The immediate effects of soft tissue mobilization versus therapeutic ultrasound for patients with neck and arm pain with evidence of neural mechanosensitivity: a randomized clinical trial

The Journal of Manual & Manipulative Therapy
Michael CostelloCharles D Ciccone

Abstract

Randomized clinical trial. To investigate the immediate effects of soft tissue mobilization (STM) versus therapeutic ultrasound (US) in patients with neck and arm pain who demonstrate neural mechanical sensitivity. While experts have suggested that individuals with neck and arm pain associated with neural tissue mechanical sensitivity may benefit from STM, there has been little research to investigate this hypothesis. Twenty-three patients with neck and arm pain and a positive upper limb neurodynamic test (ULNT) were randomly assigned to receive STM or therapeutic US during a single session. Outcome measures were collected immediately before and after treatment, and at 2-4 day follow-up. Primary outcomes were the Global Rating of Change (GROC), range of motion (ROM) during the ULNT, and pain rating during the ULNT. Secondary measures included the Neck Disability Index (NDI), Patient-Specific Functional Scale (PSFS), Numeric Pain Rating Scale (NPRS), and active range of shoulder abduction motion combined with the wrist neutral or wrist extension. A greater proportion of patients in the STM group reported a significant improvement on the GROC immediately after treatment (P = 0·003, STM = 75%, US = 9%), and at 2-4 day follow-up (P...Continue Reading

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Citations

May 4, 2018·Acupuncture in Medicine : Journal of the British Medical Acupuncture Society·Nuno MoraisJorge Pereira Machado
Apr 6, 2019·Journal of Speech, Language, and Hearing Research : JSLHR·Joanne ClelandAlan Wrench
May 17, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Rohit AiyerAmitabh Gulati
Apr 14, 2021·Journal of Medical Engineering & Technology·Paola A Vásquez-UchoDiego A Almeida-Galárraga
Jul 3, 2021·International Journal of Environmental Research and Public Health·Tomasz KuligowskiBłażej Cieślik

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