Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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The Effects of Cervical Spine Mobilization versus Manipulation on Pain, Disability, and Satisfaction in Subjects with Non-specific Mechanical Neck Pain

  • Alfredo Loreto (Department of Physical Therapy, School of Allied Health, Loma Linda University) ;
  • Everett Lohman (Department of Physical Therapy, School of Allied Health, Loma Linda University) ;
  • Lida Gharibvand (Department of Allied Health Studies, School of Allied Health Professions, Loma Linda University) ;
  • Trevor Lohman (Department of Physical Therapy, School of Allied Health, Loma Linda University) ;
  • Berk Lee (Department of Pathology and Human Anatomy, School of Medicine, Loma Linda University)
  • Received : 2024.02.21
  • Accepted : 2024.08.06
  • Published : 2024.09.30
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Abstract

Background: Several studies have found an association between cervical spinal mobilizations (CSMob) and cervical spinal manipulations (CSM) on pain perception, disability, and satisfaction. However, choosing the proper technique continues to be a challenge for many practitioners. Objectives: To study the effects of a single session of cervical spinal mobilization versus cervical spinal manipulation on pain, disability, and satisfaction. Design: Randomized clinical trial. Methods: 36 subjects with acute and non-specific mechanical neck pain were randomly assigned to one of 3 groups (CSMob, CSM, or control). Outcome measures using the Neck Disability Index (NDI), Numeric Pain Rate Scale (NPRS), and Global Rate of Change (GROC) were quantified at baseline, 5-minutes post, and 4 days post corresponding intervention. Results: The CSM group showed significant increase in GROC (p=0.025) compared to the CSMob and control groups (p=0.472 and p=0.176 respectively) over time. There was a significant decrease in NPRS for the CSM and CSMob groups (p=0.002 and p=<0.001) and a non-significant decrease in NPRS (p=0.642) in the control group over time. Similarly, there was a significant decrease in NDI for the CSM and CSMob groups (p=<0.001 and p=<0.001) and a non-significant decrease in NDI (p=0.084) in the control group over time. Conclusion: Our study findings suggest that skilled manual therapy interventions can be a viable and effective treatment option for reducing neck pain, disability, and perceived favorable change following a single session on subjects with acute, non-specific mechanical neck pain.

Keywords

Acknowledgement

The authors thank the Department of Physical Therapy, School of Allied Health Professions at Loma Linda University, for their support in this research.

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