Physical medicine modalities for mechanical neck disorders

Gross, Anita; Aker, Peter; Goldsmith, Charles H.; Peloso, Paul M.

doi:10.1002/14651858.cd000961

Cited by 52 publications

(45 citation statements)

References 110 publications

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“…Massage and mobilization are the most common therapies used in the treatment of chronic neck pain (16)(17)(18)(19)(20). These therapies have been shown to be effective short-term treatments if the objective is relief of pain, but no evidence has been found for their long-term effectiveness in the treatment of chronic neck pain (17,18).…”

Section: Introductionmentioning

confidence: 99%

Effect of manual therapy and stretching on neck muscle strength and mobility in chronic neck pain

Häkkinen¹,

Salo²,

Tarvainen³

et al. 2007

Acta Derm Venereol

112

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Objective: To study the effect of manual therapy and stretching on neck function in women with chronic neck pain. Methods: A total of 125 women were randomized into 2 groups. Group 1 received manual therapy twice a week for 4 weeks followed by stretching exercises. Group 2 performed stretching 5 times a week for 4 weeks followed by manual therapy. Neck function was assessed by isometric neck strength and mobility measurements, and spontaneous neck pain during the past week and strain-evoked pain during the neck strength trials using a visual analogue scale. Results: Both neck muscle strength (11-14%) and mobility (7-15%) improved similarly in both groups, with the exception of greater passive flexion-extension mobility (p = 0.019) in group 1 at week 4. Pain during the neck strength trials decreased from the baseline to week 4 by 26-35% and to week 12 by 39-61% similarly in both groups. Average neck pain during the past week decreased by 64% and 53% in groups 1 and 2, respectively, during the first 4 weeks, remaining rather stable thereafter. The decreases in neck pain during both the past week and strength trials showed association with the changes in neck strength results (r = 0.20-0.29). Conclusion: Both manual therapy and stretching were effective short-term treatments for reducing both spontaneous and strain-evoked pain in patients with chronic neck pain. It is possible that the decrease in pain reduced inhibition of the motor system and in part improved neck function. However, the changes in neck muscle strength were minor, showing that these treatments alone are not effective in improving muscle strength.

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Section: Introductionmentioning

confidence: 99%

Effect of manual therapy and stretching on neck muscle strength and mobility in chronic neck pain

Häkkinen¹,

Salo²,

Tarvainen³

et al. 2007

Acta Derm Venereol

112

View full text Add to dashboard Cite

show abstract

“…[15][16][17][18] Current best evidence supports the multimodal use of manual physical therapy (MPT), includ-M echanical neck pain is defined as pain that can be provoked by neck movements or provocative tests. 2 Neck pain is a common musculoskeletal complaint, with a reported lifetime prevalence of 22% to 67% 10 and a point prevalence of 13% to 22%.…”

mentioning

confidence: 99%

The Addition of Cervical Thrust Manipulations to a Manual Physical Therapy Approach in Patients Treated for Mechanical Neck Pain: A Secondary Analysis

Boyles¹,

Walker²,

Young³

et al. 2010

J Orthop Sports Phys Ther

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“…Although these interventions are largely accepted as the standard of care for patients with neck pain, 74 high-quality evidence from randomized controlled trials (RCTs) that investigate these interventions is frequently absent or inconclusive. 2,17,[32][33][34]39,51 For example, the Philadelphia Panel Clinical Practice Guidelines concluded that many commonly used interventions for patients with neck pain lack sufficient evidence for their use. 17 Furthermore, guidance in selecting the most beneficial interventions for an individual patient is also lacking, potentially resulting in less effective intervention strategies for these patients.…”

mentioning

confidence: 99%