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| Effect of combined manual therapy and therapeutic exercise protocols on the postural stability of patients with non-specific chronic neck pain. A secondary analysis of randomized controlled trial |
| Bernal-Utrera C, Anarte-lazo E, Gonzalez-Gerez JJ, Saavedra-Hernandez M, de-la-Barrera-Sranda E, Serrera-Figallo MA, Gonzalez-Martin M, Rodriguez-Blanco C |
| Journal of Clinical Medicine 2022 Jan;11(1):84 |
| clinical trial |
| 7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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Postural stability is a little-studied factor in non-specific chronic neck pain; the causes that can alter it are unknown. The relationship with chronic pain could be a determining factor for its deficit. The aim of this study was to investigate the relationship between sustained pain and a postural stability deficit. A randomized and blinded clinical trial (double-blind; placebo control; 12 weeks follow-up) was conducted with a total of 69 subjects divided into three groups, two experimental (manual therapy and specific exercise) and a control treatment, and carried out over a treatment period of three weeks with a follow-up after 12 weeks. Their postural stability was assessed through the overall balance index (OBI). The postural stability of subjects with non-specific chronic neck pain improved in the experimental treatments. There were no statistically significant differences between the experimental groups. This trial found that manual therapy and therapeutic exercise significantly improved OBI compared to the control group. TRIAL REGISTRATION: Brazilian Clinical Trial Registry, RBR-2vj7sw.
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