OBJECTIVE: To evaluate the effect of a microkinesitherapy session on pain and the amplitudes of flexion-extension in post-traumatic acute neck pain. METHODS: Randomized double blind clinical trial involving two groups of patients. The microkinesitherapy group benefitted from the check-up treatment sequence, the control group from a check-up simulation sequence. The primary outcome measure was evolution of pain, secondary endpoint amplitudes of movement. RESULTS: 29 patients were studied: 15 in the microkinesitherapy group and 14 in the control group. A significant decrease in the visual analog scale (0 to 10) of pain was noted for the microkinesitherapy group (5.2 +/- 2.3 at initial check-up versus 2.5 +/- 1.7 in the second check-up, p < 0.001), but no decrease in the control group (4.0 +/- 2.3 initial check-up versus 3.1 +/- 2.4 in the second check-up, ns). The evolution of the amplitude of flexion-extension was significant for the microkinesitherapy group (95 degrees +/- 29 degrees in the first check-up versus 107 degrees +/- 27 degrees in the second check-up, p < 0.02) but no improvement in the control group (104 degrees +/- 26 degrees initial check-up versus 107 degrees +/- 28 degrees in the second check-up, ns). CONCLUSION: Our study shows that an early microkinesitherapy session is effective on pain and recovery of flexion-extension in the treated group.

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