95761 20211117102004.0 doi 10.3390/ijerph17186601 sideral 120198 ART-2020-120198 eng Rodríguez-Sanz, J. Does 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 2020 Access copy available to the general public Unrestricted Chronic 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. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.39 2020 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 41 / 176 = 0.233 2020 Q1 T1 ENVIRONMENTAL SCIENCES 118 / 273 = 0.432 2020 Q2 T2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 68 / 203 = 0.335 2020 Q2 T2 0.747 2020 Health, Toxicology and Mutagenesis 2020 Q2 Public Health, Environmental and Occupational Health 2020 Q2 Pollution 2020 Q2 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Malo-Urriés, M. Universidad de Zaragoza (orcid)0000-0001-9080-0543 Corral-De-toro, J. López-De-celis, C. Lucha-López, M.O. Universidad de Zaragoza (orcid)0000-0002-9930-3903 Tricás-Moreno, J.M. Universidad de Zaragoza (orcid)0000-0002-3583-5206 Lorente, A.I. (orcid)0000-0001-8292-6613 Hidalgo-García, C. Universidad de Zaragoza (orcid)0000-0001-7667-2178 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 17, 18 (2020), 6601 [1-20] Int. j. environ. res. public health International Journal of Environmental Research and Public Health 1661-7827 859879 http://zaguan.unizar.es/record/95761/files/texto_completo.pdf Versión publicada 490363 http://zaguan.unizar.es/record/95761/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:95761 articulos driver 2021-11-15-14:35:04 ARTICLE