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(Manipulation and physical therapy for patients with chronic mechanical neck pain: comparisons of immediate and short-term effects in pain and joint motion) [Chinese - simplified characters]
Mai M-Q, Wu S-L, Ma C, Chen L-S
Zhongguo Zuzhi Gongcheng yu Linchuang Kangfu [Journal of Clinical Rehabilitative Tissue Engineering Research] 2010 Nov 12;14(46):8691-8694
clinical trial
6/10 [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: 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*

BACKGROUND: Many researches indicated that both manipulation and physical therapy can predominance improve pain and motion of joint for patient with chronic neck pain. However, there are few studies concerning the comparisons of immediately and short-term results in pain and joint motion between two methods. OBJECTIVE: To compare the manipulation and physical therapy for the management of patient with chronic neck pain. METHODS: Patients with chronic mechanical neck pain were randomly divided into 2 groups, the manipulation group and the physical therapy group. The pain and function were assessed with visual analogue scale (VAS), pressure pain threshold (PPT) and range of motion (ROM). All the patients were evaluated three times: before treatment, 10 minutes after treatment (immediate effect) and 1 day after treatment (short term effect). RESULTS AND CONCLUSION: After 10 minutes and 1 day after the treatment, the scores of VAS, PPT and ROM were improved in the manipulation group, which compared with those before treatment (p < 0.05). After 10 minutes and 1 day after the treatment, the scores of VAS were improved in the physical therapy group, which compared with those before treatment (p < 0.05). After 10 minutes and 1 day of the treatment, the scores of VAS, PPT and ROM in the manipulation group were better than those in physical therapy group, and there were significant difference between two groups (p < 0.05). A single session of manipulation has good immediate effect and short-term effect on VAS, PPT and ROM for patient with chronic neck pain.

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