首页> 美国卫生研究院文献>The Journal of Manual Manipulative Therapy >The Effect of an Analgesic Mobilization Technique When Applied at Symptomatic or Asymptomatic Levels of the Cervical Spine in Subjects with Neck Pain: A Randomized Controlled Trial
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The Effect of an Analgesic Mobilization Technique When Applied at Symptomatic or Asymptomatic Levels of the Cervical Spine in Subjects with Neck Pain: A Randomized Controlled Trial

机译:在有症状或无症状的颈椎病患者颈痛患者中应用镇痛动员技术的效果:随机对照试验

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摘要

The purpose of this single-blinded, randomized controlled trial was to compare the effects of a manual treatment technique on neck pain and movement sensation when applied in different segments of the cervical spine. Consecutive patients with neck pain (n=126) were recruited and randomly allocated to two groups (A or B). Group A received a single 4-minute pain-alleviating traction at the most symptomatic zygopophyseal joint of the cervical segment, where movement was correlated with pain. Group B received the same treatment 3 segments away from the concordant segment. Pain intensity and sensation of movement were assessed with a numeric rating scale (NRS). Statistical analysis included a t-test for paired and unpaired samples. Pre- and post-test findings demonstrated significant improvements in both types of mobilization although there was no significant difference between the two groups. Similar results have been reported in the literature for cervical manipulation. The findings of this study question the necessity of precise symptom localization tests for a pain treatment. however, limitations of the study prevent generalization of these results.
机译:这项单盲,随机对照试验的目的是比较在颈椎的不同部位使用手动治疗技术对颈部疼痛和运动感觉的影响。招募连续的颈部疼痛患者(n = 126),并随机分为两组(A或B)。 A组在颈段最有症状的zy突关节处接受了一次4分钟的缓解疼痛的牵引,其中运动与疼痛相关。 B组在相符段之外的3个段中接受了相同的处理。用数字评分量表(NRS)评估疼痛强度和运动感觉。统计分析包括配对和未配对样本的t检验。尽管两组之间没有显着差异,但测试前和测试后的结果表明这两种类型的动员都有显着改善。文献报道了类似的结果用于颈椎手术。这项研究的发现质疑对疼痛治疗进行精确的症状定位测试的必要性。但是,研究的局限性阻止了这些结果的推广。

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