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http://dx.doi.org/10.18857/jkpt.2017.29.4.158

A Correlation Study on Pain, Range of Motion of Neck, Neck Disability Index and Grip Strength after Thoracic Manipulation and Cervical Stabilization Training in Chronic Neck Pain  

Kim, Sang Hak (Department of Physical Therapy, College of Health and Therapy, Daegu Haany University)
Kang, Kyung Woo (Department of Physical Therapy, College of Health and Therapy, Daegu Haany University)
Lee, Kwan Woo (Department of Physical Therapy, College of Health and Therapy, Daegu Haany University)
Publication Information
The Journal of Korean Physical Therapy / v.29, no.4, 2017 , pp. 158-163 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the relationship among pain, range of motion of the neck, neck disability index and grip strength after thoracic manipulation and cervical stabilization training in patients with chronic neck pain. Methods: In this study, twelve subjects with chronic neck pain were included. All participants had thoracic manipulation and cervical stabilization training. Intervention was conducted three times per a week, for 4 weeks. The visual analogue scale (VAS), range of motion of neck, neck disability index (NDI), as well as the grip strength before and after intervention were measured in all participants. Paired t-test was used to compare variables before and after intervention. Pearson correlation analysis was used to identify the correlations between the variables. Results: All variables after the intervention were significantly improved. There was a significant negative correlation between VAS and flexion angle of the neck (r=-0.669, p<0.05). Moreover, there was a significant positive correlation between NDI and VAS (r=0.636, p<0.05), and a significant negative correlation between NDI and flexion angle of the neck (r=-0.692, p<0.05). Conclusion: Patients with reduced pain following therapeutic intervention illustrated that there would be an improvement in the flexion angle rather than the extension angle of the neck, and that those with increased flexion angle would have less restriction of activities in daily living.
Keywords
Chronic neck pain; Thoracic manipulation; Range of motion; Neck disability index;
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1 Kauther MD, Piotrowski M, Hussmann B et al. Cervical range of motion and strength in 4,293 young male adults with chronic neck pain. Eur Spine J. 2012;21(8):1522-7.   DOI
2 Bautista-Aguirre F, Oliva-Pascual-Vaca A, Heredia-Rizo AM et al. Effect of cervical versus thoracic spinal manipulation on peripheral neural features and grip strength in subjects with chronic mechanical neck pain: a randomized controlled trial. Eur J Phys Rehabil Med. 2017;53(3):333-41.
3 Hains F, Waalen J, Mior S. Psychometric properties of the neck disability index. J Manipulative Physiol Ther. 1998;21(2):75-80.
4 Vicenzino B, Paungmali A, Buratowski S et al. Specific manipulative therapy treatment for chronic lateral epicondylalgia produces uniquely characteristic hypoalgesia. Man Ther. 2001;6(4):205-12.   DOI
5 Paungmali A, O'Leary S, Souvlis T et al. Hypoalgesic and sympathoexcitatory effects of mobilization with movement for lateral epicondylalgia. Phys Ther. 2003;83(4):374-83.
6 Skyba DA, Radhakrishnan R, Rohlwing JJ et al. Joint manipulation reduces hyperalgesia by activation of monoamine receptors but not opioid or gaba receptors in the spinal cord. Pain. 2003;106(1-2):159-68.   DOI
7 Fernandez-de-las-Penas C, Palomeque-del-Cerro L, Rodriguez-Blanco C et al. Changes in neck pain and active range of motion after a single thoracic spine manipulation in subjects presenting with mechanical neck pain: a case series. J Manipulative Physiol Ther. 2007;30(4):312-20.   DOI
8 Lau HM, Wing Chiu TT, Lam TH. The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain - a randomized controlled trial. Man Ther. 2011;16(2):141-7.   DOI
9 Rodine RJ, Vernon H. Cervical radiculopathy: a systematic review on treatment by spinal manipulation and measurement with the neck disability index. J Can Chiropr Assoc. 2012;56(1):18-28.
10 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
11 Dusunceli Y, Ozturk C, Atamaz F et al. Efficacy of neck stabilization exercises for neck pain: a randomized controlled study. J Rehabil Med. 2009;41(8):626-31.   DOI
12 Olson KA. Manual physical therapy of the spine. United States, Elsvier, 2008:257-60.
13 Edmond SL. Joint mobilization/manipulation: Extremity and spinal techniques, 3rd ed. St. Louis, Elsevier Mosby, 2016:127-30.
