Two-Year Follow-up of a Randomized Clinical Trial of Spinal Manipulation and Two Types of Exercise for Patients with Chronic Neck Pain

Evans, Roni; Brønfort, Gert; Nelson, Brian; Goldsmith, Charles H.

doi:10.1097/00007632-200211010-00013

Cited by 150 publications

(109 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ylinen et al [8,9] found that neck muscle training could increase strength of muscle and relieve the pain and enhance the activities of the patients' daily life. Additionally, studies indicated that combined program of strengthening and endurance exercises with manual therapy got a greater result in range of motion, and long-term pain relieve than manipulation only [10,11].Our results are similar to previous studies. Baduangong contribute to the physical function, for example, the movement of the extremities, especially the muscles around the shoulders.…”

Section: Disscusionsupporting

confidence: 90%

Baduangong Exercise Provides New Insights into Neck Type of Cervical Spondylosis

Chen¹,

Su²,

Xu³

et al. 2015

Proceedings of the 2015 International Conference on Education, Management, Information and Medicine

View full text Add to dashboard Cite

Abstract. Objective:To evaluate the effects of manual therapy combine with Baduangong exercise to treat neck-type cervical spondylosis. Methods: Patients were randomized to control group (cervical manipulation) and experimental group (combining cervical manipulation with Baduangong exercise). The two groups received manipulation of the cervical spine alone every other day for 2 weeks, and the experimental group performed Baduangong also. VAS scale and NDI were all completed. Results: There were 21 patients, 12 in control group and 9 in experimental group. The mean age of the patients is 39.1±5.2years. Mean VAS score and NDI of the control group is 3.31±0.99 and 28.67±7.88, while 3.74±0.92, 27.11±2.93 in experimental group, respectively. After treatment, two groups reduce pain significantly, and the experimental group showed a quick improvement. 4 patients (33.3%) relapse in control group and 1 patient (11.1%) in experimental group. Significant differences were found in between pre and pro-treat (P<0.05), however, there was no statistics difference between two groups (P>0.05). Conclusion: It is suggested that manual therapy can relieve neck pain, moreover, combine with Baduangong exercise, it is more beneficial to relieve neck and reduce the recurrence rate.

show abstract

Section: Disscusionsupporting

confidence: 90%

Baduangong Exercise Provides New Insights into Neck Type of Cervical Spondylosis

Chen¹,

Su²,

Xu³

et al. 2015

Proceedings of the 2015 International Conference on Education, Management, Information and Medicine

View full text Add to dashboard Cite

show abstract

“…이중 경부의 장애는 나이와 성에 관계없이 매우 흔하게 나타나, 남성의 15%, 여성 의 23% 정도가 경험하게 되고, 많은 경우에서 만성통 증으로 이어질 수 있다. 특히 교통사고에 의한 경부 손상 환자가 더욱 증가하고 있는데 [3] , 이 경우 25～5 0%의 환자는 그 증상이 12개월 이상 지속된다고 보고 하였다 [4] . 기계적 경부통증(Mechanical neck pain)은 경부 움직 임(neck motion) 증가가 동반된 경흉추부의 통증으로 정의된다 [5] .…”

unclassified

The effects of Upper Thoracic Joint Mobilization Technique using Kaltenborn-Evjenth concept on Cervicothoracic ROM and Pain in patients with Chronic Neck Pain

Jun¹,

So²,

Jeong³

et al. 2015

Journal of the Korean Society of Radiology

View full text Add to dashboard Cite

This study was conducted to investigate the effects of upper thoracic joint mobilization technique using Kaltenborn-Evjenth concept on the range of cervical and thoracic motion and pain in patients with chronic neck pain.The subjects were divided into a thoracic joint mobilization group(n=7) and a conservative physical therapy group(n=7). Each of the groups received thoracic joint mobilization or conservative physical therapy three times a week lasted for four weeks.The measurements were performed for the range of thoracic segmental motion(SpinalMouse), the pain(visual analogue scale) and the range of cervical joint motion(Inclinometer, Dualer IQ). They were made four times: before experiment, at 2weeks, 4weeks, and 4weeks after experiment.

