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Neck Pain And (Manual Therapy Or Exercise)

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https://www.readbyqxmd.com/read/30497483/comparative-effectiveness-and-economic-evaluation-of-chuna-manual-therapy-for-chronic-neck-pain-protocol-for-a-multicenter-randomized-controlled-trial
#1
Ho Jeong Do, Joon-Shik Shin, Jinho Lee, Yoon Jae Lee, Me-Riong Kim, Jae-Heung Cho, Koh-Woon Kim, In-Hyuk Ha
BACKGROUND: Neck pain is a highly prevalent medical condition that incurs substantial social burden. Although manual therapy is widely used for treatment of neck pain, the body of evidence supporting its effectiveness and safety is not conclusive. The aim of this study is to examine the effect, safety, and cost-effectiveness of Chuna manual therapy, a traditional Korean manual therapy for treatment of various musculoskeletal complaints. METHODS/DESIGN: This study is the protocol for a two-armed parallel, assessor-blinded, multicenter, randomized controlled trial...
November 29, 2018: Trials
https://www.readbyqxmd.com/read/30327397/scoping-review-of-systematic-reviews-of-complementary-medicine-for-musculoskeletal-and-mental-health-conditions
#2
Ava Lorenc, Gene Feder, Hugh MacPherson, Paul Little, Stewart W Mercer, Deborah Sharp
OBJECTIVE: To identify potentially effective complementary approaches for musculoskeletal (MSK)-mental health (MH) comorbidity, by synthesising evidence on effectiveness, cost-effectiveness and safety from systematic reviews (SRs). DESIGN: Scoping review of SRs. METHODS: We searched literature databases, registries and reference lists, and contacted key authors and professional organisations to identify SRs of randomised controlled trials for complementary medicine for MSK or MH...
October 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29999203/seeing-the-site-of-treatment-improves-habitual-pain-but-not-cervical-joint-position-sense-immediately-after-manual-therapy-in-chronic-neck-pain-patients
#3
K Beinert, B Lutz, W Zieglgänsberger, M Diers
BACKGROUND: Visual analgesia refers to the phenomena where people report decreased pain intensity when they see the painful or painfully stimulated body part. Alongside pain, sensorimotor impairment (i.e., disturbed proprioception) is also evident in chronic pain. This study aims to investigate whether real-time visual feedback offers additional pain relief and proprioceptive improvement when used in combination with recommended therapies in neck pain patients who received manual therapy with or without real-time visual feedback...
July 12, 2018: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/29967645/can-a-traditional-korean-manual-therapy-be-a-complementary-and-alternative-strategy-for-cervicogenic-dizziness-a-study-protocol-for-a-randomized-controlled-trial
#4
Seungwon Shin, Jinyoung Kim, Ami Yu, Hyung-Sik Seo, Mi-Ran Shin, Seung-Ug Hong, Chan Yung Jung, Koh-Woon Kim, Jae-Heung Cho, Euiju Lee
Cervicogenic dizziness is dizziness triggered by movement or positioning of the cervical spine and is often accompanied by neck pain or stiffness. This is a prospective, pragmatic, assessor-blind, randomized controlled trial aimed at testing the efficacy and safety of adjuvant Chuna Manual Therapy (CMT) in patients with cervicogenic dizziness under usual care treatments. Fifty patients with cervicogenic dizziness will be randomly allocated to CMT or usual care (UC) groups in a 1 : 1 ratio. Extensive screening procedures, including examinations for central nervous system problems and nystagmus, will be applied to exclude other dizziness-inducing disorders...
2018: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/29945400/-precise-application-of-traditional-chinese-medicine-in-minimally-invasive-techniques
#5
Fu-Hui Dong
The miminally-invasive techniques of traditional Chinese medicine(TCM) uses different types of acupuncture needles to treat diseased locations with special techniques. These techniques include different methods of insertion and closed incision (press cutting, sliding cutting, scrape cutting, etc.). This needling technique is based on the traditional Chinese medicine theories of Pi Bu (cutaneous), Jing Jin (sinew), Jing Luo (meridian), Wu Ti (five body structure components) and Zang Fu (organ system). Commonly used needles include: needle Dao , needle with edge, Pi needle, Shui needle, Ren needle, Gou needle, Chang Yuan needle, Bo needle and so on...
