Investigation of the Efficacy of Different Physiotherapy Methodsfor Neck Pain (original) (raw)
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Efficacy of Manual Therapy in Neck Pain: A Review
Background: Neck pain (NP) is a significant contributor to worldwide disability and poses a considerable financial burden to its stakeholders. Prognosis for chronic neck pain is generally poor, and the associated disability seems to be more persistent than low back pain. 66% of the population will suffer from neck pain at some point during their lifetime. More than one-third of people affected still have low grade symptoms or recurrences more than one year after treatment, often leading to chronic pain. More than one-third of those affected also show signs of mild pain or recurrence after 12 months of management, usually contributing to chronic pain. Different manual therapy methods and strategies exist; a common aspect is the use of hands during therapy which involves both manipulation and mobilization. Aim: To determine the recent research evidences for the efficacy of manual therapy in neck pain patients. Method: This review mainly includes randomized controlled trails (RCTs). Searching done by Google scholar, Pub med and Pedro from 2010 to 2019. We used terms like-neck pain, mobilization, manipulation, exercise and physiotherapy management. Result: Present outcomes shows that manual therapy treatment is effective technique in reducing pain and increasing Range of motion (ROM) in neck pain patients without adverse effects. The search resulted in 150 articles but only 10 articles were selected for the study based on criteria. Conclusion: Manual therapy program designed for neck pain treatment can be more effective at increasing neck ROM and reducing pain.
Short Term Effects of Kinesiology Taping on Mechanical Neck Pain
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.9\_Sep2017/IJHSR\_Abstract.017.html, 2017
Background: Improper posture due to modern lifestyle has caused many problems. It has been observed that neck pain is one of the common problems. Patients with mechanical neck pain have severe pain along with functional disability and reduction of cervical range of motion. Aim: To find out the effect of kinesiology taping on mechanical neck pain, spasm, range of motion and additional effect of kinesio tape over exercise and manual therapy Method: Approval was taken from the ethical committee. Total 50 subjects were recruited for study and were divided in two groups. Group A-controlled group was given exercise program and Group B was given same protocol along with kinesiology taping (space correction 35% stretch) for upper trapezius. Tape was kept for 5 days. Readings were taken before treatment and on 6th day. Numeric rating scale (NRS) for pain, cervical range of motion (ROM) in degrees and Neck disability index (NDI) were used as outcome measures. Results: Post treatment values showed significant improvement in pain on NRS, range of motion in degrees and functional disability in both the groups. However, experimental group showed more significant improvement when compared between the groups. Conclusion: Combination therapy (kinesio tape plus physical exercise) would work better than only exercise therapy in improving neck pain and decreasing limitation of functions.
Balneo and PRM Research Journal, 2021
Introduction. A huge literature is available regarding the efficacy of various physiotherapy techniques for neck pain (NP), however, comparative study is still in scarcity. Therefore, this study aimed to compare effectiveness of stretching exercises versus manual mobilization techniques in the management of NP. Material and method. A randomized controlled trial parallel-group design study was conducted on the patients suffering from NP. Participants with the history of NP, aged between 19 to 60 years, NP without radiculopathy, and no history of trauma were included in the study. Two outcome measures were used i.e., Numeric pain rating scale (NPRS) and neck pain disability index (NDI) questionnaire. Two groups were equally divided had twenty-five patients each. Group A received cervical stretching with strengthening exercises as home-treatment program and group B received manual mobilization with strengthening exercises as home-treatment program. Six sessions were given on alternate ...
Evidence-Based Spine-Care Journal, 2013
Study Design Systematic review. Study Rationale Neck pain is a prevalent condition. Spinal manipulation and mobilization procedures are becoming an accepted treatment for neck pain. However, data on the effectiveness of these treatments have not been summarized. Objective To compare manipulation or mobilization of the cervical spine to physical therapy or exercise for symptom improvement in patients with neck pain. Methods A systematic review of the literature was performed using PubMed, the National Guideline Clearinghouse Database, and bibliographies of key articles, which compared spinal manipulation or mobilization therapy with physical therapy or exercise in patients with neck pain. Articles were included based on predetermined criteria and were appraised using a predefined quality rating scheme. Results From 197 citations, 7 articles met all inclusion and exclusion criteria. There were no differences in pain improvement when comparing spinal manipulation to exercise, and there were inconsistent reports of pain improvement in subjects who underwent mobilization therapy versus physical therapy. No disability improvement was reported between treatment groups in studies of acute or chronic neck pain patients. No functional improvement was found with manipulation therapy compared with exercise treatment or mobilization therapy compared with physical therapy groups in patients with acute pain. In chronic neck pain subjects who underwent spinal manipulation therapy compared to exercise treatment, results for short-term functional improvement were inconsistent. Conclusion The data available suggest that there are minimal short-and long-term treatment differences in pain, disability, patient-rated treatment improvement, treatment satisfaction, health status, or functional improvement when comparing manipulation or mobilization therapy to physical therapy or exercise in patients with neck pain. This systematic review is limited by the variability of treatment interventions and lack of standardized outcomes to assess treatment benefit.
Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 2021
Background: Although a huge literature is available regarding the efficacy of various physiotherapytechniques for neck pain. This study was to compare effectiveness of stretching exercises versus manualmobilization techniques in management of neck pain along withhome exercises program.Methodology: A randomized controlled trial parallel group design study was conducted on the patientssuffering from neck pain. Participants with the history of NP and aged between 19 to 60 years, Neckpain without radiculopathy, no history of trauma was included in the study. Two outcomes measureswere used. NPRS and neck pain disability questionnaire. Two groups were equally divided had twentyfivepatients each. Group A received treatment cervical stretching with strengthening exercises as hometreatmentprogram and group B received manual mobilization with strengthening exercises as hometreatmentprogram. Six sessions were given on alternate basis and assessed pre- and post-treatmentinformation of all patie...
2019
Background: Neck pain is one of the most common and painful musculoskeletal conditions. It is a problem in societies probably due to the widespread use of electronic gadgets such as computers, mobile phones, and tablets. It causes pain, functional disability, depression, and sleep disturbances. Therapeutic exercises have been known to be one of the major interventions to improve chronic neck pain. Objectives: This randomized controlled study aimed to compare the efficacy of muscle energy technique (MET) and neck stabilization exercise (NSE) on pain, neck disability, depression, anxiety, and sleep disturbance in patients with non-specific chronic neck pain (NSCNP). Methods: Thirty-five participants participated in this study. They were recruited from two hospitals in Lagos state and randomly assigned into 3 groups using computer-generated random number sequence. Group 1 (n = 12) received MET, neck care education (NCE), and infra-red radiation (IR), group 2 (n = 12) received NSE, neck care education (NCE), and IR, and group 3 (n = 11) received NCE and IR. Assessment of pain, neck disability, depression, anxiety, and sleep disturbance were done using numerical pain rating scale (NPRS), neck disability index (NDI), hospital anxiety depression scale (HADS) and Insomnia severity index (ISI) at baseline, end of 4 weeks and 8 weeks post-intervention. This study lasted for a period of 5 months (May-September, 2017). Results: The participants in the 3 groups (MET+NCE+IR, NSE+NCE+IR, NCE+IR) indicated significant improvement in all the outcome parameters; pain (P = 0.