The Effectiveness of Manual Physical Therapy and Exercise for Mechanical Neck Pain

Walker, Michael J.; Boyles, Robert E.; Young, Brian A.; Strunce, Joseph B.; Garber, Matthew B.; Whitman, Julie M.; Deyle, Gail D.; Wainner, Robert S.

doi:10.1097/brs.0b013e318183391e

Cited by 122 publications

(76 citation statements)

References 36 publications

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“…15 The GROC values indicated moderate to large overall improvement. The observed outcomes in this cohort are consistent with those of other studies that used a similar impairmentbased manual therapy approach for the treatment of subacromial impingement, 2 mechanical neck pain, 64 knee osteoarthritis, 17,18 and lumbar spinal stenosis. 66 The manual therapy approach utilized in this study was pragmatic and is generalizable to typical outpatient orthopaedic physical therapy settings.…”

supporting

confidence: 81%

See 1 more Smart Citation

Manual Physical Therapy for Injection-Confirmed Nonacute Acromioclavicular Joint Pain

Harris

Deyle²,

Gill³

et al. 2012

J Orthop Sports Phys Ther

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supporting

confidence: 81%

“…5,25,42,52,60,64 The treating physical therapist documented the quantity of manual treatment performed on each body region. In this study, 1 "treatment" was operationally defined as 3 periods of 30 seconds of mobilization (grades I-IV) or 1 thrust manipulation.…”

Section: Interventionmentioning

confidence: 99%

Manual Physical Therapy for Injection-Confirmed Nonacute Acromioclavicular Joint Pain

Harris

Deyle²,

Gill³

et al. 2012

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

“…While this is a legitimate approach to mixed-methods research [10], it may have impacted our sampling, and consequently our results. Given the similarity in most baseline demographic and clinical characteristics between the parent trial participants and interviewees, as well as participants in other studies (including primary care settings) [28][29][30][31], we have confidence in the representative nature of our sample. It is possible, however, that the slightly older nature of the ET group, and greater number of males in the ET ?…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“I know it’s changed”: a mixed-methods study of the meaning of Global Perceived Effect in chronic neck pain patients

et al. 2014

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Purpose Global Perceived Effect (GPE) is a commonly used outcome measure for musculoskeletal conditions like neck pain; however, little is known regarding the factors patients take into account when determining their GPE. The overall objective of this work was to describe the thematic variables, which comprise the GPE from the patient's perspective. Methods This was a mixed-methods study in which qualitative data were collected within a randomized clinical trial assessing exercise and manual therapy for chronic neck pain. A consecutive sample of 106 patients who completed the trial intervention took part in semi-structured interviews querying the meaning of GPE. Quantitative measures were collected through self-report questionnaires. Interview transcripts were analyzed using content analysis to identify themes, which were then quantified to assess potential relationships. Results A model of GPE for chronic neck pain emerged comprised of five main themes: neck symptoms (cited by 85 %), biomechanical performance (38 %), activities of daily living (31 %), self-efficacy (10 %), and need for other treatment (6 %). Influencing factors included those contributing to GPE: treatment process (64 %), biomechanical performance (51 %), self-efficacy (16 %), and the nature of the condition (8 %). Factors, which detracted from GPE or prevented recovery included perceived nature of condition (58 %), required daily activities (10 %), lack of diagnosis (5 %), and history of failed treatment (5 %). Conclusions GPE appears to capture chronic neck pain patient perceptions of change in different domains important to their individual pain experiences that may not be captured by other outcome instruments. Thus, GPE is a suitable patient-oriented outcome that can complement other measures in research and clinical practice. Importantly, many chronic neck pain patients believe it impossible to reach complete recovery because of a perceived intractable aspect of their neck condition; this has important implications regarding long-term disability and healthseeking behaviors.

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“…Walker et al 30) conducted a study to analyze the effectiveness of manual therapy and exercise for neck pain, and it can be seen that a program of manual therapy and exercise for neck pain resulted in clinically and statistically significant improvement in the short and long term, especially in issues such as pain, disability, and perceived recovery of the patient, when compared with a counseling program for patients, isolated mobility exercises and therapeutic ultrasound.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Thoracic Spine Thrust Manipulation for Reducing Neck Pain

et al. 2013

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Abstract.[Purpose] The cervical spine is a common site of pain, which may arise from different parts of the upper limbs or dysfunctions of the upper thoracic spine. The different sections of the spinal column are interlinked, and one region exerts an influence over another. Thus, a low range of motion (hypomobility) in the thoracic spine is an indicator of neck pain, and alterations in the cervical spine can occur due to dysfunctions of the thoracic region. The aim of the present study was to assess the efficacy of upper thoracic spine (T1-T4) thrust manipulation with regard to reduction of pain and disability in patients with neck pain. [Subjects and Methods] Twenty-five individuals with persistent neck pain upon movement participated in this study. The individuals were evaluated using the Neck Disability Index and a visual analog scale for pain. Each individual underwent five sessions of thoracic spine thrust manipulation. Data analysis involved the Student's t-test.[Results] Significant improvements were found in neck pain and disability.[Conclusion] Based on the results of the present study, thoracic spine thrust manipulation proved effective in the treatment of individuals with neck pain, leading to a reduction in both pain and disability.

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The Effectiveness of Manual Physical Therapy and Exercise for Mechanical Neck Pain

Cited by 122 publications

References 36 publications

Manual Physical Therapy for Injection-Confirmed Nonacute Acromioclavicular Joint Pain

Manual Physical Therapy for Injection-Confirmed Nonacute Acromioclavicular Joint Pain

“I know it’s changed”: a mixed-methods study of the meaning of Global Perceived Effect in chronic neck pain patients

Analysis of Thoracic Spine Thrust Manipulation for Reducing Neck Pain

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