June 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29939800/the-effects-of-a-laser-guided-postural-reeducation-program-on-pain-neck-active-range-of-motion-and-functional-improvement-in-a-75-year-old-patient-with-cervical-dystonia
#6
Brent Bradley, Douglas Haladay
BACKGROUND AND PURPOSE: Limited research exists regarding physical therapy management for patients with cervical dystonia (CD). The purpose of this case report is to describe the clinical management of a patient with CD using manual techniques, cervical traction, and laser-guided postural reeducation. CASE DESCRIPTION: The patient was a 75-year-old female with CD, diagnosed 40 years prior, with a 10-year history of botulinum neurotoxin injections. She reported a 1-year history of worsening neck pain and cervical range of motion loss which was significantly affecting her ability to sleep and drive...
June 25, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29889599/pain-management-using-a-multimodal-physiotherapy-program-including-a-biobehavioral-approach-for-chronic-nonspecific-neck-pain-a-randomized-controlled-trial
#7
Ibai López-de-Uralde-Villanueva, Hector Beltran-Alacreu, Josué Fernández-Carnero, Roy La Touche
OBJECTIVE: To determine the effectiveness of a therapeutic patient education (TPE) intervention based on a biobehavioral approach combined with manual therapy (MT) to reduce pain in patients with chronic nonspecific neck pain (CNSNP). In addition, this study intended to assess the effectiveness of a multimodal physiotherapy program including TPE to reduce pain in patients with CNSNP. DESIGN: Single-blind randomized controlled trial. INTERVENTIONS: A total of 47 patients with CNSNP were randomized into three groups: (1) MT (control group); (2) MT plus TPE based on a biobehavioral approach (Exp1); and (3) MT plus TPE based on a biobehavioral approach, and therapeutic exercise (Exp2)...
June 11, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29794309/the-association-between-back-muscle-characteristics-and-pressure-pain-sensitivity-in-low-back-pain-patients
#8
Dorien Goubert, Mira Meeus, Tine Willems, Robby De Pauw, Iris Coppieters, Geert Crombez, Lieven Danneels
BACKGROUND AND AIMS: Some low back pain (LBP) patients recover after every pain episode whereas others develop chronicity. Research indicates that the amount of atrophy and fat infiltration differs between patients with LBP. Also enhanced pain sensitivity is present only in a subgroup of LBP patients. The relationship between pain sensitivity and muscular deformations in LBP, is however unexplored. This study examined the association between pressure pain sensitivity and the structural characteristics of the lumbar muscles in three different groups of non-specific LBP patients...
April 25, 2018: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29736103/effectiveness-of-manual-treatment-on-pregnancy-symptoms-usefulness-of-manual-treatment-in-treating-pregnancy-symptoms
#9
Boris Skarica
Objectives: To determine the usefulness of manual treatment in reducing or eliminating pregnancy symptoms during first and second trimester. Methods: Manual treatment of the cervical and thoracic spine was performed in a group of 115 pregnant women who developed pregnancy symptoms during normal pregnancy. A rotational traction of the cervical spine was applied. Patients in whom the treatment was unsuccessful underwent second round of treatment after a pause of a minimum 3 days...
April 2018: Medical Archives
https://www.readbyqxmd.com/read/29656846/development-and-validation-of-a-self-administered-neck-mobility-assessment-tool-s-rom-neck-in-chronic-neck-pain-patients
#10
Anke Langenfeld, Caroline Bastiaenen, Judith Sieben, Jaap Swanenburg
BACKGROUND: Cervical spine (CS) range of motion (ROM) is commonly used to assess neck pain. However, this measurement is often limited by the clinician's experience and perception. Therefore, the integration of perceptual feedback of the patient can optimize and personalize treatment. OBJECTIVE: Develop and validate a questionnaire (S-ROM-Neck) to evaluate ROM of the CS from the patient's perspective. DESIGN: Validation study. METHODS: The assessment tool was developed and optimized during pretest sessions...
