dc.creator | Gómez, Francisco | es |
dc.creator | Escribá, Pablo | es |
dc.creator | Oliva Pascual-Vaca, Jesús | es |
dc.creator | Méndez Sánchez, Roberto | es |
dc.creator | Puente González, Ana Silvia | es |
dc.date.accessioned | 2023-05-08T10:35:34Z | |
dc.date.available | 2023-05-08T10:35:34Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Gómez, F., Escribá, P., Oliva Pascual-Vaca, J., Méndez Sánchez, R. y Puente González, A.S. (2020). Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial. Journal of Clinical medicine, 9 (8), 1-18. https://doi.org/10.3390/jcm9082580. | |
dc.identifier.issn | 2077-0383 | es |
dc.identifier.uri | https://hdl.handle.net/11441/145578 | |
dc.description.abstract | This study aimed to determine the immediate and short-term effects of a single upper
cervical high-velocity, low-amplitude (HVLA) manipulation on standing postural control and cervical
mobility in chronic nonspecific neck pain (CNSNP). A double-blinded, randomized placebo-controlled
trial was performed. Forty-four patients with CNSNP were allocated to the experimental group
(n = 22) or control group (n = 22). All participants were assessed before and immediately after
the intervention, with a follow-up on the 7th and 15th days. In each evaluation, we assessed
global and specific stabilometric parameters to analyze standing postural balance and performed
the cervical flexion-rotation test (CFRT) to analyze upper cervical mobility. We obtained statistically
significant differences, with a large effect size, in the limited cervical rotation and global stabilometric
parameters. Upper cervical HVLA manipulation produced an improvement in the global stabilometric
parameters, significantly decreasing the mean values of velocity, surface, path length, and pressure in
all assessments (p < 0.001; η 2 p = 0.323–0.856), as well as significantly decreasing the surface length
ratio (L/S) on the 7th (−0.219 1/mm; p = 0.008; 95% confidence interval (CI): 0.042–0.395) and 15th days
(−0.447 1/mm; p < 0.001; 95% CI: 0.265–0.629). Limited cervical rotation values increased significantly
immediately after manipulation (7.409◦
; p < 0.001; 95% CI: 6.131–8.687) and were maintained during
follow-up (p < 0.001). These results show that a single upper cervical HVLA manipulation produces
an improvement in standing postural control and increases the rotational range of motion (ROM) in
the upper cervical spine in patients with CNSNP. | es |
dc.format | application/pdf | es |
dc.format.extent | 18 | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | Journal of Clinical medicine, 9 (8), 1-18. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Upper cervical spine | es |
dc.subject | Chronic neck pain | es |
dc.subject | Musculoskeletal disorders | es |
dc.subject | HVLA manipulation | es |
dc.subject | Cervical range of motion | es |
dc.subject | Postural balance | es |
dc.title | Immediate and Short-Term Effects of Upper Cervical High-Velocity, Low-Amplitude Manipulation on Standing Postural Control and Cervical Mobility in Chronic Nonspecific Neck Pain: A Randomized Controlled Trial | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Fisioterapia | es |
dc.identifier.doi | 10.3390/jcm9082580 | es |
dc.contributor.group | Universidad de Sevilla. CTS1043: Salud, Fisioterapia y Actividad Física | es |
dc.journaltitle | Journal of Clinical medicine | es |
dc.publication.volumen | 9 | es |
dc.publication.issue | 8 | es |
dc.publication.initialPage | 1 | es |
dc.publication.endPage | 18 | es |