Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial
This study aimed to determine the immediate and short-term effects of a single upper cervical high-velocity, low-amplitude (HVLA) manipulation on standing postural control and cervical mobility in chronic nonspecific neck pain (CNSNP). A double-blinded, randomized placebo-controlled trial was perfor...
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doaj-06fbb0430b8841bea690afd71ce0df422020-11-25T03:15:00ZengMDPI AGJournal of Clinical Medicine2077-03832020-08-0192580258010.3390/jcm9082580Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled TrialFrancisco Gómez0Pablo Escribá1Jesús Oliva-Pascual-Vaca2Roberto Méndez-Sánchez3Ana Silvia Puente-González4Centro Fisioterapia y Osteopatía Osteofisio, 12006 Castellón, SpainClínica Fisioterapia y Osteopatia Pablo Escribá, Alboraya, 46120 Valencia, SpainDepartment of Physiotherapy, Universidad de Sevilla, 41009 Sevilla, SpainDepartment of Nursing and Physiotherapy, Universidad de Salamanca, 37007 Salamanca, SpainDepartment of Nursing and Physiotherapy, Universidad de Salamanca, 37007 Salamanca, SpainThis study aimed to determine the immediate and short-term effects of a single upper cervical high-velocity, low-amplitude (HVLA) manipulation on standing postural control and cervical mobility in chronic nonspecific neck pain (CNSNP). A double-blinded, randomized placebo-controlled trial was performed. Forty-four patients with CNSNP were allocated to the experimental group (<i>n</i> = 22) or control group (<i>n</i> = 22). All participants were assessed before and immediately after the intervention, with a follow-up on the 7th and 15th days. In each evaluation, we assessed global and specific stabilometric parameters to analyze standing postural balance and performed the cervical flexion-rotation test (CFRT) to analyze upper cervical mobility. We obtained statistically significant differences, with a large effect size, in the limited cervical rotation and global stabilometric parameters. Upper cervical HVLA manipulation produced an improvement in the global stabilometric parameters, significantly decreasing the mean values of velocity, surface, path length, and pressure in all assessments (<i>p</i> < 0.001; ƞ 2 <i>p</i> = 0.323–0.856), as well as significantly decreasing the surface length ratio (L/S) on the 7th (−0.219 1/mm; <i>p</i> = 0.008; 95% confidence interval (CI): 0.042–0.395) and 15th days (−0.447 1/mm; <i>p</i> < 0.001; 95% CI: 0.265–0.629). Limited cervical rotation values increased significantly immediately after manipulation (7.409°; <i>p</i> < 0.001; 95% CI: 6.131–8.687) and were maintained during follow-up (<i>p</i> < 0.001). These results show that a single upper cervical HVLA manipulation produces an improvement in standing postural control and increases the rotational range of motion (ROM) in the upper cervical spine in patients with CNSNP.https://www.mdpi.com/2077-0383/9/8/2580upper cervical spinechronic neck painmusculoskeletal disordersHVLA manipulationcervical range of motionpostural balance |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Francisco Gómez Pablo Escribá Jesús Oliva-Pascual-Vaca Roberto Méndez-Sánchez Ana Silvia Puente-González |
spellingShingle |
Francisco Gómez Pablo Escribá Jesús Oliva-Pascual-Vaca Roberto Méndez-Sánchez Ana Silvia Puente-González Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial Journal of Clinical Medicine upper cervical spine chronic neck pain musculoskeletal disorders HVLA manipulation cervical range of motion postural balance |
author_facet |
Francisco Gómez Pablo Escribá Jesús Oliva-Pascual-Vaca Roberto Méndez-Sánchez Ana Silvia Puente-González |
author_sort |
Francisco Gómez |
title |
Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial |
title_short |
Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial |
title_full |
Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial |
title_fullStr |
Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial |
title_full_unstemmed |
Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial |
title_sort |
immediate and short-term effects of upper cervical high-velocity, low-amplitude manipulation on standing postural control and cervical mobility in chronic nonspecific neck pain: a randomized controlled trial |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-08-01 |
description |
This study aimed to determine the immediate and short-term effects of a single upper cervical high-velocity, low-amplitude (HVLA) manipulation on standing postural control and cervical mobility in chronic nonspecific neck pain (CNSNP). A double-blinded, randomized placebo-controlled trial was performed. Forty-four patients with CNSNP were allocated to the experimental group (<i>n</i> = 22) or control group (<i>n</i> = 22). All participants were assessed before and immediately after the intervention, with a follow-up on the 7th and 15th days. In each evaluation, we assessed global and specific stabilometric parameters to analyze standing postural balance and performed the cervical flexion-rotation test (CFRT) to analyze upper cervical mobility. We obtained statistically significant differences, with a large effect size, in the limited cervical rotation and global stabilometric parameters. Upper cervical HVLA manipulation produced an improvement in the global stabilometric parameters, significantly decreasing the mean values of velocity, surface, path length, and pressure in all assessments (<i>p</i> < 0.001; ƞ 2 <i>p</i> = 0.323–0.856), as well as significantly decreasing the surface length ratio (L/S) on the 7th (−0.219 1/mm; <i>p</i> = 0.008; 95% confidence interval (CI): 0.042–0.395) and 15th days (−0.447 1/mm; <i>p</i> < 0.001; 95% CI: 0.265–0.629). Limited cervical rotation values increased significantly immediately after manipulation (7.409°; <i>p</i> < 0.001; 95% CI: 6.131–8.687) and were maintained during follow-up (<i>p</i> < 0.001). These results show that a single upper cervical HVLA manipulation produces an improvement in standing postural control and increases the rotational range of motion (ROM) in the upper cervical spine in patients with CNSNP. |
topic |
upper cervical spine chronic neck pain musculoskeletal disorders HVLA manipulation cervical range of motion postural balance |
url |
https://www.mdpi.com/2077-0383/9/8/2580 |
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