14 Young IA, Michener LA, Cleland JA et al. Manual therapy, exercise, and traction for patients with cervical radiculopathy: a randomized clinical trial. Phys Ther. 2009;89(7):632-42.   DOI
15 Fernandez-Carnero J, Fernandez-de-las-Penas C, Cleland JA. Immediate hypoalgesic and motor effects after a single cervical spine manipulation in subjects with lateral epicondylalgia. J Manipulative Physiol Ther. 2008;31(9):675-81.   DOI
16 Adams G, Sim J. A survey of UK manual therapists' practice of and attitudes towards manipulation and its complications. Physiother Res Int. 1998;3(3):206-27.   DOI
17 Vernon HT, Aker P, Burns S et al. Pressure pain threshold evaluation of the effect of spinal manipulation in the treatment of chronic neck pain: a pilot study. J Manipulative Physiol Ther. 1990;13(1):13-6.
18 Cassidy JD, Lopes AA, Yong-Hing K. The immediate effect of manipulation versus mobilization on pain and range of motion in the cervical spine: a randomized controlled trial. J Manipulative Physiol Ther. 1992;15(9):570-5.
19 Nansel D, Peneff A, Cremata E et al. Time course considerations for the effects of unilateral lower cervical adjustments with respect to the amelioration of cervical lateral-flexion passive end-range asymmetry. J Manipulative Physiol Ther. 1990;13(6):297-304.
20 Di Fabio RP. Manipulation of the cervical spine: risks and benefits. Phys Ther. 1999;79(1):50-65.
21 Pickar JG. An in vivo preparation for investigating neural responses to controlled loading of a lumbar vertebra in the anesthetized cat. J Neurosci Methods. 1999;89(2):87-96.   DOI
22 Seth P, Agarwal JL, Sharma JK et al. The physiology of pain mechanism. Uttar Pradesh State Dent J. 1980;11(4):129-34.
23 Fletcher JP, Bandy WD. Intrarater reliability of crom measurement of cervical spine active range of motion in persons with and without neck pain. J Orthop Sports Phys Ther. 2008;38(10):640-5.   DOI
24 Rudolfsson T, Bjorklund M, Djupsjobacka M. Range of motion in the upper and lower cervical spine in people with chronic neck pain. Man Ther. 2012;17(1):53-9.   DOI
25 MacDermid JC, Walton DM, Avery S et al. Measurement properties of the neck disability index: a systematic review. J Orthop Sports Phys Ther. 2009;39(5):400-17.   DOI
26 Cleland JA, Childs JD, Fritz JM et al. Development of a clinical prediction rule for guiding treatment of a subgroup of patients with neck pain: use of thoracic spine manipulation, exercise, and patient education. Phys Ther. 2007;87(1):9-23.   DOI
27 Rozzini R, Frisoni GB, Ferrucci L et al. The effect of chronic diseases on physical function. Comparison between activities of daily living scales and the physical performance test. Age Ageing. 1997;26(4):281-7.   DOI
28 Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine. 1994;19(12):1307-9.   DOI
29 Skov T, Borg V, Orhede E. Psychosocial and physical risk factors for musculoskeletal disorders of the neck, shoulders, and lower back in salespeople. Occup Environ Med. 1996;53(5):351-6.   DOI
30 Ariens GA, Bongers PM, Douwes M et al. Are neck flexion, neck rotation, and sitting at work risk factors for neck pain? Results of a prospective cohort study. Occup Environ Med. 2001;58(3):200-7.   DOI
31 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
32 Wright A, Mayer TG, Gatchel RJ. Outcomes of disabling cervical spine disorders in compensation injuries. A prospective comparison to tertiary rehabilitation response for chronic lumbar spinal disorders. Spine. 1999;24(2):178-83.   DOI
33 Mysliwiec A, Saulicz E, Kuszewski M et al. Assessment of the influence of saunders traction and transcutaneous electrical nerve stimulation on hand grip force in patients with neck pain. Ortop Traumatol Rehabil. 2011;13(1):37-44.   DOI
34 Cleland JA, Childs JD, McRae M et al. Immediate effects of thoracic manipulation in patients with neck pain: a randomized clinical trial. Man Ther. 2005;10(2):127-35.   DOI
35 Bible JE, Biswas D, Miller CP et al. Normal functional range of motion of the cervical spine during 15 activities of daily living. J Spinal Disord Tech. 2010;23(1):15-21.   DOI
36 Takeuchi K, Yokoyama T, Ono A et al. Limitation of activities of daily living accompanying reduced neck mobility after laminoplasty preserving or reattaching the semispinalis cervicis into axis. Eur Spine J. 2008;17(3):415-20.   DOI
37 Fayez ES. The correlation between neck pain and hand grip strength of dentists. Occup Med Health Aff. 2014;2(5):1-4.