A comparison of the effects of Mulligan's mobilization and Kinesio taping on pain,range of motion,muscle strength,and neck disability in patients with Cervical Spondylosis: A randomized controlled study
Restricted accessResearch articleFirst published online January, 2017
A comparison of the effects of Mulligan's mobilization and Kinesio taping on pain,range of motion,muscle strength,and neck disability in patients with Cervical Spondylosis: A randomized controlled study
Cervical Spondylosis (CS) is a degenerative and painful pathology, which needs conservative treatment to relieve symptoms.
OBJECTIVE:
The aim was to investigate the effects of Mulligan's mobilization (MM) and Kinesio taping (KT) on pain, range of motion (ROM), muscle strength, and function in CS.
METHODS:
Forty-five subjects were randomly placed into three groups: Group 1: control group (conventional rehabilitation-CR); Group 2: MM and CR; Group 3: KT and CR. Assessments including neck pain, cervical ROM, muscle strength and Neck Disability index (NDI) were conducted at baseline, after three-week treatment, and at one-month follow up. Results were analyzed using ANCOVA.
RESULTS:
In all groups, pain and NDI scores reduced, cervical ROM and muscle strength increased with time (p< 0.001). Greater improvements in neck extension, left and right rotation were obtained in the KT and MM groups when compared to the control group (p< 0.05). In the KT group, improvement in right lateral flexion ROM was greater than the control and deep cervical flexor muscle strength was greater than the MM and the control groups (p< 0.05).
CONCLUSION:
KT and MM contributed to CR for increasing cervical ROM and deep cervical flexor muscle strength in patients with CS.
ConnellMD, WieselSW. Natural history and pathogenesis of cervical disk disease. Orthop Clin North Am. 1992; 23(3): 369-80.
3.
HurwitzEL, MorgensternH, HarberP, KominskiGF, YuF, AdamsAH. A randomized trial of chiropractic manipulation and mobilization for patients with neck pain: Clinical outcomes from the UCLA neck-pain study. Am J Public Health. 2002; 92(10): 1634-41.
4.
EvansR, BronfortG, NelsonB, GoldsmithCH. Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Spine. 2002; 27(21): 2383-9.
5.
AlmeidaGP, CarneiroKK, MarquesAP. Manual therapy and therapeutic exercise in patients with symptomatic cervical spondylotic myelopathy: A case report. J Bodywork Mov Ther. 2013; 17(4): 504-9. doi: 10.1016/j.jbmt.2013.03.009.
6.
GrossAR, HovingJL, HainesTA, GoldsmithCH, KayT, AkerP, BronfortG. Cervical Overview Group. A Cochrane review of manipulation and mobilization for mechanical neck disorders. Spine. 2004; 29(14): 1541-8.
7.
BronfortG, EvansR, NelsonB, AkerPD, GoldsmithCH, VernonH. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine. 2001; 26(7): 788-97.
8.
Saavedra-HernándezM1, Castro-SánchezAM, Arroyo-MoralesM, ClelandJA, Lara-PalomoIC, Fernández-de-Las-PeñasC. Short-term effects of kinesio taping versus cervical thrust manipulation in patients with mechanical neck pain: A randomized clinical trial. J Orthop Sports Phys Ther. 2012; 42(8): 724-30. doi: 10.2519/jospt.2012.4086.
9.
HurwitzEL, CarrageeEJ, Van der VeldeG, CarrollLJ, NordinM, GuzmanJ, PelosoPM, HolmLW, CôtéP, Hogg-JohnsonS, CassidyJD, HaldemanS. Treatment of neck pain: noninvasive interventions: Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther. 2009; 32(2): 141-75. doi: 10.1016/j.jmpt.2008.11.017.
10.
JensenMP, McFarlandCA. Increasing the reliability and validity of pain intensity measurement in chronic pain patients. Pain. 1993; 55(2): 195-203.
11.
WhitcroftKL, MassouhL, AmirfeyzR, BannisterG. Comparison of methods of measuring active cervical range of motion. Spine. 2010; 35(19): E976-80. doi: 10.1097/BRS.0b013e3181cd6176.
12.
WrightW. Muscle training in the treatment of infantile paralysis. Boston Med Surg J. 1912; 167: 567-574.
JullGA, O'LearySP, FallaDL. Clinical assessment of the deep cervical flexor muscles: The craniocervical flexion test. J Manipulative Physiol Ther. 2008; 31(7): 525-33. doi: 10.1016/j.jmpt.2008.08.003.
