Comparison between upper thoracic spine mobilization and the Ergon technique in the treatment of mechanical neck pain
Resumen
Upper thoracic spine mobilization and the Ergon technique are used to treat mechanical neck pain in order to speed recovery, promote tissue healing and improve range of motion. There have been a few studies discussing the Ergon IASTM and upper thoracic spine mobilization in patients with neck pain, but none compared the aforementioned techniques in the treatment of mechanical neck pain. This clinical trial was conducted on a sample of thirty participants (16 females and 14 males) with mechanical neck pain who were randomly divided into two groups: Upper Thoracic Spine Mobilization (n=15) and Ergon Technique (n=15). Twelve sessions were delivered to all participants over a four-week period, three days per week. Before and after treatment, pain severity was measured by Numeric Pain Rating Scale (NPRS), cervical spine's active range of motion was measured by using a Cervical Range of Motion (CROM) device, and cervical spine's disability index was measured by Neck Disability Index (NDI). The statistical analysis was carried out using the Statistical Package for Social Sciences (SPSS) version 25. Both groups showed improvement in neck pain, reduced functional disability and increased cervical range of motion after treatment. The upper thoracic spine mobilization group had significantly better results in terms of cervical left lateral flexion and left rotation ranges of motion, while the Ergon Technique group had significantly better results in terms of improvement of neck pain and reduction in functional disability. In conclusion, the upper thoracic spine mobilization was effective at increasing the range of motion of the cervical region, while the Ergon technique was effective at relieving pain and dysfunction in the cervical spine in patients with mechanical neck pain.
Descargas
Citas
Akgun, E., Kozaci, N., & Avci, M. (2018). Measurement of the Pain Levels of Patients with Extremity Traumas and Assessment of the Attitudes of Emergency Physicians to Pain Management. Annals of Medical Research, 25(4), 553-558.
Baker, R. T., Nasypany, A., Seegmiller, J. G., & Baker, J. G. (2013). Instrument-Assisted Soft Tissue Mobilization Treatment for Tissue Extensibility Dysfunction. International Journal of Athletic Therapy & Training, 18(5), 16–21.
Blanpied, P. R., Gross, A. R., Elliott, J. M., Devaney, L. L., Clewley, D., Walton, D. M., et al. (2017). Neck Pain: Revision 2017. The Journal of Orthopaedic and Sports Physical Therapy, 47(7), 1–83. https://doi.org/10.2519/jospt.2017.0302
Cagnie, B., Dewitte, V., Coppieters, I., Van Oosterwijck, J., Cools, A., & Danneels, L. (2013). Effect of ischemic compression on trigger points in the neck and shoulder muscles in office workers: a cohort study. Journal of Manipulative and Physiological Therapy, 36(8), 482–489. https://doi.org/10.1016/j.jmpt.2013.07.001
Carvalhais, V. O., Ocarino, J. M., Araújo, V. L., Souza, T. R., Silva, P. L. P., & Fonseca, S. T. (2013). Myofascial force transmission between the latissimus dorsi and gluteus maximus muscles: an in vivo experiment. Journal of Biomechanics, 46(5), 1003–1007. https://doi.org/10.1016/j.jbiomech.2012.11.044
Côté, P., Cassidy, J. D., & Carroll, L. (1998).The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults. Spine, 23(15), 1689–1698. https://doi.org/10.1097/00007632-199808010-00015
Cross, K. M., Kuenze, C., Grindstaff, T. L., & Hertel, J. (2011). Thoracic spine thrust manipulation improves pain, range of motion, and self-reported function in patients with mechanical neck pain: a systematic review. Journal of Orthopaedic & Sports Physical Therapy, 41(9), 633–642. https://doi.org/10.2519/jospt.2011.3670
Dunning, J. R., Butts, R., Mourad, F., Young, I., Peñas, C. F., Hagins, M., et al. (2016). Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial. BMC Musculoskelet Disord, 17(64), 1-12. https://doi.org/10.1186/s12891-016-0912-3
Fernández-de-Las-Peñas, C., Cuadrado, M. L., & Pareja, J. A. (2006). Myofascial trigger points, neck mobility and forward head posture in unilateral migraine. Cephalalgia: An International Journal of Headache, 26(9), 1061–1070. https://doi.org/10.1111/j.1468-2982.2006.01162.x
Ferreira-Valente, M. A., Pais-Ribeiro, J. L., & Jensen, M. P. (2011). Validity of four pain intensity rating scales. Pain, 152(10), 2399–2404. https://doi.org/10.1016/j.pain.2011.07.005
Fletcher, J. P., & Bandy, W. D. (2008). Intrarater reliability of CROM measurement of cervical spine active range of motion in persons with and without neck pain. Journal of Orthopaedic and Sports Physical Therapy, 38(10), 640–645. https://doi.org/10.2519/jospt.2008.2680
Gross, A., Miller, J., D’Sylva, J., Burnie, S. J., Goldsmith, C. H., Graham, N., et al. (2010). Manipulation or mobilisation for neck pain: a Cochrane Review. Manual Therapy, 15(4), 315–333. https://doi.org/10.1016/j.math.2010.04.002
Hou, C-R., Tsai, L-C., Cheng, K-F., Chung, K-C., & Hong, C-Z. (2002). Immediate effects of various physical therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Archives of Physical Medicine and Rehabilitation, 83(10), 1406–1414. https://doi.org/10.1053/apmr.2002.34834
Jung, J-H., & Moon, D-C. (2015). The effect of thoracic region self-mobilization on chest expansion and pulmonary function. Journal of Physical Therapy Science, 27(9), 2779–2781. https://doi.org/10.1589/jpts.27.2779
Kaltenborn, F. M., Evjenth, O., Kaltenborn, T. B., Morgan, D., & Vollowitz, E. (2011). Manual Mobilization of the Joints: Joint Examination and Basic Treatment: The Extremities. Orthopedic Physical Therapy.