October 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29545691/cervical-extension-traction-as-part-of-a-multimodal-rehabilitation-program-relieves-whiplash-associated-disorders-in-a-patient-having-failed-previous-chiropractic-treatment-a-cbp-%C3%A2-case-report
#11
Miles O Fortner, Paul A Oakley, Deed E Harrison
[Purpose] To present the case of the non-surgical restoration of cervical lordosis in a patient suffering from chronic whiplash syndrome including chronic neck pain and daily headaches resulting from previous whiplash. [Subject and Methods] A 31 year old female presented with a chief complaint of chronic neck pain and headaches for 12 years, correlating temporally with a sustained whiplash. These symptoms were not significantly relieved by previous chiropractic spinal manipulative therapy. The patient had cervical hypolordosis and was treated with Chiropractic BioPhysics® protocol including extension exercises, manual adjustments and cervical extension traction designed to increase the cervical lordosis...
February 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29541445/outcomes-indicators-and-a-risk-classification-system-for-spinal-manipulation-under-anesthesia-a-narrative-review-and-proposal
#12
REVIEW
Dennis DiGiorgi, John L Cerf, Daniel S Bowerman
Over a period of decades chiropractors have utilized spinal manipulation under anesthesia (SMUA) to treat chronic back and neck pain. As an advanced form of manual therapy, SMUA is reserved for the patient whose condition has proven refractory to office-based manipulation and other modes of conservative care. Historically, the protocols and guidelines put forth by chiropractic MUA proponents have served as the clinical compass for directing MUA practice. With many authors and MUA advocates having focused primarily on anticipated benefit, the published literature contains no resource dedicated to treatment precautions and contraindications...
2018: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/29460009/the-global-spine-care-initiative-applying-evidence-based-guidelines-on-the-non-invasive-management-of-back-and-neck-pain-to-low-and-middle-income-communities
#13
REVIEW
Roger Chou, Pierre Côté, Kristi Randhawa, Paola Torres, Hainan Yu, Margareta Nordin, Eric L Hurwitz, Scott Haldeman, Christine Cedraschi
PURPOSE: The purpose of this review was to develop recommendations for the management of spinal disorders in low-income communities, with a focus on non-invasive pharmacological and non-pharmacological therapies for non-specific low back and neck pain. METHODS: We synthesized two evidence-based clinical practice guidelines for the management of low back and neck pain. Our recommendations considered benefits, harms, quality of evidence, and costs, with attention to feasibility in medically underserved areas and low- and middle-income countries...
September 2018: European Spine Journal
https://www.readbyqxmd.com/read/29456442/the-effect-of-direction-specific-thoracic-spine-manipulation-on-the-cervical-spine-a-randomized-controlled-trial
#14
Steve Karas, Megan J Olson Hunt, Bill Temes, Martin Thiel, Trenton Swoverland, Brett Windsor
Objectives: To determine the difference on neck outcomes with directional manipulation to the thoracic spine. There is evidence that thoracic spine manipulation is effective in treating patients with neck pain. However, there is no research that determines if the assessment of directional hypomobility and the selection of thrust direction offer improved outcomes. Methods: A total of 69 patients with cervical spine pain were randomly assigned to receive either a manipulation that was consistent with their thoracic spine motion loss (matched) or opposite their motion loss (unmatched)...
February 2018: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/29433500/effects-of-local-treatment-with-and-without-sensorimotor-and-balance-exercise-in-individuals-with-neck-pain-protocol-for-a-randomized-controlled-trial
#15
RANDOMIZED CONTROLLED TRIAL
Munlika Sremakaew, Gwendolen Jull, Julia Treleaven, Marco Barbero, Deborah Falla, Sureeporn Uthaikhup
BACKGROUND: Impaired cervical joint position sense and balance are associated with neck pain. Specific therapeutic exercise and manual therapy are effective for improving neck pain and functional ability but their effects on joint position sense and balance impairments remain uncertain. Changes in the joint position sense and balance may need to be addressed specifically. The primary objective is to investigate the most effective interventions to improve impaired cervical joint position sense and balance in individuals with neck pain...
