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Cervical pain and mobilization |
Brodin H |
Manual Medicine 1985;2:18-22 |
clinical trial |
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
Specific ie, localized mobilization of painful cervical mobile segments with restricted mobility and typical end feel (final resistance to passive movement), produced good therapeutic results. Reduction of pain, ie, minimum two steps of a nine-graded symptom scale, was greater than in the two control groups. Also the mobility increased a little. No significant correlation between reduction of pain and increased mobility was found. Examination and treatment was mainly of osteopathic character. One control group received salicylate (Premaspin Laake) and another had salicylate, special information ("cervical school") for three hours and mock manual therapy. The therapeutic results were the same in these two groups. Neither personality tests nor the social, economical and vocational conditions revealed any differences between the three groups. Only a few back pain conditions can be explained by proved pathological findings such as herniated disks, fractured vertebrae, neoplasms, osteomyelitis. But the majority of back patients with unknown pathology undoubtedly has pain. For these patients studies of function disturbances followed by function treatment are advocated as one part of the complete therapy.
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