Cited by 107Musculoskeletal pain and rehabilitationMyofascial pain diagnosis and treatmentTemporomandibular Joint Disorders

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Manual Therapy, Therapeutic Patient Education, and Therapeutic Exercise, an Effective Multimodal Treatment of Nonspecific Chronic Neck Pain: A Randomized Controlled Trial

Beltran-Alacreu, Hector, López-de-Uralde-Villanueva, Ibai, Fernández-Carnero, Josué, La Touche, Roy·2015·American Journal of Physical Medicine & Rehabilitation

DOI 10.1097/phm.0000000000000293

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Abstract

Objective The aim of this study was to determine the effectiveness of a multimodal treatment in the short and medium term for disability in nonspecific chronic neck pain. Design The design of this study is a single-blinded randomized controlled trial carried out in a university research laboratory. Forty-five patients between 18 and 65 yrs with nonspecific chronic neck pain were included in this study. Each patient was treated eight times over a 4-wk period. The sample was divided into three groups: control group, subjected to a protocol of manual therapy; experimental group 1, subjected to a protocol of manual therapy and therapeutic patient education; and experimental group 2, subjected to manual therapy, therapeutic patient education, and a therapeutic exercise protocol. Assessments were performed at baseline and at 4, 8, and 16 wks using the following measurements: the Neck Disability Index, the 11-item Tampa Scale of Kinesiophobia, the Fear Avoidance Beliefs Questionnaire, the Neck Flexor Muscle Endurance Test, and the Visual Analog Fatigue Scale. Results The nonparametric Kruskal-Wallis test for the Neck Disability Index showed statistically significant differences between baseline outcomes and all follow-up periods (P Conclusion Differences between experimental groups and the control group were found in the short and medium term. A multimodal treatment is a good method for reducing disability in patients with nonspecific chronic neck pain in the short and medium term.

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Authors: Beltran-Alacreu, H., López-de-Uralde-Villanueva, I., Fernández-Carnero, J., & La Touche, R.
Venue: American Journal of Physical Medicine & Rehabilitation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2015-10
Volume: 94
Issue: 10S
Pages: 887-897
ISSN: 0894-9115 (ISSN-L)
DOI: 10.1097/phm.0000000000000293
OpenAlex: W2326271884
Cited by: 107
References: 34
Citations by year: 2026: 5 · 2025: 11 · 2024: 14 · 2023: 10 · 2022: 13 · 2021: 9 · 2020: 12 · 2019: 14 · 2018: 7 · 2017: 6 · 2016: 5 · 2015: 1
FWCI: 4.56
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Physical Medicine & Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Myofascial pain diagnosis and treatment
Health Sciences › Dentistry › Oral Surgery › Temporomandibular Joint Disorders
Keywords: manual therapy, therapeutic education, exercise therapy, multimodal therapy, neck disability, kinesiophobia, fear-avoidance beliefs, fatigue, treatment effectiveness
MeSH terms: Adolescent, Adult, Aged, Combined Modality Therapy, Exercise Therapy, Female, Humans, Male, Middle Aged, Patient Education as Topic, Single-Blind Method, Treatment Outcome, Neck Pain, Musculoskeletal Manipulations, Young Adult, Chronic Pain

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Manual Therapy, Therapeutic Patient Education, and Therapeutic Exercise, an Effective Multimodal Treatment of Nonspecific Chronic Neck Pain: A Randomized Controlled Trial

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