Fascial treatment versus manual therapy (HVLA) in patients with chronic neck pain: A randomized controlled trial

Autor:	Katrin Brück, Tobias Schmidt, Kirsten Jacobi
Rok vydání:	2021
Předmět:	medicine.medical_specialty Visual analogue scale Population Physical Therapy Sports Therapy and Rehabilitation law.invention Disability Evaluation 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Severity of illness medicine Humans Orthopedics and Sports Medicine Range of Motion Articular education 030222 orthopedics Neck pain education.field_of_study Neck Pain business.industry Rehabilitation Repeated measures design Musculoskeletal Manipulations 3. Good health Treatment Outcome Cervical Vertebrae Physical therapy Chronic Pain medicine.symptom Manual therapy business Range of motion 030217 neurology & neurosurgery
Zdroj:	Journal of Back and Musculoskeletal Rehabilitation. 34:997-1006
ISSN:	1878-6324 1053-8127
Popis:	BACKGROUND: Chronic neck pain (CNP) is a common health problem in western industrialized nations. In recent years, the fascial tissue has attracted the attention of therapists, and a treatment of the fasciae promises to be a meaningful approach in the therapy of patients with CNP. OBJECTIVE: The aim of this study was to investigate the effectiveness of a fascial treatment (FT) compared to manual therapy (MT) and to no intervention (control group, CG) in patients with CNP. METHODS: Sixty participants with CNP were randomized into three groups. Primary outcome parameters were pain intensity as measured by the visual analogue scale (VAS), and severity of illness as measured by the Neck Pain and Disability Scale (NPAD). Secondary outcome parameter was the range of motion (ROM) of the cervical spine. RESULTS: Repeated measures t-tests demonstrated significant decreases with medium to large effect sizes for the FT (VAS: dR⁢M= 1.14; NPAD: dR⁢M= 0.51) and for the MT (VAS: dR⁢M= 1.15; NPAD: dR⁢M= 0.72). CONCLUSION: Our results confirmed the effectiveness of MT on pain and severity of illness in the treatment of patients suffering from CNP. Furthermore, the results demonstrated the effectiveness and clinical relevance of FT for this population.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::48509156c8ec217f692135dd475487a2 https://doi.org/10.3233/bmr-191731 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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