four 20-min sessions, one per week during four consecutive weeks, and a home exercise regime. Upper flexion and flexion-rotation test range of motion, neck disability index, craniocervical flexion test, visual analogue scale, pressure pain threshold, global rating of change scale, and adherence to self-treatment were assessed at the beginning, end of the intervention and at 3- and 6-month follow-ups. The Manual therapy + Exercise group statistically improved short- and medium-term in all variables compared to the Exercise group. Four 20-min sessions of Manual therapy + Exercise along with a home-exercise program is more effective in the short- to mid-term than an exercise protocol and a home-exercise program for patients with chronic neck pain and upper cervical dysfunction.

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Section: Discussioncontrasting

confidence: 63%

Section: Measurementsmentioning

confidence: 99%

Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

Rodríguez-Sanz

Malo-Urriés

Corral-de-Toro

et al. 2020

IJERPH

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“…Due to lack of muscular balance resulting from overloading, some muscles become weak. The technique of relaxation of the suboccipital muscles is based on putting pressure in the ventral direction in the suboccipital area while the patient's head is resting on the therapist's hands, as presented in Figure 3 [ 60 ]. The pressure should be even and constant for 5 minutes.…”

Section: Early Intervention and Nonpharmacological Therapy Of Myopmentioning

confidence: 99%

“…The pressure should be even and constant for 5 minutes. The use of this technique is to improve the mobility of the cervical spine and restore proper positioning of the head [ 60 ].…”

Section: Early Intervention and Nonpharmacological Therapy Of Myopmentioning

confidence: 99%

Early Intervention and Nonpharmacological Therapy of Myopia in Young Adults

Zorena

Gładysiak

Ślęzak

2018

Journal of Ophthalmology

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Myopia is a condition of the eye where parallel rays focus in front of, instead of on, the retina, which results in excessive refractive power of the cornea or the lens or eyeball elongation. Studies carried out in recent years show that the etiology of myopia is complex with genetic and environmental factors playing a role. Refraction defects decrease the quality of vision, while progressing myopia can lead to partial loss of vision, which can be particularly dramatic in young adults. Therefore, it is so crucial to take appropriate actions aimed at preventing myopia progression. This is a review of nonpharmacological therapeutic possibilities of refraction defect prevention in young adults, with special regard to myofascial therapy, osteopathy, and massage of acupuncture points surrounding the eye.

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“…Most cases of pain in the neck region are of mechanical origin. The annual incidence of episodes of mechanical neck pain is estimated at 12 per 1000 subjects with a primary care medical appointment, making it one of the main health problems seen by physiotherapy units in primary care [3].…”

Section: Introductionmentioning

confidence: 99%

Multimodal approach of electrotherapy versus myofascial release in patients with chronic mechanical neck pain: a randomized controlled trial

Elgendy¹,

Lasheen²,

Rezkalla³

2019

Physiother Quart.

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Introduction. To investigate and compare the effect of the multimodal approach of electrotherapy and myofascial release on pain, range of motion, and functional restriction in patients with chronic mechanical neck pain. Methods. overall, 60 patients of both genders, aged 18-40 years, with chronic mechanical neck pain were diagnosed by an orthopaedist in Shoubra General Hospital, Cairo, Egypt. They were randomly assigned into 3 groups. in group A, 20 patients received multimodal approach of electrotherapy (low level laser therapy, interferential therapy, ultrasound, and non-guideline approach in the form of stretch and strength) 3 times a week for 4 weeks. in group B, 20 patients received myofascial release therapy and non-guideline approach in the form of stretch and strength 3 times a week for 4 weeks. in group C, 20 patients received traditional therapeutic exercises in the form of stretch and strength 3 times a week for 4 weeks. All patients in all groups were evaluated pre-and post-treatment through visual analogue scale, cervical range of motion (CRoM) device, and neck disability index to assess pain, CRoM, and functional restriction. Results. Multiple pairwise comparison tests (post-hoc tests) revealed that there was no significant difference between the effect of multimodal approach of electrotherapy (group A) and myofascial release therapy (group B) on pain intensity level, CRoM, or functional restriction. However, these turned out significantly more effective than traditional therapeutic exercises (group C). Conclusions. Both multimodal approach of electrotherapy and myofascial release therapy are effective in treating patients with chronic mechanical neck pain.

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Effectiveness of a specific manual approach to the suboccipital region in patients with chronic mechanical neck pain and rotation deficit in the upper cervical spine: study protocol for a randomized controlled trial

Cited by 15 publications

References 40 publications

Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

Early Intervention and Nonpharmacological Therapy of Myopia in Young Adults

Multimodal approach of electrotherapy versus myofascial release in patients with chronic mechanical neck pain: a randomized controlled trial

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