000095761 001__ 95761 000095761 005__ 20211117102004.0 000095761 0247_ $$2doi$$a10.3390/ijerph17186601 000095761 0248_ $$2sideral$$a120198 000095761 037__ $$aART-2020-120198 000095761 041__ $$aeng 000095761 100__ $$aRodríguez-Sanz, J. 000095761 245__ $$aDoes the addition of manual therapy approach to a cervical exercise program improve clinical outcomes for patients with chronic neck pain in short-and mid-term? A randomized controlled trial 000095761 260__ $$c2020 000095761 5060_ $$aAccess copy available to the general public$$fUnrestricted 000095761 5203_ $$aChronic neck pain is one of today’s most prevalent pathologies. The International Classification of Diseases categorizes four subgroups based on patients’ associated symptoms. However, this classification does not encompass upper cervical spine dysfunction. The aim is to compare the short-and mid-term effectiveness of adding a manual therapy approach to a cervical exercise protocol in patients with chronic neck pain and upper cervical spine dysfunction. Fifty-eight subjects with chronic neck pain and upper cervical spine dysfunction were recruited (29 = Manual therapy + Exercise; 29 = Exercise). Each group received four 20-min sessions, one per week during four consecutive weeks, and a home exercise regime. Upper flexion and flexion-rotation test range of motion, neck disability index, craniocervical flexion test, visual analogue scale, pressure pain threshold, global rating of change scale, and adherence to self-treatment were assessed at the beginning, end of the intervention and at 3-and 6-month follow-ups. The Manual therapy + Exercise group statistically improved short-and medium-term in all variables compared to the Exercise group. Four 20-min sessions of Manual therapy + Exercise along with a home-exercise program is more effective in the short-to mid-term than an exercise protocol and a home-exercise program for patients with chronic neck pain and upper cervical dysfunction. 000095761 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000095761 590__ $$a3.39$$b2020 000095761 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b41 / 176 = 0.233$$c2020$$dQ1$$eT1 000095761 591__ $$aENVIRONMENTAL SCIENCES$$b118 / 273 = 0.432$$c2020$$dQ2$$eT2 000095761 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b68 / 203 = 0.335$$c2020$$dQ2$$eT2 000095761 592__ $$a0.747$$b2020 000095761 593__ $$aHealth, Toxicology and Mutagenesis$$c2020$$dQ2 000095761 593__ $$aPublic Health, Environmental and Occupational Health$$c2020$$dQ2 000095761 593__ $$aPollution$$c2020$$dQ2 000095761 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000095761 700__ $$0(orcid)0000-0001-9080-0543$$aMalo-Urriés, M.$$uUniversidad de Zaragoza 000095761 700__ $$aCorral-De-toro, J. 000095761 700__ $$aLópez-De-celis, C. 000095761 700__ $$0(orcid)0000-0002-9930-3903$$aLucha-López, M.O.$$uUniversidad de Zaragoza 000095761 700__ $$0(orcid)0000-0002-3583-5206$$aTricás-Moreno, J.M.$$uUniversidad de Zaragoza 000095761 700__ $$0(orcid)0000-0001-8292-6613$$aLorente, A.I. 000095761 700__ $$0(orcid)0000-0001-7667-2178$$aHidalgo-García, C.$$uUniversidad de Zaragoza 000095761 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia 000095761 773__ $$g17, 18 (2020), 6601 [1-20]$$pInt. j. environ. res. public health$$tInternational Journal of Environmental Research and Public Health$$x1661-7827 000095761 8564_ $$s859879$$uhttps://zaguan.unizar.es/record/95761/files/texto_completo.pdf$$yVersión publicada 000095761 8564_ $$s490363$$uhttps://zaguan.unizar.es/record/95761/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000095761 909CO $$ooai:zaguan.unizar.es:95761$$particulos$$pdriver 000095761 951__ $$a2021-11-15-14:35:04 000095761 980__ $$aARTICLE