The Effect of Combination Therapy; Manual Therapy and Exercise, in Patients With Non-Specific Chronic Neck Pain: A Randomized Clinical Trial
Journal Title: Physical Treatments: Specific Physical Therapy Journal - Year 2017, Vol 7, Issue 2
Abstract
Purpose: Neck pain is one of the most common health problems that its prevalence ranges from 34% to 50%. Chronic Neck Pain (CNP) is also a frequent complaint in the general population. The pathogenesis of nonspecific CNP is not clear. This study aimed to assess the effects of soft tissue release, muscle energy techniques and exercise on neck Range of Motion (ROM), Neck Disability Index (NDI), and pain in patients with nonspecific CNP. Methods: This is a randomized, single-blind, clinical study conducted on two groups of patients in Iran, during 2016-2017. Group A received intervention treatment and group B, as control, received no treatment for 21 days. Each group consisted of 12 participants who were selected considering inclusion and exclusion criteria. Each patient in group A received manual treatment protocols (soft tissue release and muscle energy techniques) plus exercise therapy, in six sessions, one session per day, two days a week over a period of 21 days. Clinical assessments were performed at the first and last session (before and after the treatment). Before starting the study, the reliabilities of measurement methods were evaluated and the results were acceptable. Clinical assessments included neck ROM, NDI and pain based on Visual Analogue Scale (VAS). Repeated measures ANOVA test was performed for data analysis using SPSS (version 20). Results: Totally, 16 women and 8 men were participated in this study. To test the hypothesis and analysis of the study variables at regular intervals from the beginning to the end of treatment, repeated measures ANOVA was used. In the intervention group, the indexes showed significant improvements (P<0.001). This means that our intervention treatment was effective. Conclusion: The study results support the effectiveness of the combination therapy (soft tissue release, muscle energy techniques plus exercise therapy) with some improvements in the neck ROM, NDI and pain (Based on VAS scores) for the management of patients with non-specific CNP.
Authors and Affiliations
Maryam Ghodrati, Zahra Mosallanezhad, Mohsen Shati, Forouzan Rastgar Koutenaei, Mohammad Reza Nourbakhsh, Mehdi Noroozi
Keywords
Related Articles
- EP ID EP460881
- DOI 10.32598/ptj.7.2.113
- Views 86
- Downloads 0
Pilot Design of Ergonomic Bench for the Elderly With Anthropometric Approach
Purpose: With the global growth of elderly population, their increasing need to public and recreational spaces has become a novel challenge. Such spaces should be designed based on ergonomic principles in order to decrea...
Investigation of the Lifting Speed on Lumber Muscles Activities
Purpose: Low back pain is one of the most common musculoskeletal disorders, and lifting is one of its risk factors. The activities of lumbar muscles as the main muscles involved in lifting are important with regard to id...
The Immediate Effects of Inhibitive Gastrocnemius Kinesio Taping on Static and Functional Balance Performance in Subjects With Chronic Stroke Disorders
Purpose: Stroke is one of leading causes of neuromuscular disorders that affects the patients’ abilities during standing and walking. Various treatments have been used to restore and improve patients’ stability and reduc...
Comparison of Plantar Loading Characteristics During Two Fundamental Badminton Movements Between the Individuals With Cavovarus Foot Deformity and the Ones With Normal Foot
Purpose: Some deformities that increase the risk of injury including cavus foot are not correctable yet and can only be limited by prevention and taking care of external causes. The current study aimed at determining if...
The Effectiveness of Group Play Therapy on Social Skills of Female Students With Intellectual Disability
Purpose: The present research was conducted to investigate the effectiveness of group play therapy on social skills of female students with intellectual disability. Methods: The research method was quasi-experimental wit...