Is pharmacologic treatment better than neural mobilization for cervicobrachial pain? A randomized clinical trial
| العنوان: | Is pharmacologic treatment better than neural mobilization for cervicobrachial pain? A randomized clinical trial |
|---|---|
| المؤلفون: | César Calvo-Lobo, Irene Sanz-Corbalán, Francisco Unda-Solano, David Rodríguez-Sanz, Carlos Romero-Morales, Jesús Seco-Calvo, Daniel López-López, Patricia Palomo-López |
| المصدر: | RUC. Repositorio da Universidade da Coruña instname International Journal of Medical Sciences ABACUS. Repositorio de Producción Científica Universidad Europea (UEM) |
| بيانات النشر: | Ivyspring, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, Ibuprofen, law.invention, Tratamiento médico, 0302 clinical medicine, Randomized controlled trial, law, Medicine, Range of Motion, Articular, Cervicalgia, Lesión, Pain Measurement, 030222 orthopedics, Neck Pain, Rehabilitation, Agentes antiinflamatorios no esteroideos, General Medicine, Middle Aged, medicine.anatomical_structure, Treatment Outcome, Anesthesia, Medicamentos, Cervical Vertebrae, Upper limb, Female, Analysis of variance, medicine.drug, Research Paper, Adult, Upper extremity, Adolescent, Cuello, Pharmacological treatment, 03 medical and health sciences, Young Adult, Brachial Plexus Neuritis, Humans, Brachial Plexus, Adverse effect, Extremidades superiores, Manipulación vertebral, Physical Therapy Modalities, Manipulaciones musculoesqueléticas, business.industry, Musculoskeletal manipulations, Median nerve, Median Nerve, Clinical trial, Efectos fisiológicos, Rehabilitación, Non-steroidal anti-inflammatory agents, business, 030217 neurology & neurosurgery, Neck |
| الوصف: | Purpose: This study aim was to compare the effectiveness of the median nerve neural mobilization (MNNM) and cervical lateral glide (CLG) intervention versus oral ibuprofen (OI) in subjects who suffer cervicobrachial pain (CP). Methods: This investigation was a, multicenter, blinded, randomized controlled clinical trial (NCT02595294; NCT02593721). A number of 105 individuals diagnosed with CP were enrolled in the study and treated in 2 different medical facilities from July to November 2015. Participants were recruited and randomly assigned into 3 groups of 35 subjects. Intervention groups received MNNM or CLG neurodynamic treatments, and the (active treatment) control group received an OI treatment for 6 weeks. Primary outcome was pain intensity reported through the Numeric Rating Scale for Pain (NRSP). Secondary outcomes were physical function involving the affected upper limb using the Quick DASH scale, and ipsilateral cervical rotation (ICR) using a cervical range of motion (CROM) device. Assessments were performed before and 1 hour after treatment for NRSP (baseline, 3 and 6 weeks) and CROM (baseline and 6 weeks), as well as only 1 assessment for Quick DASH (baseline and 6 weeks). Results: Repeated-measures ANOVA intergroup statistically significant differences were shown for CP intensity (F(2,72) = 22.343; P < .001; Eta2 = 0.383) and Quick DASH (F(2,72) = 15.338; P < .001; Eta2 = 0.299), although not for CROM (F(2,72) = 1.434; P = .245; Eta2 = 0.038). Indeed, Bonferroni´s correction showed statistically significant differences for CP intensity (P < .01; 95% CI = 0.22 - 3.26) and Quick DASH reduction (P < .01; 95% CI = 8.48 - 24.67) in favor of the OI treatment at all measurement moments after baseline. Conclusions: OI pharmacologic treatment may reduce pain intensity and disability with respect to neural mobilization (MNNM and CLG) in patients with CP during six weeks. Nevertheless, the non-existence of between-groups ROM differences and possible OI adverse effects should be considered. Sin financiación 2.333 JCR (2018) Q2, 53/160 Medicine, General and Internal 0.834 SJR (2018) Q2, 740/2844 Medicine (miscellaneous) No data IDR 2018 UEM |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1b7d2ceb641a195d493c6fc9899e3befTest http://hdl.handle.net/2183/29998Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1b7d2ceb641a195d493c6fc9899e3bef |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |