Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of Two Different Joint Mobilization Positions on Neck Pain, Function and Treatment Satisfaction in Patient with Acute Mechanical Neck Pain

급성 역학적 경부 통증 환자에서 관절가동술적용 자세가 경부 통증과 기능과 치료만족도에 미치는 영향

  • Lee, Nam-Yong (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Song, Hyeon-Seung (Dept. of Physical Therapy, Graduate School, Daejeon University) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Health Medical and Science, Daejeon University)
  • 이남용 (대전대학교 일반대학원 물리치료학과) ;
  • 송현승 (대전대학교 일반대학원 물리치료학과) ;
  • 김선엽 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2015.08.20
  • Accepted : 2015.10.05
  • Published : 2015.11.30
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Abstract

PURPOSE: The purpose of the present study was to apply joint mobilization in a sitting position and in a prone position to patients with acute mechanical neck pain and compare the immediate treatment effects in these two positions. METHODS: After the baseline was assessed, 46 patients were randomly assigned to two groups: experimental group I ($n_1=23$) for joint mobilization in the sitting position and experimental group II ($n_2=23$) for joint mobilization in the prone position at the symptomatic cervical level. The patients in both groups received treatment by unilateral posterior-anterior gliding for 30 seconds per trial, 10 trials per session, for a total of 5 minutes, and two trials of 10 active extending motions with distraction per trial. RESULTS: In the Wilcoxon signed-rank test, all the pain and physical function variables were significantly improved after intervention in both groups (p<.05). In the Mann-Whitney U test, which compared the differences before and after the intervention between the two groups, experimental group I showed significant improvement over experimental group II in resting pain (p<.01), satisfaction with the treatment (p=.01), left rotation (p<.01) and CCFE (p<.01). In the analysis of covariance results, experimental group I showed significant improvement over experimental group II in the most painful motion pain (p<.01) and the most painful quadrant motion pain (p<.01). CONCLUSION: These outcomes suggest that joint mobilization should be applied in sitting positions for patients with acute mechanical neck pain that feel pain during sustained positions, extension or rotation.

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