Effects of an active intervention based on myofascial release and neurodynamics in patients with chronic neck pain: a randomized controlled trial

Cabrera‐Martos, Irene; Rodríguez‐Torres, Janet; López‐López, Laura; Román, Esther Prados; Santiago, Maria Granados; Valenza, Marie Carmen

doi:10.1080/09593985.2020.1821418

Cited by 17 publications

(38 citation statements)

References 33 publications

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“…Nine studies used MFR, 8,9,17,28,31,34–37 two studies used instrumental suboccipital inhibition (INYBI), 29,30 and the rest of the studies used self-myofascial release (sMFR) 33 and vacuum myofascial therapy device (VT). 32 Control group studies included manual therapy (MT), 9,31 muscle energy technique (MET), 8 static stretching, 37 suboccipital muscle inhibition technique (SMI), 29 manual suboccipital inhibition technique (MSIT), 30 dry needling, 34 post-isometric relaxation (PIR), 36 ultrasound therapy (US) combined interferential therapy (IFT), 35 US combined transcutaneous electric nerve stimulation (TENS) and massage, 17,28,32 and used a booklet with information in MNP.…”

Section: Resultsmentioning

confidence: 99%

“…32 Control group studies included manual therapy (MT), 9,31 muscle energy technique (MET), 8 static stretching, 37 suboccipital muscle inhibition technique (SMI), 29 manual suboccipital inhibition technique (MSIT), 30 dry needling, 34 post-isometric relaxation (PIR), 36 ultrasound therapy (US) combined interferential therapy (IFT), 35 US combined transcutaneous electric nerve stimulation (TENS) and massage, 17,28,32 and used a booklet with information in MNP. 35 The intervention period studied ranged from 2 weeks to 4 weeks 9,17,28,31–33,35,36 or 90 seconds to 20 minutes. 8,29,30,34,37 Full details of the comparing interventions can be shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies 8,9,17,28,29,31–37 evaluated pain and were included in the meta-analysis: a random-effects model meta-analysis was used, with the result showing no significant difference between MFR and conventional intervention SMD −0.35 (95% CI −0.80 to −0.09) (see Figure 2).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials

Guo

Zhou

et al. 2022

Clin Rehabil

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Objective To explore the effects of myofascial release (MFR) on pain and dysfunction in individuals with chronic mechanical neck pain (MNP). Data sources PubMed, Embase, Medline, Wiley Online Library, Web of Science, CNKI, VIP, WanFang Data, and the Cochrane Library were searched until 12 September 2022. Review methods This study was registered in PROSPERO (CRD42022302485). Methodological quality was assessed using Cochrane risk of bias assessment, and the quality of the evidence followed the GRADE recommendation. The outcomes pain, cervical mobility (Flexion, Extension, Rotation, lateral flexion), trapezius and suboccipital pressure pain thresholds (PPT), neck disability index (NDI), and adverse effects were extracted. Results After screening of 346 studies, 13 studies and 601 participants met the inclusion criteria. All studies were of moderate methodological quality. Compared with the control group, the participants in the MFR group showed significantly greater improvements trapezius PPT SMD 0.41 (95% CI 0.11–0.72), suboccipital PPT SMD 0.47 (95% CI 0.21–0.72), respectively. The differences were not significant to support the MFR treatment on pain, flexion, extension, rotation, lateral flexion angle, and NDI. None of the studies reported any adverse events. Conclusion This systematic review suggests that MFR is an effective treatment for the improvement of PPT of trapezius and suboccipital muscle in patients with chronic MNP. However, there is low to moderate evidence and may change over time.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials

Guo

Zhou

et al. 2022

Clin Rehabil

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“…Thus, it was decided that neurodynamic techniques may provide a more favourable therapeutic effect than other modalities. Neurodynamic techniques have been successfully used in other disorders with associated neurological disturbances [ 17 , 18 , 19 , 35 , 36 ]. We believe that improvement of our patient was related with neurodynamic techniques that may reduce intraneural oedema (therefore, the cross-sectional area of the musculocutaneus nerve decreased after intervention).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Diagnostic and Physiotherapy Approach for a Patient with Parsonage–Turner Syndrome—A Case Report

