The within-group analysis using Friedman’s Test indicated statistically significant improvements in pain intensity and functional disability across all time points for both groups (p < 0.000).
Spinal Manipulation vs. Massage in Neck Pain
DOI:
https://doi.org/10.61919/jhrr.v4i3.1335Keywords:
Cervicogenic headache, massage therapy, Range of motion, functional disability, chronic neck painAbstract
Background: Chronic neck pain (CNP) is a prevalent condition affecting up to 50% of office workers annually. Cervicogenic headache (CEH) is a headache type originating from cervical spine dysfunction.
Objective: This study aimed to compare the effects of spinal manipulation and conventional massage therapy on pain intensity, range of motion, and functional disability in patients with CNP, with or without CEH.
Methods: A randomized clinical trial was conducted at four hospitals in Lahore, Pakistan. Seventy-eight patients aged 20-40 years were enrolled using a non-probability convenient sampling technique. Patients were randomized into two groups: Group A received spinal manipulation, and Group B received conventional massage therapy, both combined with electrotherapy and neck exercises for six weeks. Pain intensity and disability were measured using the Numerical Pain Rating Scale (NPRS) and Neck Disability Index (NDI) at baseline, three weeks, and six weeks. Data were analyzed using SPSS 25.
Results: Significant reductions in NPRS and NDI scores were observed in Group A compared to Group B at the third week (p = 0.001) and sixth week (p < 0.000).
Conclusion: Spinal manipulation was more effective than conventional massage therapy in reducing pain and improving function in patients with CNP, with or without CEH.
Downloads
References
McLean SM, May S, Klaber-Moffett J, Sharp DM, Gardiner E. Risk factors for the onset of non-specific neck pain: a systematic review. Journal of Epidemiology & Community Health. 2010;64(7):565-72.
Vijiaratnam N, Williams DR, Bertram KL. Neck pain: What if it is not musculoskeletal? Australian journal of general practice. 2018;47(5):279-82.
Becher B, Lozano-López C, de Castro-Carletti EM, Hoffmann M, Becher C, Mesa-Jimenez J, et al. Effectiveness of therapeutic exercise for the management of cervicogenic headache: A systematic review. Musculoskeletal Science and Practice. 2023:102822.
Xu Y, Gao Y, Jiang L, Wu L, Yin J, Yang Z, Dong Y. Global trends in research on cervicogenic headache: a bibliometric analysis. Frontiers in Neurology. 2023;14:1169477.
Schneider MM, Badhiwala JH, Alvi MA, Tetreault LA, Kalsi P, Idler RK, et al. Prevalence of neck pain in patients with degenerative cervical myelopathy and short-term response after operative treatment: a cohort study of 664 patients from 26 global sites. Global Spine Journal. 2024;14(3):830-8.
Binder AI. Cervical spondylosis and neck pain. Bmj. 2007;334(7592):527-31.
Yadav N, Disorders MC, Srivastav AK, Neuro M. Unveiling statistical discrepancies: Methodological review of chronic neck pain study. Journal of Musculoskeletal Surgery and Research• Volume. 2024;8(2):184.
Liu Z, Shi J, Huang Y, Zhou X, Huang H, Wu H, et al. A systematic review and meta-analysis of randomized controlled trials of manipulative therapy for patients with chronic neck pain. Complementary therapies in clinical practice. 2023:101751.
Mingels S, Granitzer M, Schmid AB, Dankaerts W. Individual endogenous pain modulation profiles within a multidimensional context of people with cervicogenic headache–A retrospective exploratory study. Musculoskeletal Science and Practice. 2023;67:102855.
Coulter ID, Crawford C, Vernon H, Hurwitz EL, Khorsan R, Booth MS, Herman PM. Manipulation and mobilization for treating chronic nonspecific neck pain: a systematic review and meta-analysis for an appropriateness panel. Pain physician. 2019;22(2):E55.
Bini P, Hohenschurz-Schmidt D, Masullo V, Pitt D, Draper-Rodi J. The effectiveness of manual and exercise therapy on headache intensity and frequency among patients with cervicogenic headache: a systematic review and meta-analysis. Chiropr Man Therap. 2022;30(1):49.
Pourahmadi M, Mohseni-Bandpei MA, Keshtkar A, Koes BW, Fernández-de-Las-Peñas C, Dommerholt J, Bahramian M. Effectiveness of dry needling for improving pain and disability in adults with tension-type, cervicogenic, or migraine headaches: protocol for a systematic review. Chiropr Man Therap. 2019;27:43.
Nambi G, Alghadier M, Eltayeb MM, Aldhafian OR, Saleh AK, Alsanousi N, et al. Comparative effectiveness of cervical vs thoracic spinal-thrust manipulation for care of cervicogenic headache: A randomized controlled trial. PLoS One. 2024;19(3):e0300737.
Jung CH, Son KH, Yoo BK, Choi WJ, Jeon JK, Gim JY. The Effects of Using Powerball Exercise on Grip Strength, Tip Pinch and Key Pinch of Normal Men and Women in 20's. Journal of Korean Physical Therapy Science. 2013;20(1):61-7.
Dunning JR, Butts R, Mourad F, Young I, Fernandez-de-Las Peñas C, Hagins M, et al. Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial. BMC Musculoskelet Disord. 2016;17:64.
Ding F, Liu Z, Li R, Wang C, Lu Y. Acupuncture plus massage for cervicogenic headache: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2022;101(4):e28736.
Gross A, Kay TM, Paquin JP, Blanchette S, Lalonde P, Christie T, et al. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2015;1(1):Cd004250.
Palmer GM, Dominick N, Kane M, Bawek S, Burch B, Sanders T, et al. Effect of osteopathic manipulative treatment and Bio-Electro-Magnetic Energy Regulation (BEMER) therapy on generalized musculoskeletal neck pain in adults. J Osteopath Med. 2024;124(4):153-61.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Ayesha Riaz Rajpoot, Arif Ali Rana, Hafsa Riaz Rajpoot
This work is licensed under a Creative Commons Attribution 4.0 International License.
