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Man. Ther., Posturology Rehabil. J. 2016; 14
10.17784/mtprehabjournal.2016.14.385 doi: http://dx.doi.org/10.17784/mtprehabjournal.2016.14.385
Abstract:Objective: To evaluate the effect of a microkinesitherapy session on pain and the amplitudes of flexion-extension in post-traumatic acute neck pain. Methods: Randomized double blind clinical trial involving two groups of patients. The microkinesitherapy group benefitted from the check-up treatment sequence, the control group from a check-up simulation sequence. The primary outcome measure was evolution of pain, secondary endpoint amplitudes of movement. Results: 29 patients were studied: 15 in the microkinesitherapy group and 14 in the control group. A significant decrease in the visual analog scale (0-10) of pain was noted for the microkinesitherapy group (5,2 ± 2,3 at initial check-up versus 2.5 ± 1.7 in the second check-up, p <0.001), but no decrease in the control group (4,0 ± 2,3 initial check-up versus 3,1 ± 2,4 in the second check-up, ns). The evolution of the amplitude of flexion-extension was significant for the microkinesitherapy group (95° ± 29° ° in the first check-up versus 107° ± 27° in the second check-up, p <0.02) but no improvement in the control group (104° ± 26° initial check-up versus 107° ± 28° in the second check-up, ns). Conclusion: Our study shows that an early microkinesitherapy session is effective on pain and recovery of flexion-extension in the treated group.
Keywords:Post-traumatic neck pain, microkinesitherapy, therapeutic trial, double blind, randomized study
1. Revel M. Whiplash cervical traumatism: from concepts to realities. Annals of Physical and Rehabilitation Medicine. 2003(46):158-170 .
2. Bogduk N, Guirk B. Acute and Chronic Pains. Treating Acute and Chronic Cervicalgia. Elsevier 2007;6.
3. Guzman J, Hurwitz EL, Carroll LJ, Haldeman S, Côté P, Carragee EJ, et al. A New Conceptual Model of Neck Pain - Linking Onset, Course, and Care: The Bone and Joint Decade 2000 –2010 Task Force on Neck Pain and Its Associated Disorders. Lippincott Williams & Wilkins ed. Spine 2008;33(4S):S14–S23.
4. Peeters GG, Verhagen AP, De Bie RA, Oostendorp RA. The efficacy of conservative treatment in patients with whiplash injury: a systematic review of clinical trials. Spine 2001;26(4):64–73.
5. Bogduk N, Guirk B. Acute Cervicalgia-Therapeutic Evidence. Treating Acute and Chronic Cervicalgia. Elsevier 2007;92-106.
6. Scholten-Peeters GG, Bekkering GE, Verhagen AP, Van Der Windt DA, Lanser K, Hendriks EJ, et al. Clinical practice guideline for the physiotherapy of patient with whiplash-associated disorders. Spine 2002 5;27(4):412–422.
7. Fransoo P. Ergonomic Adaptations. Clinical Examination and treatment of Cervicalgia. Frison-Roche 2008;260.
8. Childs JD, Cleland JA, Elliott JM, Teyhen DS, Wainner RS, Whitman JM et al. Neck pain: clinical practice guidelines linked to the international classification functioning, disability, and health from de Orthopaedic section of the American physical therapy association. J Orthop Sports Phy Ther 2008;38:A1-A34.
9. Gross AR, Kay T, Hondras M, Goldsmith C, Haines T, Pelozo P, et al. Manual therapy for mechanical neck disorders: a systematic review. Manual Therapy 2002;7:131-149.
10. Larsen WJ. Human Embryology. De Boeck University 1996;67-70.
11. Grosjean D, Benini P. Treatment of high post-traumatic cervicalgia by microkinesitherapy. Kinésithérapie Scientifique 1994;333:47-50.
12. Grosjean D, Benini P. Implication of the diaphragm muscle in cervicalgia. Kinésithérapie Scientifique 1986;247:40-49.
13. Larsen WJ. Human Embryology. De Boeck University 1996;116-118.
14. Jull G, Kenardy J, Hendrikz J, Cohen M, Sterling M. Management of acute whiplash: a randomized controlled trial of multidisciplinary stratified treatments. Pain. 2013;154(9):1798-1806.
15. Bodian CA, Freedman G, Hossain S, Eisenkraft JB, Beilin Y. The visual analog scale for pain: clinical significance in postoperative patients. Anesthesiology. 2001;95(6):1356-61.
16. Kapandji.I.A. Trunk and spine. Articular physiology. Librairie Maloine 1972;214.
17. Vaudaux G, Poquin D, Vaudaux G.F. Electrophotonic imagery -Interest for the validation of microkinesitherapy. Ter Man 2013;11(52):149-152.