Martin-Vera Daniel, Fernández-Carnero Josué, Rodríguez-Sanz David, Calvo-Lobo Cesar, López-de-Uralde-Villanueva Ibai, Arribas-Romano Alberto, Martínez-Lozano Pedro, Pecos-Martín Daniel
Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, 28005 Madrid, Spain.
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, 28922 Madrid, Spain.
J Clin Med. 2021 Nov 5;10(21):5178. doi: 10.3390/jcm10215178.
This study aimed to compare the effectiveness of cervical lateral glide (CLG) added to median nerve neural mobilization (MNNM) in patients with neck pain (NP).
A single-blinded randomized controlled clinical trial was carried out in a Pain Management Unit from a Hospital. A total sample of 72 patients with NP was recruited from a hospital. Patients were randomized to receive isolated CLG ( = 36) or CLG + MNNM ( = 36). Bilateral elbow extension range of motion (ROM) on upper limb neurodynamic test 1 (ULNT1), bilateral pressure pain thresholds (PPT) on the median nerve at elbow joint, C zygapophyseal joint and tibialis anterior, Visual analogue scale (VAS), body chart distribution of pain, active cervical ROM (CROM), Neck Disability Index (NDI), and Tampa Scale of Kinesiophobia (TSK-11) were measured at baseline as well as immediately, 15 days, and 1 month after treatment.
There were no statistically significant interactions ( > 0.05) between treatment and time for median nerve mechanosensitivity outcomes, pain intensity, symptom distribution, and PPT of the widespread pain assessment, as well as cervical function, and kinesiophobia.
MNNM gave no additional benefit to CLG in patients with NP regarding pain intensity, symptom distribution, mechanosensitivity, functionality, and kinesiophobia. Only two treatment sessions and the short follow-up are important issues, therefore, justifying further studies to answer the research question with better methodology.
本研究旨在比较在颈部疼痛（NP）患者中，颈椎侧方滑动（CLG）联合正中神经松动术（MNNM）与单纯颈椎侧方滑动（CLG）的疗效。
在一家医院的疼痛管理单元进行了一项单盲随机对照临床试验。从一家医院招募了72例NP患者作为总样本。患者被随机分为单纯接受CLG治疗组（n = 36）和CLG + MNNM治疗组（n = 36）。在基线以及治疗后即刻、15天和1个月时，测量上肢神经动力学测试1（ULNT1）中的双侧肘关节伸展活动度（ROM）、肘关节处正中神经、C关节突关节和胫前肌的双侧压痛阈值（PPT）、视觉模拟量表（VAS）、疼痛的体表分布、颈椎主动活动度（CROM）、颈部残疾指数（NDI）以及坦帕运动恐惧量表（TSK - 11）。
在正中神经机械敏感性结果、疼痛强度、症状分布、广泛疼痛评估的PPT以及颈椎功能和运动恐惧方面，治疗与时间之间不存在统计学显著的交互作用（P>0.05）。
在NP患者中，就疼痛强度、症状分布、机械敏感性、功能和运动恐惧而言，MNNM并未给CLG带来额外益处。仅两个治疗疗程和较短的随访是重要问题，因此，有必要进行进一步研究，以采用更好的方法回答该研究问题。
