Assessment of long-term effects of adding osteopathic manipulative treatment to neck exercises for individuals with non-specific chronic neck pain: a randomized trial

Review written by Dr Julia Treleaven info

Key Points

  1. Adding manual therapy to neck exercises had a short-term effect, but no longer-term benefit of three and six months later.
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BACKGROUND & OBJECTIVE

Neck pain is a serious health problem with economic and social impacts affecting up to two-thirds of adults at some point in their lives. As a result, cervical pain represents a great health cost, mainly due to work absenteeism.

This paper looked at the intermediate effect of adding osteopathic manipulative treatment (OMT) to neck exercises in individuals with chronic non-specific neck pain. This was compared to neck exercises alone.

Cervical pain represents a great health cost, mainly due to work absenteeism.
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The addition of manual therapy and/or provider interaction seems important to improve neck pain and disability as well as adherence immediately and in the longer term in some patients.

METHODS

  • To be included in the study participants aged 18-65 years had to report neck pain for at least three months, at least 2/10 on a numerical pain rating scale (NPRS) and score 20% or more on the neck disability index
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