Supervised physical therapeutic exercise’s prescription in the unspecific mechanical neck pain

Authors

  • Manuel Albornoz Cabello Departamento de Fisioterapia de la Universidad de Sevilla Spain
  • Cristo Jesús Barrios Quinta Servicio Andaluz de Salud (SAS) Spain
  • Ana María Barrios Quinta Servicio Andaluz de Salud (SAS) Spain
  • Blanca de la Cruz Torres Departamento de Fisioterapia de la Universidad de Sevilla Spain

DOI:

https://doi.org/10.24310/riccafd.2018.v7i2.5091

Keywords:

therapeutic physical exercise, mechanical cervicalgia, physiotherapy

Abstract

Mechanical cervicalgia (CM) is a very prevalent condition that causes pain and disability and represents a great economic, social and labor cost.

The objective was to evaluate the efficacy of a supervised therapeutic physical exercise program (EFT) in reducing pain and disability in CM patients.

A sample of 21 patients with CM, of both sexes, belonging to the Physical Therapy Service of the Health Center of San José de la Rinconada (Seville). Subjects were assessed at the beginning and at the end of the intervention (2 weeks and 10 treatment sessions). We analyze the perceived pain: Visual Analogue Scale (EVA), the degree of disability: Neck Disability Index (NDI) and Core Outcome Measure (COM).

The EFT program in patients with CM produced a reduction in pain VAS = 3.74 +/- 1.33 and disability NDI = 16.28 + / 4.97 and COM = 21.69 + / 10.54, in a statistically significant way (p = 0.000 for p <0.05).

The EFT program presented was effective in reducing pain and disability in CM patients.

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References

Europea E. 30 de noviembre de 2010 Encuesta Europea de Salud en España . Año 2009 Principales resultados Problemas crónicos de salud Autonomía personal. 2011;1–8.

Calahorrano-Soriano C, Abril-Carreres A, Quintana S, Permanyer-Casals E, Garreta-Figuera R. Programa rehabilitador integral del raquis cervical. Descripción, resultados y análisis de costes. Rehabilitacion [Internet]. 2010 [cited 2016 Jun 10];44(3):205–10.

Rebelo Ferreira de Carvalho S, Vilella Bueno S, Martin Casas P, Bonilla Solís R. Fisioterapia en las unidades de apoyo de los Equipos de Atención Primaria de Salud de la Comunidad de Madrid. Fisioterapia [Internet]. 2014 [cited 2016 Oct 26];36(2):81–6.

Escortell Mayor E, Lebrijo Pérez G, Pérez Martín Y, Asúnsolo del Barco Á, Riesgo Fuertes R, Saa Requejo C. Ensayo clínico aleatorizado en pacientes con cervicalgia mecánica en atención primaria: terapia manual frente a electroestimulación nerviosa transcutánea. Atención Primaria [Internet]. 2008;40(7):337–43.

Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord [Internet]. 2000 Jun [cited 2016 Oct 10];13(3):205–17.

Borghouts JA, Koes BW, Vondeling H, Bouter LM. Cost-of-illness of neck pain in The Netherlands in 1996. Pain [Internet]. 1999 Apr [cited 2016 Jun 4];80(3):629–36.

Loeser JD. What is chronic pain? Theor Med [Internet]. 1991 Sep [cited 2016 Jun 4];12(3):213–25.

Goode AP, Freburger J, Carey T, Carolina N, Hill C. Prevalence, Practice Patterns, and Evidence for Chronic Neck Pain. 2010;62(11):1594–601.

Kroeling P, Gross AR, Goldsmith CH. A Cochrane Review of Electrotherapy for Mechanical Neck Disorders. 2005;30(21):641–8.

Medina Mirapeix F, Brotons Roman J, Manrique Sánchez J. [Comparative study on the influence of health education on perceived recurrences after physiotherapy]. Aten primaria / Soc Española Med Fam y Comunitaria [Internet]. 1995 Nov 15 [cited 2016 Jun 18];16(8):464–8.

Cleland JA, Fritz JM, Whitman JM, Palmer JA. The reliability and construct validity of the Neck Disability Index and patient specific functional scale in patients with cervical radiculopathy. Spine (Phila Pa 1976) [Internet]. 2006 Mar 1 [cited 2016 Jun 20];31(5):598–602.

Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther [Internet]. 1991 Sep [cited 2016 Jun 20];14(7):409–15.

Cleland JA, Childs JD, Whitman JM. Psychometric Properties of the Neck Disability Index and Numeric Pain Rating Scale in Patients With Mechanical Neck Pain. Arch Phys Med Rehabil [Internet]. 2008 Jan [cited 2016 Jun 18];89(1):69–74.

MacDermid JC, Walton DM, Avery S, Blanchard A, Etruw E, McAlpine C, et al. Measurement properties of the neck disability index: a systematic review. J Orthop Sports Phys Ther [Internet]. 2009 May [cited 2016 Jun 18];39(5):400–17. 5

White P, Lewith G, Prescott P. The core outcomes for neck pain: validation of a new outcome measure. Spine (Phila Pa 1976) [Internet]. 2004 Sep 1 [cited 2016 Oct 11];29(17):1923–30.

Murphy DR, Lopez M. Neck and back pain specific outcome assessment questionnaires in the Spanish language: a systematic literature review. Spine J. 2013;13(11):1667–74.

