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Gerandomiseerde klinische trial naar het effect van compressietherapie bij kortdurende aspecifieke nekpijn: een pilot (Randomized clinical trial of short-term compression therapy for short-lasting, aspecific neck pain: a pilot study) [Dutch]
Pattyn A, Scholten-Peters GGM, Duquet W, Oostendorp RAB
Nederlands Tijdschrift voor Fysiotherapie [Dutch Journal of Physical Therapy] 2006 Feb;116(1):2-7
clinical trial
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; 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*

OBJECTIVE: To compare the efficacy of short-term compression therapy with that of short-term cervical traction for acute (< 3 months) aspecific neck pain. METHODS: Patients with aspecific neck pain, aged 18 to 70 years, were recruited from a private primary care practice. Patients were randomized to the traction and compression groups and received three treatments over 2 weeks. Intensity of pain and stiffness of movement of the neck (visual analogue scale (VAS)), range of motion of cervical spine (cervical range of motion (CROM)), and activities and participation (Neck Disability Index (NDI)) were measured. RESULTS: Thirty-three patients were included (compression group n = 17; traction group n = 16). Compression therapy was significantly better than traction therapy in improving mobility of the cervical spine (right lateroflexion (p = 0.00; effect size 0.84) and flexion (p = 0.01; effect size 0.85), and NDI (p = 0.02). Compression therapy tended to be better, but not significantly so, than traction therapy in improving the other variables assessed. No adverse effects were reported. CONCLUSION: Short-term compression therapy is a more effective than short-term traction therapy for acute aspecific neck pain, especially in terms of mobility of the neck and activities and participation.

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