Wolny

Glibov

Granek

et al. 2023

Sensors

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Parsonage–Turner syndrome (PTS) is a rare neurological disorder that causes major diagnostic problems. This paper presents a case report of a patient with PTS and proposes a new physiotherapy program. Case description: a 23-year-old man presents a sudden severe pain of his right arm. The man is consulted by several doctors and physiotherapists. Three magnetic resonance imagings (MRI), a nerve conduction study (NCS), and needle electromyography (EMG) are performed. After 6 months, based on medical history, physical examination and ultrasound imaging (UI), the physiotherapist suggests PTS, which is confirmed by a neurologist. Intervention: due to the lack of physiotherapy treatment standards in PTS, we apply neurodynamic techniques. Outcomes: neurodynamic techniques are effective in reducing pain and paraesthesia, improving sensation, and reducing nerve swelling (assessed by UI), as well as improving manual dexterity and overall health status. Conclusions: the patient with PTS is challenging for making an accurate diagnosis. This study shows an important role for UI, which shows changes in the musculocutaneous nerve, despite the lack of abnormalities in the MRI, NCS, and EMG, and helps in making an accurate diagnosis. This report also confirms that physiotherapy based on neurodynamic techniques may have beneficial effects in PTS.

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“…en el test postural los grupos A y B mostraron cambios en el ángulo craneovertebral (CVA), pero no en un grado estadísticamente significativo; después de una intervención de seis semanas (p <0.05) (14). y también se hallaron diferencias significativas ( p <.05) en la gravedad del dolor, y en varios aspectos de la funcionalidad (15). De esta manera, se coincide con los estudios ya existentes en que se debe ampliar la población y el periodo de intervención para conseguir mejores efectos terapéuticos, que nos den mayor evidencia(16).…”

Section: Discussionunclassified

Liberación miofascial en el síndrome cruzado superior en el personal administrativo

et al. 2021

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Introducción: El dolor de cuello es una de las alteraciones más frecuentes del sistema musculoesquelético, estar sentado frente a un computador por tiempos prolongados y tener mala postura, provoca alteraciones como el síndrome cruzado superior debido a debilidad de los flexores del cuello, pectorales y esternocleidomastoideo que se tensan y provocan alteraciones musculares. Objetivo: Establecer la efectividad de la aplicación de la técnica de liberación miofascial en el personal administrativo. Material y métodos: El estudio tiene un enfoque cuantitativo cuasi-experimental, se realizó en 20 empleados, entre hombres y mujeres de 20 a 50 años, con dolor de cuello. Se aplicó 24 sesiones de liberación miofascial por 20 minutos, 2 veces por semana, para el análisis estadístico se utilizó la prueba de Wilcoxon y Chi cuadrado, la evaluación se realizó mediante el cuestionario de índice de discapacidad cervical (NDI) y escala visual análoga del dolor (EVA) al inicio y final de la intervención. La investigación fue aprobada por el comité de bioética y cada participarte firmo el consentimiento informado y el acuerdo de confidencialidad. Resultados: Al aplicar la técnica de liberación miofascial cervical mediante la escala de (EVA), se encontró el 5% de dolor moderado y 95% de dolor muy severo; después de la intervención se logró bajar al 85% corresponde a dolor leve y el 15% para dolor moderado y disminuyendo el dolor severo de los pacientes. Con respecto al NDI, se obtuvo el 45% con discapacidad moderada, el 45% discapacidad severa y el 10% incapacidad completa, la valoración final después de la intervención fue el, 65% discapacidad moderada y 35% discapacidad leve consiguiendo disminuir la discapacidad severa e incapacidad completa en los trabajadores, lo que nos indica la mejoría de los pacientes tras la aplicación de la técnica. El análisis de liberación miofascial cervical permitió rechazar a la hipótesis a un nivel de confianza del 95% con diferencia significativa <0.05P =0.001. Conclusión: La intervención mejoro la discapacidad cervical y disminuyo la intensidad de dolor en el personal administrativo, mejorando la calidad de vida y laboral de los empleados.

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Effects of an active intervention based on myofascial release and neurodynamics in patients with chronic neck pain: a randomized controlled trial

Cited by 17 publications

References 33 publications

Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials

Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials

Ultrasound Diagnostic and Physiotherapy Approach for a Patient with Parsonage–Turner Syndrome—A Case Report

Liberación miofascial en el síndrome cruzado superior en el personal administrativo

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