Randomised Controlled Trial for the Efficacy of Cervical Lateral Glide Mobilisation in the Management of Cervicobrachial PainReportar como inadecuado




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Objectives: To investigate the long-term efficacy of lateral glide mobilisation for patients with chronic Cervicobrachial Pain CP. Methods: A randomised controlled trial which involved ninety- nine participants with chronic CP. Participants were randomised to receive either the lateral glide with self-management n = 49 or self-management alone n = 50. Four assessments were made at baseline and 6, 26 and 52 weeks post intervention. The primary outcome measure was the Visual Analogue Scale VAS for pain. Patient perceived recovery used the Global Rating of Change score GROC. Functional outcomes included the Neck and Upper Limb Index score NULI and the Short-From 36 SF36. Costs and reported number of harmful effects in response to intervention were evaluated. An intention to treat approach was followed for data analysis. Results: No statistically significant between-group differences were found for pain using VAS in the short-term at six weeks p = 0.52; 95% CI -14.72 to 7.44 or long-term at one year p = 0.37; 95% CI -17.76 to 6.61 post-intervention. The VAS outcomes correlated well with GROC scores p < 0.001. There was a statistically significant difference in NULI scores favouring self-management alone p = 0.03, but no between-group differences for SF36 p = 0.07. The cost of providing lateral glide and self-management was twice that of providing self-management alone. Minor harm was reported in both groups, with 11% more harm being associated with the lateral glide. Conclusion: In patients with chronic CP, the addition of a lateral-glide mobilization to a self-management program did not produce improved outcomes and resulted in higher health-care costs.

KEYWORDS

Cervical Radiculopathy, Physiotherapy, Manual Therapy

Cite this paper

Salt, E. , Kelly, S. and Soundy, A. 2016 Randomised Controlled Trial for the Efficacy of Cervical Lateral Glide Mobilisation in the Management of Cervicobrachial Pain. Open Journal of Therapy and Rehabilitation, 4, 132-145. doi: 10.4236-ojtr.2016.43012.





Autor: Emma Salt1*, Sue Kelly2, Andrew Soundy2

Fuente: http://www.scirp.org/



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