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Titre : | Osteopathic manipulative treatment combined with exercise improves pain and disability in individuals with non-specific chronic neck pain: A pragmatic randomized controlled trial (2020) |
Auteurs : | Sandro Groisman ; Tais Malysz ; Luciano de Souza da Silva ; Tamara Rocha Ribeiro Sanches ; Karoline Camargo Bragante ; Franciele Locatelli ; Simone Vaccari ; Cristina Homercher Rosa Francisco ; Simone Monteiro Steigleder ; Geraldo Pereira Jotz |
Type de document : | Article |
Dans : | Journal of Bodywork and Movement Therapies (Vol. 24, n° 2, April 2020) |
Article en page(s) : | p. 189-195 |
Note générale : | doi:10.1016/j.jbmt.2019.11.002 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cervicalgie ; Manipulation ostéopathique ; Manipulations de l'appareil locomoteur ; Ostéopathie ; Personnes handicapées |
Résumé : |
Purpose:
To determine effectiveness of osteopathic manipulative treatment combined with stretching and strengthening exercises in the cervical region on pain and disability in individuals with non-specific chronic neck pain. Methods: 90 adults with non-specific chronic neck pain were randomized to either exercises group (EG, n = 45) or osteopathic manipulative treatment associated with exercises group (OMT/EG, n = 45). The primary outcomes were obtained by the use of Numeric Pain-Rating Scale (NPRS), Pressure Pain Threshold (PPT) and Neck Disability Index (NDI). Secondary outcomes included range of motion (ROM) for cervical spine rotation, Fear-Avoidance Beliefs Questionnaire Work/Physical Activity (FABQ-W/PA) and Pain-self efficacy at two different moments: baseline and 4 weeks after the first treatment. Techniques and dosages of OMT were selected pragmatically by a registered osteopath. Generalized Estimating Equations model (GEE), complemented by the Least Significant Difference (LSD) and the intention-to-treat analysis, was used to assess the clinical outcomes. Results: Analysis with GEE indicated that OMT/EG reduced pain and disability more than the EG alone after 4 weeks of treatment with statistically significant difference (p Conclusion: The association between OMT and exercises reduces pain and improves functional disability more than only exercise for individuals with non-specific chronic neck pain. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1360859219303973 |