Lin, Y-C., Lai, C-H., Chang, W-H., Tu, L-W., Lin, J-C., & Chou, S-W. (2012). Immediate effects of ischemic compression on neck function in patients with cervicogenic cephalic syndrome. Journal of Manipulative and Physiological Therapy, 35(4), 301–307. https://doi.org/10.1016/j.jmpt.2012.04.009
Martínez-Segura, R., De-la-Llave-Rincón, A. I., Ortega-Santiago, R., Cleland, J A., & Fernández-de-Las-Peñas, C. (2012). Immediate changes in widespread pressure pain sensitivity, neck pain, and cervical range of motion after cervical or thoracic thrust manipulation in patients with bilateral chronic mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic & Sports Physical Therapy, 42(9), 806–814. https://doi.org/10.2519/jospt.2012.4151
Masaracchio, M., Cleland, J. A., Hellman, M., & Hagins, M. (2013). Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy, 43(3), 118–127. https://doi.org/10.2519/jospt.2013.4221
Miller, J., Gross, A., D’Sylva, J., Burnie, S. J., Goldsmith, C. H., Graham, N., et al. (2010). Manual therapy and exercise for neck pain: a systematic review. Manual Therapy, 15(4), 334–354. https://doi.org/10.1016/j.math.2010.04.002
Nagrale, A. V., Glynn, P., Joshi, A., & Ramteke, G. (2010). The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: a randomized controlled trial. The Journal of Manual and Manipulative Therapy, 18(1), 37–43. https://doi.org/10.1179/106698110X12595770849605
Salahzadeh, Z., Maroufi, N., Ahmadi, A., Behtash, H., Razmjoo, A., Gohari, M., et al. (2014). Assessment of forward head posture in females: observational and photogrammetry methods. Journal of Back and Musculoskelet Rehabilitation, 27(2), 131–139. https://doi.org/10.3233/BMR-130426
Sandow, E. (2011). Case studies in cervicothoracic spine function evaluation and treatment of two dancers with mechanical neck pain. Journal of Dance Medicine & Science: Official Publication of the International Association for Dance Medicine & Science, 15(1), 37–44.
Straker, L., Burgess-Limerick, R., Pollock, C., Coleman, J., Skoss, R., & Maslen, B. (2008). Children’s posture and muscle activity at different computer display heights and during paper information technology use. Human Factors, 50(1), 49–61. https://doi.org/10.1518/001872008X250575
Strunk, R. G., Pfefer, M. T., & Dube, D. (2014). Multimodal chiropractic care of pain and disability for a patient diagnosed with benign joint hypermobility syndrome: a case report. Journal of Chiropractic Medicine, 13(1), 35–42. https://doi.org/10.1016/j.jcm.2014.01.009
Vernon, H., & Mior, S. (1991). The Neck Disability Index: a study of reliability and validity. Journal of Manipulative and Physiological Therapy, 14(7), 409–415.
Vicenzino, B., Collins, D., & Wright, A. (1996). The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia. Pain, 68(1), 69–74. https://doi.org/10.1016/S0304-3959(96)03221-6
Walton, D. M., Macdermid, J. C., Nielson, W., Teasell, R. W., Chiasson, M., & Brown, L. (2011). Reliability, standard error, and minimum detectable change of clinical pressure pain threshold testing in people with and without acute neck pain. Journal of Orthopaedic and Sports Physical Therapy, 41(9), 644–650. https://doi.org/10.2519/jospt.2011.3666
Youdas, J. W., Carey, J. R., & Garrett, T. R. (1991). Reliability of measurements of cervical spine range of motion--comparison of three methods. Physical Therapy, 71(2), 98–104.
Las obras que se publican en esta revista están sujetas a los siguientes términos:
1. El Servicio de Publicaciones de la Universidad de Murcia (la editorial) conserva los derechos patrimoniales (copyright) de las obras publicadas, y favorece y permite la reutilización de las mismas bajo la licencia de uso indicada en el punto 2.
© Servicio de Publicaciones, Universidad de Murcia, 2013
2. Las obras se publican en la edición electrónica de la revista bajo una licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España (texto legal). Se pueden copiar, usar, difundir, transmitir y exponer públicamente, siempre que: i) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); ii) no se usen para fines comerciales; iii) se mencione la existencia y especificaciones de esta licencia de uso.
3. Condiciones de auto-archivo. Se permite y se anima a los autores a difundir electrónicamente las versiones pre-print (versión antes de ser evaluada) y/o post-print (versión evaluada y aceptada para su publicación) de sus obras antes de su publicación, ya que favorece su circulación y difusión más temprana y con ello un posible aumento en su citación y alcance entre la comunidad académica.