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http://dx.doi.org/10.13066/kspm.2015.10.4.69

Effects of Two Different Joint Mobilization Positions on Neck Pain, Function and Treatment Satisfaction in Patient with Acute Mechanical Neck Pain  

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)
Publication Information
Journal of the Korean Society of Physical Medicine / v.10, no.4, 2015 , pp. 69-80 More about this Journal
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.
Keywords
Acute mechanical neck pain; Mobilization; Pain; Position; Range of motion;
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1 Collins N, Teys P, Vicenzino B. The initial effects of a Mulligan's mobilization with movement technique on dorsiflexion and pain in subacute ankle sprains. Man Ther. 2004;9(2):77-82.   DOI
2 Creighton D, Kondratek M, Krauss J, et al. Ultrasound analysis of the vertebral artery during non-thrust cervical translatoric spinal manipulation. J Man Manip Ther. 2011;19(2):84-90.   DOI
3 Danneels L, Beernaert A, De Corte K, et al. A didactical approach for musculoskeletal physiotherapy: The planetary model. J Musculoskeletal Pain. 2011;19(4): 218-24.   DOI
4 Domenech MA, Sizer PS, Dedrick GS, et al. The deep neck flexor endurance test: Normative data scores in healthy adults. PM R. 2011;3(2):105-10.   DOI
5 Dunning JR, Cleland JA, Waldrop MA, et al. Upper cervical and upper thoracic thrust manipulation versus nonthrust mobilization in patients with mechanical neck pain: A multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2012;42(1):5-18.   DOI
6 Dewitte V, Beernaert A, Vanthillo B, et al. Articular dysfunction patterns in patients with mechanical neck pain: A clinical algorithm to guide specific mobilization and manipulation techniques. Man Ther. 2014;19(1):2-9.   DOI
7 Ernst E, Canter PH. A systematic review of systematic reviews of spinal manipulation. J R Soc Med. 2006;99(4): 192-6.   DOI
8 Fernandez-de-las-Penas C, Downey C, Miangolarra-Page JC. Validity of the lateral gliding test as tool for the diagnosis of intervertebral joint dysfunction in the lower cervical spine. J Manipulative Physiol Ther. 2005;28(8):610-6.   DOI
9 Fischer D, Stewart AL, Bloch DA, et al. Capturing the patient's view of change as a clinical outcome measure. JAMA. 1999;282(12):1157-62.   DOI
10 Gemmell H, Miller P. Comparative effectiveness of manipulation, mobilisation and the activator instrument in treatment of non-specific neck pain: A systematic review. Chiropr Osteopat. 2006;14:7.   DOI
11 Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015;27(5):1609-11.   DOI
12 Gross AR, Goldsmith C, Hoving JL, et al. Conservative management of mechanical neck disorders: A systematic review. J Rheumatol. 2007;34(5):1083-102.
13 Harris KD, Heer DM, Roy TC, et al. Reliability of a measurement of neck flexor muscle endurance. Phys Ther. 2005; 85(12):1349-55.
14 Hing W, Reid D, Monaghan M. Manipulation of the cervical spine. Man Ther. 2003;8(1):2-9.   DOI
15 Hurwitz EL, Aker PD, Adams AH, et al. Manipulation and mobilization of the cervical spine. A systematic review of the literature. Spine (Phila Pa 1976). 1996;21(15): 1746-59; discussion 59-60.   DOI
16 Kaltenborn F, Kaltenborn B, Morgan D, et al. Manual mobilization of the joints: Joint examination and basic treatment(5th ed). Oslo. Norli. 2009.
17 Kanlayanaphotporn R, Chiradejnant A, Vachalathiti R. The immediate effects of mobilization technique on pain and range of motion in patients presenting with unilateral neck pain: A randomized controlled trial. Arch Phys Med Rehabil. 2009;90(2):187-92.   DOI
18 Karas S, Olson Hunt MJ. A randomized clinical trial to compare the immediate effects of seated thoracic manipulation and targeted supine thoracic manipulation on cervical spine flexion range of motion and pain. J Man Manip Ther. 2014;22(2):108-14.   DOI
19 Kondratek M, Creighton D, Krauss J. Use of translatoric mobilization in a patient with cervicogenic dizziness and motion restriction: A case report. J Man Manip Ther 2006;14:140-1.   DOI
20 Kelly AM. The minimum clinically significant difference in visual analogue scale pain score does not differ with severity of pain. Emerg Med J. 2001;18(3):205-7.   DOI
21 Krauss JR, Evjenth O, Creighton D. Translatoric spinal manipulation for physical therapists. Rochester (MI). Lakeview Media LLC. 2006.
22 Kulig K, Landel R, Powers CM. Assessment of lumbar spine kinematics using dynamic MRI: A proposed mechanism of sagittal plane motion induced by manual posterior-to-anterior mobilization. J Orthop Sports Phys Ther. 2004;34(2):57-64.
