Chiropractic manipulative therapy and low-level laser therapy in the management of cervical facet dysfunction: a randomized controlled study
Saayman L, Hay C, Abrahamse H
Journal of manipulative and physiological therapeutics · 22 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2011-03-01 · J Manipulative Physiol Ther · vol. 34 · número 3 · págs. 153–163
- Editorial
- Elsevier BV
- Citado
- 36 citas · más que el 90% de estudios similares · 3.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 94 trabajos
- Acceso
- De pago
- Áreas de investigación
- Musculoskeletal pain and rehabilitation · Laser Applications in Dentistry and Medicine · Myofascial pain diagnosis and treatment
- Palabras clave
- low-level laser therapy, cervical facet joint pain, cervical range of motion, neck pain, neck disability, combination therapy, women
- MeSH
- cervical vertebrae, humans, neck pain, combined modality therapy, manipulation, chiropractic, adolescent, adult, female, young adult, low-level light therapy
3 autores
- Lindie Saayman🇿🇦University of Johannesburg
- Caroline Hay🇿🇦University of Johannesburg
- Heidi Abrahamse🇿🇦 · autor de correspondenciaUniversity of Johannesburg
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
The aim of this study was to determine the short-term effect of chiropractic joint manipulation therapy (CMT) and low-level laser therapy (LLLT) on pain and range of motion in the management of cervical facet dysfunction.
Methods
Sixty ambulatory women between the ages of 18 and 40 years with cervical facet joint pain of more than 30-day duration and normal neurologic examination were randomized to receive 1 of 3 treatment options: (1) CMT of the cervical spine, (2) LLLT applied to the cervical facet joints, or (3) a combination of CMT and LLLT. Each participant received 6 treatments in 3 weeks. The main outcome measures were as follows: the Numerical Pain Rating Scale, Neck Disability Index, Cervical Range of Motion Instrument, and Baseline Digital Inclinometer. Measurements were taken during weeks 1 (baseline), 2, 3, and 4.
Results
No differences existed between the 3 groups at baseline. A significant difference was seen between groups 1 (CMT) and 2 (LLLT) for cervical flexion, between groups 1 (CMT) and 3 (CMT + LLLT) for cervical flexion and rotation, and between groups 2 (LLLT) and 3 (CMT + LLLT) for pain disability in everyday life, lateral flexion, and rotation.
Conclusion
All 3 groups showed improvement in the primary and secondary outcomes. A combination of CMT and LLLT was more effective than either of the 2 on their own. Both therapies are indicated as potentially beneficial treatments for cervical facet dysfunction. Further studies are needed to explore optimal treatment procedures for CMT and LLLT and the possible mechanism of interaction between therapies.
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