15.
FallaD, JullG, Dall'AlbaP, RainoldiA, MerlettiR. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Phys Ther. 2003; 83(10): 899-906.
16.
VernonH, MiorS. The Neck Disability Index: A study of reliability and validity. J Manipulative Physiol Ther. 1991; 14(7): 409-15.
17.
TelciEA, KaradumanA, YakutY, ArasB, SimsekIE, YagliN. The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: A Turkish version study. Spine. 2009; 34(16): 1732-5. doi: 10.1097/BRS.0b013e3181ac9055.
18.
CramerGD, DarbySA. Basic and clinical anatomy of the spine, spinal cord, and ANS. 3rd ed. St. Louis: Elsevier Mosby, 2013.
19.
MaayahM, Al-JarrahM. Evaluation of Transcutaneous Electrical Nerve Stimulation as a Treatment of Neck Pain due to Musculoskeletal Disorders. J Clin Med Res. 2010; 2(3): 127-36. doi: 10.4021/jocmr2010.06.370e.
20.
BedwellC, DowswellT, NeilsonJP, LavenderT. Midwifery. The use of transcutaneous electrical nerve stimulation (TENS) for pain relief in labour: A review of the evidence. Midwifery. 2011; 27(5): 141-8. doi: 10.1016/j.midw.2009.12.004.
21.
ExelbyL. The Mulligan concept: Its application in the management of spinal conditions. Man Ther. 2002; 7(2): 64-70.
22.
KaseK, WallisJ, KaseT. Clinical Therapeutic Applications of the Kinesio Taping Method. Kinesio Taping Assoc. Tokyo, Japan: Ken Ikai Co Ltd; 2003.
YlinenJ, RuuskaJ. Clinical use of Neck Isometric Strength Measurement in Rehabilitation. Arch Phys Med Rehabil. 1994; 75(4): 465-9.
25.
MikeskyAE, ToppR, WigglesworthJK, HarshaDM, EdwardsJE. Efficacy of a home-based training program for older adults using elastic tubing. Eur J Appl Physiol Occup Physiol. 1994; 69(4): 316-20.
26.
GrossAR, AkerPD, GoldsmithCH, PelosoP. Conservative management of mechanical neck disorders. A systematic overview and meta-analysis. Online J Curr Clin Trials. 1996; Doc No 200-201.
27.
VincentK, MaigneJY, FischhoffC, LanloO, DagenaisS. Systematic review of manual therapies for nonspecific neck pain. Joint Bone Spine. 2013; 80(5): 508-515. doi: 10.1016/j.jbspin.2012.10.006.
28.
GrossA, MillerJ, D'SylvaJ, BurnieSJ, GoldsmithCH, GrahamN, HainesT, BronfortG, HovingJL; COG. Manipulation or mobilisation for neck pain: A cochrane review. Manual Therapy. 2010; 15(4): 315-333. doi: 10.1016/j.math.2010.04.002.
29.
DawoodRS, KattabeiOM, NasefSA, BattarjeeKA, AbdelraoufOR. Effectiveness of Kinesio Taping versus Cervical Traction on Mechanical Neck Dysfunction. International Journal of Therapies and Rehabilitation Research. 2013; 2: 2. doi: 10.5455/ijtrr.00000019.
Escortell-MayorE, Riesgo-FuertesR, Garrido-ElustondoS, Asúnsolo-Del BarcoA, Díaz-PulidoB, Blanco-DíazM, Bejerano-ÁlvarezE; TEMA-TENS Group. Primary care randomized clinical trial: Manual therapy effectiveness in comparison with TENS in patients with neck pain. Man Ther. 2011; 16(1): 66-73. doi: 10.1016/j.math.2010.07.003.
32.
KoesBW, BouterLM, KnipshildPG, Van MamerenH, EssersA, HoubenJP, VerstegenGM, HofhuizenDM. The effectiveness of manual therapy, physiotherapy and continued treatment by the general practitioner for chronic nonspecific back and neck complaints: Design of a randomized clinical trial. J Manipulative Physiol Ther. 1999; 14(9): 498-502.
33.
BrodinH. Cervical pain and mobilization. Int J Rehabil Res. 1984; 7(2): 190-1.
34.
