麦特兰德松动术联合常规物理因子治疗对颈痛患者疼痛和关节活动度的影响。
The effect of mulligan mobilization technique application in addition to conventional physiotherapy on pain and joint range of motion in people with neck pain.
机构信息
Faculty of Health Sciences, Institute of Health Sciences, Istanbul Medipol University, Istanbul, Turkey.
Department of Orthopedics and Traumatology, Faculty of Medicine, Istanbul Medipol University, Istanbul, Turkey.
出版信息
J Bodyw Mov Ther. 2024 Jul;39:225-230. doi: 10.1016/j.jbmt.2024.02.009. Epub 2024 Mar 5.
BACKGROUND
To evaluate the effect of the Mulligan mobilization technique on pain intensity and range of motion in individuals with neck pain.
METHODS
Forty individuals with mechanical neck pain were enrolled in the study. The patients were randomly divided into 2 groups and a total of 10 sessions of treatment were administered to all 2 groups for 2 weeks, 5 days a week. Mulligan mobilization technique, electrophysical agents, active range of motion, and stretching exercises were carried out in the Mulligan group. In contrast, only electrophysical agents and exercises were applied to the conventional physiotherapy group. Range of motion (ROM) of the neck, Visual Analog Scale (VAS), Neck Pain and Disability Scale (NPDS), and Short-Form 36 Health Survey (SF-36) were used for evaluation.
RESULTS
Statistical analyses were done to compare the amounts at the baseline and immediately after treatment. Statistically significant improvements were found in the post-treatment ROM, VAS, NPDS values in both groups (p < 0.05). When the differences were compared, the results of the Mulligan group were significantly better than the conventional physiotherapy group (p < 0.05). There was no significant difference between the groups in terms of SF-36 parameters (p > 0.05).
CONCLUSIONS
This study showed that the Mulligan mobilization technique plus conventional physiotherapy is more effective than conventional physiotherapy in increasing joint range of motion, reducing pain, and reducing neck disability.
TRIAL REGISTRATON
ClinicalTrials.gov (NCT05074576).
背景
评估 Mulligan 松动技术对颈痛患者疼痛强度和活动范围的影响。
方法
本研究纳入了 40 名患有机械性颈痛的患者。将患者随机分为 2 组,所有 2 组均接受共 10 次治疗,每周 5 天,持续 2 周。在 Mulligan 组中进行 Mulligan 松动技术、电物理因子、主动活动范围和伸展运动。相比之下,常规物理治疗组仅应用电物理因子和运动。使用颈部活动范围(ROM)、视觉模拟量表(VAS)、颈部疼痛和残疾量表(NPDS)和简明健康调查问卷 36 项(SF-36)进行评估。
结果
对基线和治疗后即刻的数值进行了统计分析。两组的 ROM、VAS、NPDS 值在治疗后均有显著改善(p<0.05)。当比较差异时,Mulligan 组的结果明显优于常规物理治疗组(p<0.05)。SF-36 参数组间无显著差异(p>0.05)。
结论
本研究表明,Mulligan 松动技术联合常规物理治疗比常规物理治疗更能有效增加关节活动范围、减轻疼痛和减少颈部残疾。
试验注册
ClinicalTrials.gov(NCT05074576)。