PDF(Pubmed)
Abstract：
Spinal manipulations for chronic non-specific neck pain (CNNP) include cervical, cervicothoracic junction, and thoracic spine (CCT) manipulations as well as upper cervical spine (UCS) manipulations. This study aimed to compare the short-term effects of UCS manipulation versus a combination of CCT spine manipulations on pain intensity, disability, and cervical range of motion (CROM) in CNNP patients. In a private physiotherapy clinic, 186 participants with CNNP were randomly assigned to either the UCS (n = 93) or CCT (n = 93) manipulation groups. Neck pain, disability, and CROM were measured before and one week after the intervention. No significant differences were found between the groups regarding pain intensity and CROM. However, there was a statistically significant difference in neck disability, with the CCT group showing a slightly greater decrease (CCT: 16.9 ± 3.8 vs. UCS: 19.5 ± 6.8; p = 0.01). The findings suggest that a combination of manipulations in the CCT spine results in a slightly more pronounced decrease in self-perceived disability compared to UCS manipulation in patients with CNNP after one week. However, no statistically significant differences were observed between the groups in terms of pain intensity or CROM.
摘要：
慢性非特异性颈痛（CNNP）的脊柱操作包括颈椎，颈胸交界处，和胸椎（CCT）操作以及上颈椎（UCS）操作。这项研究旨在比较UCS操作与CCT脊柱操作组合对疼痛强度的短期影响，残疾,CNNP患者的颈椎活动度（CROM）。在私人物理治疗诊所，186名CNNP参与者被随机分配到UCS（n=93）或CCT（n=93）操作组。颈部疼痛,残疾,在干预前和干预后一周测量CROM。两组之间在疼痛强度和CROM方面没有发现显着差异。然而,颈部残疾有统计学上的显著差异，CCT组的下降幅度稍大（CCT：16.9±3.8vs.UCS：19.5±6.8；p=0.01）。研究结果表明，与一周后的CNNP患者进行UCS操作相比，CCT脊柱操作的组合可导致自我感知的残疾减少。然而,两组间疼痛强度或CROM无统计学差异.