show abstract

“…The influence of techniques ameliorating the static and dynamic dysfunctions of the high levels of the cervical region proves the dominant role of the upper cervical spine in the generation of this type of back pain and headache [5][6][7]. We consider that the impact of the upper cervical region is determinant not only for the generation of the so called cervicogenic headache, but too -for the initiation and the aggravation of tension-type headache.…”

Section: Discussionmentioning

confidence: 99%

Physical Therapy and Manual Therapy for Prevention and Rehabilitation of Cervical Myofascial Pain and Headache, due to Spine Malposition in Users (Abusers) of Smart Phones

Ib¹,

Br²,

Rd³

2017

J Yoga Phys Ther

View full text Add to dashboard Cite

A lot of authors consider that the origin is located in the malposition or the static alteration of the cervical spine (especially the first levels -atlantooccipital and the atlanto-axial joints, and surrounding structures). ObjectiveThe goal of the current article is to effectuate a quantitative and AbstractIntroduction: Ultimately, the introduction of portable devices in the everyday life imposed the necessity to evaluate the possible consequences (of the abuse) on the position of the spine and correspondent structures of the nervous system. Medical specialists are responsible for the construction of programs for prevention of these consequences.The goal of the current article is to evaluate the impact of physical therapy and manual therapy in the treatment and the prevention of cervical myofascial pain and headache, due to spinal malposition in users (abusers) of smart phones. Materials and methods:We observed a total of 69 patients with cervical myofascial pain and headache. The age of the patients was between 19 and 49 years, with posture (position) alterations of the cervical spine, but without significant cervical pathology. All patients used a mobile device in their everyday activities (minimum 2 h daily) for at least 6 months.Functional evaluation was effectuated before, during and after treatment and one month after the end of the rehabilitation.In all patients we applied a complex physical-therapeutic program, including analytic exercises for paravertebral muscles and soft tissue techniques [massages, post-isometric relaxation (PIR) for the respective upper trapezius and sterno-cleido-mastoideus muscle] and stimulation of patients' active participation in the process of prevention (education in principles of back-school, self-massage, auto-PIR). The patients in the first group effectuated only these procedures. In the second group we added elements of manual therapy (tractions, mobilizations, manipulations; and auto-mobilizations).Statistical evaluation was performed by SPSS program, version 17; using t-test (analysis of variances ANOVA) and Wilcoxon rank test (non-parametrical correlation analysis). Results and analysis:All patients reported a significant decrease in the intensity of cervical pain and headache (evaluated by Visual analogue scale of pain and by pressure dolorimetry). In all patients we observed amelioration of the static position of the cervical spine, reduced amount of paravertebral muscle spasm and of the sensibility of trigger and tender points; and augmentation of range of active motion of the cervical region of the spine. During the rehabilitation period the results were most important in the second group (with manual therapy), but one month later there is not statistical differences between both groups. Discussion and conclusion: Techniques of physical therapy and manual therapy are very useful for the prevention and the rehabilitation processes of cervical myofascial pain and headache. The program of care includes active (analytic) exercises, PIR and stretching techniques, tr...

show abstract

Two-Year Follow-up of a Randomized Clinical Trial of Spinal Manipulation and Two Types of Exercise for Patients with Chronic Neck Pain

Cited by 150 publications

References 22 publications

Baduangong Exercise Provides New Insights into Neck Type of Cervical Spondylosis

Baduangong Exercise Provides New Insights into Neck Type of Cervical Spondylosis

The effects of Upper Thoracic Joint Mobilization Technique using Kaltenborn-Evjenth concept on Cervicothoracic ROM and Pain in patients with Chronic Neck Pain

Physical Therapy and Manual Therapy for Prevention and Rehabilitation of Cervical Myofascial Pain and Headache, due to Spine Malposition in Users (Abusers) of Smart Phones

Contact Info

Product

Resources

About