99162 20230519145452.0 doi 10.3390/ijerph18020753 sideral 122599 ART-2021-122599 eng Rodríguez-Sanz, J. Effects of the manual therapy approach of segments C0-1 and C2-3 in the flexion-rotation test in patients with chronic neck pain: A randomized controlled trial 2021 Access copy available to the general public Unrestricted Background: Flexion-rotation test predominantly measures rotation in C1-2 segment. Restriction in flexion-rotation may be due to direct limitation in C1-2, but also to a premature tightening of the alar ligament as a result of lack of movement in C0-1 or C2-3. The aim of this study was to compare the effect of a 20-min single cervical exercise session, with or without manual therapy of C0-1 and C2-3 segment in flexion-rotation test, in patients with chronic neck pain and positive flexion-rotation test. Methods: Randomized controlled clinical trial in 48 subjects (24 manual therapy+ exercise/24 exercise). Range of motion and pain during flexion-rotation test, neck pain intensity and active cervical range of motion were measured before and after the intervention. Results: Significant differences were found in favour of the manual therapy group in the flexion-rotation test: right (p < 0.001) and left rotation (p < 0.001); pain during the flexion-rotation test: right (p < 0.001) and left rotation (p < 0.001); neck pain intensity: (p < 0.001); cervical flexion (p < 0.038), extension (p < 0.010), right side-bending (p < 0.035), left side-bending (p < 0.002), right rotation (p < 0.001), and left rotation (p < 0.006). Conclusions: Addition of one C0-C1 and C2-C3 manual therapy session to cervical exercise can immediately improve flexion-rotation test and cervical range of motion and reduce pain intensity. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 4.614 2021 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 45 / 183 = 0.246 2021 Q1 T1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH 71 / 210 = 0.338 2021 Q2 T2 ENVIRONMENTAL SCIENCES 100 / 279 = 0.358 2021 Q2 T2 0.814 2021 Pollution 2021 Q1 Health, Toxicology and Mutagenesis 2021 Q1 4.5 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Malo-Urriés, M. Universidad de Zaragoza (orcid)0000-0001-9080-0543 Lucha-López, M.O. Universidad de Zaragoza (orcid)0000-0002-9930-3903 Pérez-Bellmunt, A. Carrasco-Uribarren, A. Fanlo-Mazas, P. Universidad de Zaragoza (orcid)0000-0003-3472-072X Corral de Toro, J. Universidad de Zaragoza Hidalgo-García, C. Universidad de Zaragoza (orcid)0000-0001-7667-2178 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 18, 2 (2021), [14 pp.] Int. j. environ. res. public health International journal of environmental research and public health 1661-7827 561984 http://zaguan.unizar.es/record/99162/files/texto_completo.pdf Versión publicada 2895799 http://zaguan.unizar.es/record/99162/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:99162 articulos driver 2023-05-18-14:45:57 ARTICLE