The DOI matches its Crossref record; 33 of the 34 references it cites were found in a registry or an index.
Manual Therapy, Therapeutic Patient Education, and Therapeutic Exercise, an Effective Multimodal Treatment of Nonspecific Chronic Neck Pain: A Randomized Controlled Trial
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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“There is currently no standardized treatment approach for TMJ dysfunction, and clinicians tend to use a multimodal approach50, 51, 52 to care including education, exercise, and MT.”
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1 retracted
Monticone, M., Ferrante, S., Rocca, B., Baiardi, P., Farra, F. D., & Foti, C. (2013) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e31827fef7e · Cited by 124
RetractedFaul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007) · Behavior Research Methods · doi:10.3758/bf03193146 · Cited by 65,971
Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.
Vlaeyen, J. W. S., & Linton, S. J. (2000) · Pain · doi:10.1016/s0304-3959(99)00242-0 · Cited by 4,931
Wolfe, F., Clauw, D. J., Fitzcharles, M., Goldenberg, D. L., Katz, R. S., Mease, P., Russell, A. S., Russell, I. J., Winfield, J. B., & Yunus, M. B. (2010) · Arthritis Care & Research · doi:10.1002/acr.20140 · Cited by 3,952
The prevalence of neck pain in the world population: a systematic critical review of the literature
Fejer, R., Kyvik, K. O., & Hartvigsen, J. (2006) · European Spine Journal · doi:10.1007/s00586-004-0864-4 · Cited by 1,195
The Neck Disability Index: State-of-the-Art, 1991-2008
Vernon, H. T. (2008) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2008.08.006 · Cited by 1,041
Measurement Properties of the Neck Disability Index: A Systematic Review
MacDermid, J. C., Walton, D. M., Avery, S., Blanchard, A., Etruw, E., McAlpine, C., & Goldsmith, C. H. (2009) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2009.2930 · Cited by 962
Roelofs, J., Goubert, L., Peters, M. L., Vlaeyen, J. W. S., & Crombez, G. (2004) · European Journal of Pain · doi:10.1016/j.ejpain.2003.11.016 · Cited by 472 · cited 1×
“The authors used an 11-item version that has shown good psychometric reliability for chronic pain.(30) Each item is scored on a four-point Likert-type scale that ranges from Bstrongly agree[ to Bstrongly disagree.”
MethodCombined physiotherapy and education is efficacious for chronic low back pain
Moseley, L. (2002) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(14)60169-0 · Cited by 472
Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia (TSK)
Gómez-Pérez, L., López-Martínez, A. E., & Ruiz-Párraga, G. T. (2011) · The Journal of Pain · doi:10.1016/j.jpain.2010.08.004 · Cited by 418
Research works printed but not linked: 1
- Bogduk, 1984, Neck pain., Aust Fam Physician, 13, 26
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Items 101–107 of 107
Hernández-Lucas, P., Leirós-Rodríguez, R., Lopez-Barreiro, J., & Soidán, J. L. G. (2024) · Figshare · doi:10.6084/m9.figshare.26582961
Barbosa da Silva, A. C., de Santana, G. N., Santos, I., dos Santos, P. G., de Oliveira, A. R., Filho, A. V. D., & de Paula Gomes, C. A. F. (2024) · Figshare · doi:10.6084/m9.figshare.26742509
Barbosa da Silva, A. C., de Santana, G. N., Santos, I., dos Santos, P. G., de Oliveira, A. R., Filho, A. V. D., & de Paula Gomes, C. A. F. (2024) · Figshare · doi:10.6084/m9.figshare.26742506
Windsor, N. D., & Smith, B. (2026) · Journal of Opioid Management · doi:10.5055/jom.0974
Leungbootnak, A., Puntumetakul, R., Chatprem, T., Hunsawong, T., Wanpen, S., Sae-Jung, S., & Boucaut, R. (2026) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-026-05366-7
Tatsios, P. I., Grammatopoulou, E. P., Dimitriadis, Z., & Koumantakis, G. Α. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15114266 · Cited by 1
da Silva, A. C. B., de Santana, G. N., dos Santos, P. G., Girasol, C. E., de Oliveira, A. R., Dibai‐Filho, A. V., & Gomes, C. A. F. D. P. (2026) · Brazilian Journal of Physical Therapy · doi:10.1016/j.bjpt.2026.101646
Metadata
- Authors
- Beltran-Alacreu, H., López-de-Uralde-Villanueva, I., Fernández-Carnero, J., & La Touche, R.
- Venue
- American Journal of Physical Medicine & Rehabilitation
- Published
- 2015-10
- Volume
- 94
- Issue
- 10S
- Pages
- 887-897
- ISSN
- 0894-9115 (ISSN-L)
- 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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