HovingJL, de VetHC, KoesBW, MamerenHV, DevilléWL, van der WindtDA, AssendelftWJ, PoolJJ, ScholtenRJ, Korthals-de BosIB, BouterLM. Manual therapy, physical therapy, or continued care by the general practitioner for patients with neck pain: Long-term results from a pragmatic randomized clinical trial. Clin J Pain. 2006; 22(4): 370-7.
35.
MoulsonA, WatsonT. A preliminary investigation into the relationship between cervical snags and sympathetic nervous system activity in the upper limbs of an asymptomatic population. Man Ther. 2006; 11(3): 214-24.
36.
ArmstrongBS, McNairPJ, WilliamsM. Head and neck position sense in whiplash patients and ealthy individuals and the effect of the cranio-cervicalflexion action. Clin Biomech. 2005; 20(7): 675-84.
37.
McNairPJ, PorteroP, ChiquetC, MawstonG, LavasteF. Acute neck pain: Cervical spine range of motion and position sense prior to and after joint mobilization. Man Ther. 2007; 12(4): 390-4.
38.
KanlayanaphotpornR, ChiradejnantA, VachalathitiR. The immediate effects of mobilization technique on pain and range of motion in patients presenting with unilateral neck pain: A randomized controlled trial. Arch Phys Med Rehabil. 2009; 90(2): 187-92. doi: 10.1016/j.apmr.2008.07.017.
39.
LeeH, NicholsonLL, AdamsRD. Neck muscle endurance, self-report, and range of motion data from subjects with treated and untreated neck pain. J Manipulative Physiol Ther. 2005; 28(1): 25-32.
40.
González-IglesiasJ, Fernández-de-Las-PeñasC, ClelandJA, HuijbregtsP, Del Rosario Gutiérrez-VegaM. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: A randomized clinical trial. J Orthop Sports Phys Ther. 2009; 39(7): 515-21. doi: 10.2519/jospt.2009.3072.
41.
Fernández-de-las-PeñasC, Palomeque-del-CerroL, Rodríguez-BlancoC, Gómez-ConesaA, Miangolarra-PageJC. Changes in neck pain and active range of motion after a single thoracic spine manipulation in subjects presenting with mechanical neck pain: A case series. J Manipulative Physiol Ther. 2007; 30(4): 312-20.
42.
DjordjevicOC, VukicevicD, KatunacL, JovicS. Mobilization with movement and kinesiotaping compared with a supervised exercise program for painful shoulder: Results of a clinical trial. J Manipulative Physiol Ther. 2012; 35(6): 454-463. doi: 10.1016/j.jmpt.2012.07.006.
43.
JullGA,FallaD, VicenzinoB,HodgesPW.The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009 Dec;14(6): 696-701. doi: 10.1016/j.math.2009.05.004.
44.
HäkkinenA, SaloP, TarvainenU, WirénK, YlinenJ. Effect of manual therapy and stretching on neck muscle strength and mobility in chronic neck pain. J Rehabil Med. 2007; 39(7): 575-9.
45.
JullGA, FallaD, VicenzinoB, HodgesPW. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009; 14(6): 696-701. doi: 10.1016/j.math.2009.05.004.
46.
FallaD, LindstrømR, RechterL, BoudreauS, PetzkeF. Effectiveness of an 8-week exercise programme on pain and specificity of neck muscle activity in patients with chronic neck pain: A randomized controlled study. Eur J Pain. 2013; 17(10): 1517-28. doi: 10.1002/j.1532-2149.2013.00321.x.
47.
García-MuroF, Rodríguez-FernándezAL, Herrero-de-LucasA. Treatment of myofascial pain in the shoulder with Kinesio taping. A case report. Man Ther. 2010; 15(3): 292-5. doi: 10.1016/j.math.2009.09.002.
48.
MadsonTJ, CieslaKR, GayRE. Joint mobilization vs massage for chronic mechanical neck pain: A pilot study to assess recruitment strategies and estimate outcome measure variability. J Manipulative Physiol Ther. 2010; 33(9): 644-51. doi: 10.1016/j.jmpt.2010.08.008.
49.
MaayahM, Al-JarrahM. Evaluation of Transcutaneous Electrical Nerve Stimulation as a Treatment of Neck Pain due to Musculoskeletal Disorders. J Clin Med Res. 2010; 2(3): 127-36. doi: 10.4021/jocmr2010.06.370e.