Fankhauser CD, Mutter U, Aghayev E, Mannion AF. Validity and responsiveness of the Core Outcome Measures Index (COMI) for the neck. Eur Spine J [Internet]. 2012 Jan [cited 2016 Oct 8];21(1):101–14.

Servicio Andaluz de Salud. Pautas de Actuación Conjunta de los Equipos de Básicos de Atención Primaria y los Equipos de Apoyo a la Rehabilitación. 2006;

Gross AR, Paquin JP, Blanchette S, Lalonde P, Christie T, Dupont G, et al. Exercise for mechanical neck disorders: A cochrane systematic review update. Physiother (United Kingdom) [Internet]. 2015;101:eS486.

Andersen LL, Kjaer M, Søgaard K, Hansen L, Kryger AI, Sjøgaard G. Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis Rheum [Internet]. 2008 Jan 15 [cited 2016 Jun 19];59(1):84–91.

Escolar-Reina P, Medina-Mirapeix F, Gascón-Cánovas JJ, Montilla-Herrador J, Jimeno-Serrano FJ, de Oliveira Sousa SL, et al. How do care-provider and home exercise program characteristics affect patient adherence in chronic neck and back pain: a qualitative study. BMC Health Serv Res [Internet]. 2010 [cited 2016 Jun 4];10:60.

O’Riordan C, Clifford A, Van De Ven P, Nelson J. Chronic neck pain and exercise interventions: Frequency, intensity, time, and type principle. Arch Phys Med Rehabil [Internet]. 2014;95(4):770–83.

Jull G, Falla D, Treleaven J, Hodges P, Vicenzino B. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res [Internet]. 2007 Mar [cited 2016 Jun 19];25(3):404–12.

Miller J, Gross A, D’Sylva J, Burnie SJ, Goldsmith CH, Graham N, et al. Manual therapy and exercise for neck pain: A systematic review. Man Ther [Internet]. 2010;15(4):334–54.

Chiu TTW, Lam T-H, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine (Phila Pa 1976) [Internet]. 2005 Jan 1 [cited 2016 Jun 19];30(1):E1-7.

Little P, Lewith G, Webley F, Evans M, Beattie A, Middleton K, et al. Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain. Br J Sports Med [Internet]. 2008 Dec [cited 2016 Jun 19];42(12):965–8.

Chiu TTW, Hui-Chan CWY, Chein G. A randomized clinical trial of TENS and exercise for patients with chronic neck pain. Clin Rehabil [Internet]. 2005 Dec [cited 2016 Nov 15];19(8):850–60.

Medina-Mirapeix F, Escolar-Reina P, Gascón-Cánovas JJ, Montilla-Herrador J, Jimeno-Serrano FJ, Collins SM. Predictive factors of adherence to frequency and duration components in home exercise programs for neck and low back pain: an observational study. BMC Musculoskelet Disord [Internet]. 2009 [cited 2016 Jun 18];10:155.

Philadelphia Panel Evidence-Based Clinical Practice Guidelines. Philadelphia Panel Evidence-Based Clinical Practice Guidelines on for Neck Pain. Phys Ther [Internet]. 2001;81(10):1701–17.

Nachmeson A, Johnson E, Carlson CA, Englund L, Gloossens M, van Tulder M et al. Back Pain, Neck Pain an Evidence Based Review.Stockholm. The Swedish Council on Technology Assessment in Health Care (SBU).The National Coordinating centre for Health Technology Assessment (NCCHTA). 2000;1(Report 145):1–28.

Iñigo V, Juste J, Ferrer M, Ortuño MA, Ruiz C, Gómez-Ferrer R. Reorientación de la actividad asistencial en un servicio de Medicina Física y Rehabilitación: análisis de costes. Evidencia y medicina coste-efectiva. Rehabilitacion [Internet]. 2010 [cited 2016 Jun 10];44(2):145–51.

Climent JM, Bagó J, García-López A. Patología dolorosa de columna: cervicalgia, dorsalgia y lumbalgia Definición del problema. FMC Form médica Contin en atención primaria. 2014;21:9–35.

Espí López L,Sentandreu Mañó G, Colorado Lluch T, Dueñas Moscardó M. Efectos de un programa de ejercicios oculocervicales en adultos en la movilidad cervical. Fisioterapia. 2011;33(2):41–9.

Cid J, Reig E. Cervicalgias y lumbalgias mecanicodegenerativas . Tratamiento conservador . Actualización. Rev la Soc Española del Dolor. 2001;8(Suplemento II):79–100.

Gross AR, Paquin JP, Dupont G, Blanchette S, Lalonde P, Cristie T, et al. Exercises for mechanical neck disorders: A Cochrane review update. Man Ther [Internet]. 2016 Aug [cited 2016 Nov 20];24:25–45.

Published

2018-07-17

How to Cite

Albornoz Cabello, M., Barrios Quinta, C. J., Barrios Quinta, A. M., & de la Cruz Torres, B. (2018). Supervised physical therapeutic exercise’s prescription in the unspecific mechanical neck pain. Revista Iberoamericana De Ciencias De La Actividad Física Y El Deporte, 7(2), 73–84. https://doi.org/10.24310/riccafd.2018.v7i2.5091

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Section

SUPLEMENTO 7º CONGRESO INTERNACIONAL DE ACTIVIDAD FÍSICA DEPORTIVA PARA MAYORES