February 13, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29405174/global-postural-reeducation-in-patients-with-chronic-nonspecific-neck-pain-cross-over-analysis-of-a-randomized-controlled-trial
#16
RANDOMIZED CONTROLLED TRIAL
Paolo Pillastrini, Federico Banchelli, Andrew Guccione, Emanuele Di Ciaccio, Francesco Saverio Violante, Monia Brugnettini, Carla Vanti
OBJECTIVE: To compare the effects of Global Postural Reeducation (GPR) with Manual Therapy (MT) in participants with chronic nonspecific neck pain (NP). METHODS: Pre- and post-treatment analysis of cross-over data from an RCT was done. Seventy-eight subjects with chronic nonspecific NP aged 18 to 80 years completed the trial. The group who had received GPR crossed-over to MT and the previous MT group received GPR for 9 sessions once or twice a week. Measures were assessed at pre-treatment and post-treatment...
February 1, 2018: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29338489/multimodal-physiotherapy-treatment-based-on-a-biobehavioral-approach-for-patients-with-chronic-cervico-craniofacial-pain-a-prospective-case-series
#17
Fernando Marcos-Martín, Luis González-Ferrero, Noelia Martín-Alcocer, Alba Paris-Alemany, Roy La Touche
The purpose of this prospective case series was to observe and describe changes in patients with chronic cervico-craniofacial pain of muscular origin treated with multimodal physiotherapy based on a biobehavioral approach. Nine patients diagnosed with chronic myofascial temporomandibular disorder and neck pain were treated with 6 sessions over the course of 2 weeks including: (1) orthopedic manual physiotherapy (joint mobilizations, neurodynamic mobilization, and dynamic soft tissue mobilizations); (2) therapeutic exercises (motor control and muscular endurance exercises); and (3) patient education...
September 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29332753/cognitive-functional-therapy-cft-for-chronic-non-specific-neck-pain
#18
Ney Meziat-Filho, Maicom Lima, Jessica Fernandez, Felipe J J Reis
This case report presents the effect of Cognitive Functional Therapy (CFT) in a patient with chronic non-specific neck pain. The patient believed that pain signified tissue damage, and demonstrated pain catastrophizing, hypervigilance, stress sensitivity, and movement impairment of the neck, during extension and rotation. The CFT intervention integrated a cognitive approach with manual therapy and active exercises to encourage the patient to trust her neck again. One month after the first appointment, the patient had recovered confidence, and the pain and disability had disappeared almost entirely...
January 2018: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/29202816/the-treatment-of-migraine-patients-within-chiropractic-analysis-of-a-nationally-representative-survey-of-1869-chiropractors
#19
Craig Moore, Jon Adams, Andrew Leaver, Romy Lauche, David Sibbritt
BACKGROUND: While the clinical role of manual therapies in migraine management is unclear, the use of chiropractors for this condition is considerable. The aim of this study is to evaluate the prevalence and characteristics of chiropractors who frequently manage patients with migraine. METHODS: A national cross-sectional survey of chiropractors collected information on practitioner characteristics, clinical management characteristics and practice settings. A secondary analysis was conducted on 1869 respondents who reported on their migraine caseload to determine the predictors associated with the frequent management of patients with migraine...
December 4, 2017: BMC Complementary and Alternative Medicine
https://www.readbyqxmd.com/read/29181262/exercise-manual-therapy-and-postural-re-education-for-uncontrolled-ear-twitching-and-related-impairments-after-whiplash-injury-a-case-report
#20
Kelsey Flanders, Heather Feldner
Background and Purpose: Whiplash Associated Disorders and the interventions used to remediate them are well documented in physical therapy literature. However, specific interventions for spasms of the neck musculature that also involve constant ear twitching have yet to be addressed. The purpose of this case report is twofold. First, to describe comprehensive physical therapy management and outcomes for a subject with uncontrolled ear twitching and related musculoskeletal impairments, and second, to discuss the physical therapist's approach to evidence-based care when faced with a paucity of literature addressing physical therapy interventions for subjects with uncontrolled ear twitching...
October 2017: International Journal of Sports Physical Therapy
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