23 Kulig K, Powers CM, Landel RF, et al. Segmental lumbar mobility in individuals with low back pain: in vivo assessment during manual and self-imposed motion using dynamic MRI. BMC Musculoskelet Disord. 2007;8:8.   DOI
24 Leaver AM, Maher CG, Herbert RD, et al. A randomized controlled trial comparing manipulation with mobilization for recent onset neck pain. Arch Phys Med Rehabil. 2010;91(9):1313-8.   DOI
25 Maitland GD, Hengeveld E, Banks K, et al. Maitland's Vertebral Manipulation(7th ed). Edinburgh. Elsevier Butterworth Heinemann. 2005.
26 McNair PJ, Portero P, Chiquet C, et al. Acute neck pain: Cervical spine range of motion and position sense prior to and after joint mobilization. Man Ther. 2007;12(4):390-4.   DOI
27 Mulligan BR. Manual Therapy NAGS SNAGS MWMS etc (5th ed). Plane View. Wellington, New Zealand: Services Ltd, 2004:3-90.
28 Ostelo RW, de Vet HC. Clinically important outcomes in low back pain. Best Pract Res Clin Rheumatol. 2005;19(4): 593-607.   DOI
29 Reid SA, Rivett DA, Katekar MG, et al. Comparison of mulligan sustained natural apophyseal glides and maitland mobilizations for treatment of cervicogenic dizziness: A randomized controlled trial. Phys Ther. 2014;94(4): 466-76.   DOI
30 Pal GP, Routal RV, Saggu SK. The orientation of the articular facets of the zygapophyseal joints at the cervical and upper thoracic region. J Anat. 2001;198(Pt 4):431-41.   DOI
31 Schomacher J. The effect of an analgesic mobilization technique when applied at symptomatic or asymptomatic levels of the cervical spine in subjects with neck pain: A randomized controlled trial. J Man Manip Ther. 2009;17(2):101-8.   DOI
32 Senstad O, Leboeuf-Yde C, Borchgrevink C. Frequency and characteristics of side effects of spinal manipulative therapy. Spine (Phila Pa 1976). 1997;22(4):435-440.   DOI
33 Slaven EJ, Goode AP, Coronado RA, et al. The relative effectiveness of segment specific level and non-specific level spinal joint mobilization on pain and range of motion: Results of a systematic review and meta-analysis. J Man Manip Ther. 2013;21(1): 7-17.   DOI
34 Sterling M, Jull G, Vicenzino B, et al. Development of motor system dysfunction following whiplash injury. Pain. 2003;103(1-2):65-73.   DOI
35 Takasaki H, Hall T, Oshiro S, et al. Normal kinematics of the upper cervical spine during the Flexion-Rotation Test-In vivo measurements using magnetic resonance imaging. Man Ther. 2011;16(2):167-71.   DOI
36 Tousignant M, Duclos E, Lafleche S, et al. Validity study for the cervical range of motion device used for lateral flexion in patients with neck pain. Spine (Phila Pa 1976). 2002;27(8):812-7.   DOI
37 Twomey LT. A rationale for the treatment of back pain and joint pain by manual therapy. Phys Ther. 1992;72(12): 885-92.   DOI
38 Aprill C, Bogduk N. The prevalence of cervical zygapophyseal joint pain. A first approximation. Spine (Phila Pa 1976). 1992;17(7):744-7.   DOI
39 Watanabe N, Reece J, Polus BI. Effects of body position on autonomic regulation of cardiovascular function in young, healthy adults. Chiropr Osteopat. 2007;15:19.   DOI
40 Ahn NU, Ahn UM, Ipsen B, et al. Mechanical neck pain and cervicogenic headache. Neurosurgery. 2007;60(1 Supp1 1):S21-7.
41 Aquino RL, Caires PM, Furtado FC, et al. Applying joint mobilization at different cervical vertebral levels does not influence immediate pain reduction in patients with chronic neck pain: A randomized clinical trial. J Man Manip Ther. 2009;17(2):95-100.   DOI
42 Armstrong BS, McNair PJ, Williams M. Head and neck position sense in whiplash patients and healthy individuals and the effect of the cranio-cervical flexion action. Clin Biomech (Bristol, Avon). 2005;20(7):675-84.   DOI
43 Bogduk N. The anatomy and pathophysiology of neck pain. Phyl MedRehabilClin N Am. 2011;22(3):367-82.
44 Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine (Phila Pa 1976). 1994;19(12): 1307-9.   DOI
45 Cote P, Cassidy JD, Carroll LJ, et al. The annual incidence and course of neck pain in the general population: A population-based cohort study. Pain. 2004;112(3): 267-73.   DOI