Efficacy of Manual Therapy and Transcutaneous Electrical Nerve Stimulation in Cervical Mobility and Endurance in Subacute and Chronic Neck Pain: A Randomized Clinical Trial

Neck pain is a frequent health problem. Manual therapy (MT) and transcutaneous electrical nerve stimulation (TENS) are recommended techniques for treatment of mechanical neck disorders (MND) in Spanish Public Primary Care Physiotherapy Services. The aim of this study was to compare the efficacy of M...

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Bibliographic Details
Published in:Journal of clinical medicine 2021-07, Vol.10 (15), p.3245
Main Authors: Díaz-Pulido, Belén, Pérez-Martín, Yolanda, Pecos-Martín, Daniel, Rodríguez-Costa, Isabel, Pérez-Muñoz, Milagros, Calvo-Fuente, Victoria, Ortiz-Jiménez, María Félix, Asúnsolo-Del Barco, Ángel
Format: Article
Language:English
Subjects:
Biomechanics
Clinical medicine
Clinical trials
Intervention
Manipulative therapy
Mobility
Neck pain
Patients
Performance evaluation
Physical therapists
Physical therapy
Primary care
Range of motion
Transcutaneous electrical nerve stimulation-TENS
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Summary:Neck pain is a frequent health problem. Manual therapy (MT) and transcutaneous electrical nerve stimulation (TENS) are recommended techniques for treatment of mechanical neck disorders (MND) in Spanish Public Primary Care Physiotherapy Services. The aim of this study was to compare the efficacy of MT versus TENS in active mobility and endurance in cervical subacute or chronic neck pain. Ninety patients with MND were randomly allocated to receive ten 30-min sessions of either MT or TENS, in a multi-centered study through 12 Primary Care Physiotherapy Units in the Madrid community. Active cervical range of motion (CD-ROM) and endurance (Palmer and Epler test) were evaluated pre- and post-intervention and at 6-month follow-up. A generalized linear model of repeated measures was constructed for the analysis of differences. Post-intervention MT yielded a significant improvement in active mobility and endurance in patients with subacute or chronic MND, and at 6-month follow-up the differences were only significant in endurance and in sagittal plane active mobility. In the TENS group, no significant improvement was detected. With regard to other variables, MT improved mobility and endurance more effectively than TENS at post-intervention and at 6-month follow-up in the sagittal plane. Only MT generated significant improvements in cervical mobility and endurance in the three movement planes.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm10153245