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Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial.

Authors: Carlos Bernal-Utrera, Juan Jose Gonzalez-Gerez, Ernesto Anarte-Lazo, Cleofas Rodriguez-BlancoJournal: TrialsPublished: May 14, 2021DOI: 10.1186/s13063-020-04610-w
Q1 JournalSJR: 2.141h-index: 88SCImago
Moderate EvidenceRandomized Controlled Trial

In Plain Language: chronic neck pain, explained

A study examined the effectiveness of manual therapy and therapeutic exercise for treating non-specific chronic neck pain. It found that while manual therapy provided quicker pain relief, therapeutic exercise was more effective at reducing disability. These findings suggest that both treatments can be beneficial, but they affect patients differently, depending on their specific issues.

Key Findings: what this randomised trial found about chronic neck pain

  • ✓Manual therapy resulted in quicker pain relief than therapeutic exercise.
  • ✓Therapeutic exercise showed a faster reduction in cervical disability compared to manual therapy.
  • ✓No statistically significant differences were found between treatment groups when compared to the placebo.

What This Means for You

For someone considering reflexology for non-specific chronic neck pain, this study indicates that while reflexology may help, treatments like manual therapy or therapeutic exercises may offer more immediate benefits in pain management or disability reduction.

What This Means for Practitioners

A reflexology practitioner can consider integrating knowledge from this study by advising clients on the benefits of manual therapy and therapeutic exercise as complementary options for managing neck pain effectively.

Study Design: how this randomised trial was run

Blinding
open label
Control
placebo
Duration
12 weeks

Limitations: what it cannot tell you about chronic neck pain

The study's sample size was not specified, and the lack of blinding may introduce bias in the participants' responses.

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Chronic neck pain: common questions

What does this study say about chronic neck pain?

For someone considering reflexology for non-specific chronic neck pain, this study indicates that while reflexology may help, treatments like manual therapy or therapeutic exercises may offer more immediate benefits in pain management or disability reduction.

What did this study find?

Manual therapy resulted in quicker pain relief than therapeutic exercise. Therapeutic exercise showed a faster reduction in cervical disability compared to manual therapy. No statistically significant differences were found between treatment groups when compared to the placebo.

How strong is this evidence?

This is a randomised trial and we rate its evidence moderate. It was published in Trials, a Q1 journal. This study is indexed here for context; it did not test reflexology itself.

What are the limitations of this study?

The study's sample size was not specified, and the lack of blinding may introduce bias in the participants' responses.

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