Effects of osteopathic manipulative treatment in chronic neck pain with central sensitization. A pilot study

Title

Effects of osteopathic manipulative treatment in chronic neck pain with central sensitization. A pilot study

Title

Efectos del tratamiento manual osteopático en el dolor cervical crónico con sensibilización central. Estudio piloto

Author(s)

Climent Sanchez, Ignasi; Palmer Coma, Laureà; Ramos Benet, Javier

Abstract

Introduction: Chronic cervical pain (CHD) is one of the main reasons for consultation. A complex clinical entity such as central sensitization (SC) was intended to observe how the osteopathic manual treatment (OMT) interacts with the different states of disability in CHD and the patient's natural healing capacity. Methodology: An experimental pilot study of simple blinded. We recruited 30 patients of both sexes, from 18 to 60 years and were randomly divided: Group Study (GE) / Control (GC). The Neck Disability Index (NDI) was used to quantify pain affection and three measurement phases were fixed (before and two after treatment). Prevalences were calculated and data were analyzed using the Wilcoxon statistical test (p-value <0.05).
Results: We accepted null hypothesis (H0) that the OMT does not produce change in DCC, for both groups. Although there were 46.7% of patients in GE who reduced the NDI values after 7 days of the intervention. After 15, these changes remained only 40%.
Conclusions: Positive changes have been shown in GE without these being statistically significant to accept the hypothesis of changes in the perception of CHD and SC.

Abstract

Introducción: El dolor cervical crónico (DCC) es uno de los principales motivos de consulta. Una entidad clínica compleja como es la sensibilización central (SC), se pretendió observar cómo el tratamiento manual osteopático (OMT) interacciona con los diferentes estados de discapacidad en DCC y la capacidad natural de curación del paciente.
Metodología: Se realizó un estudio piloto experimental de cegado simple. Se reclutaron 30 pacientes de ambos sexos, de 18 a 60 años y se dividieron aleatoriamente: Grupo Estudio (GE) / Control (GC). Se utilizó el Neck Disability Index (NDI) para cuantificar la afectación del dolor y se fijaron tres fases de medición (antes y dos posteriores al tratamiento). Se calcularon prevalencias y se analizaron los datos con la prueba estadística de Wilcoxon (p-valor<0.05).
Resultados: Se aceptó hipótesis nula (H0) de que la OMT no produce cambio en DCC, para ambos grupos. Aunque hubo un 46,7% de pacientes en GE que redujeron los valores NDI tras 7 días de la intervención. Transcurridos 15, estos cambios se mantuvieron solo en el 40%.
Conclusiones: Se han mostrado cambios positivos en GE sin que estos sean significativos estadísticamente para aceptar la hipótesis de cambios en la percepción del DCC y SC.

presented at

Date Accepted

2017

Date Submitted

28.5.2018 18:03:52

Type

osteo_thesis

Language

Spanish

Number of pages

60

Submitted by:

62

Pub-Identifier

16151

Inst-Identifier

1049

Keywords

Cervical pain; Central sensitization; Chronic pain

Recommended

0

Medium

climent_sanchez.pdf

Item sets

Climent Sanchez, Ignasi; Palmer Coma, Laureà; Ramos Benet, Javier, “Effects of osteopathic manipulative treatment in chronic neck pain with central sensitization. A pilot study”, Osteopathic Research Web, accessed September 30, 2022, https://www.osteopathic-research.com/s/orw/item/407