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Effectiveness of manipulative physiotherapy for the treatment of a neurogenic cervicobrachial pain syndrome: a single case study - experimental design

Effectiveness of manipulative physiotherapy for the treatment of a neurogenic cervicobrachial pain syndrome: a single case study - experimental design
Effectiveness of manipulative physiotherapy for the treatment of a neurogenic cervicobrachial pain syndrome: a single case study - experimental design
A single case study ABC design was used to evaluate the effectiveness of manipulative physiotherapy in a 44-year-old woman with an 8-month history of neurogenic cervicobrachial pain. Clinical examination demonstrated significant signs of upper quadrant neural tissue mechanosensitivity indicating that neural tissue was the dominant tissue of origin for the subject's complaint of pain. Magnetic resonance imaging revealed correlating discal pathology at the C5/6 intersegmental level. The study involved a 4-week pre-assessment phase, a 4-week treatment phase and a 2-week home exercise phase. Functional disability was measured using the Northwick Park Neck Pain Questionnaire and pain was assessed using the McGill Short Form Pain Questionnaire. Cervical motion was measured by a cervical range of motion device (CROM) and the range of shoulder abduction with a mediclino inclinometer. Manipulative physiotherapy treatment involved a cervical lateral glide mobilization technique. Following treatment, visual analysis revealed beneficial effects on pain, functional disability as well as cervical and shoulder mobility. These improvements were maintained over the home exercise phase and at 1-month follow-up. The single case limits generalization of the findings, but the results support previous studies in this area and gives further impetus to controlled clinical trials.
pain, therapy, disability, disabilities
1356-689X
31-38
Cowell, I.M.
5e1ac482-2e21-4a20-a250-6065fdc90967
Phillips, Dean
0294b4eb-9f6d-4033-ba65-9e245c96fdca
Cowell, I.M.
5e1ac482-2e21-4a20-a250-6065fdc90967
Phillips, Dean
0294b4eb-9f6d-4033-ba65-9e245c96fdca

Cowell, I.M. and Phillips, Dean (2002) Effectiveness of manipulative physiotherapy for the treatment of a neurogenic cervicobrachial pain syndrome: a single case study - experimental design. Manual Therapy, 7 (1), 31-38. (doi:10.1054/math.2001.0429). (PMID:11884154)

Record type: Article

Abstract

A single case study ABC design was used to evaluate the effectiveness of manipulative physiotherapy in a 44-year-old woman with an 8-month history of neurogenic cervicobrachial pain. Clinical examination demonstrated significant signs of upper quadrant neural tissue mechanosensitivity indicating that neural tissue was the dominant tissue of origin for the subject's complaint of pain. Magnetic resonance imaging revealed correlating discal pathology at the C5/6 intersegmental level. The study involved a 4-week pre-assessment phase, a 4-week treatment phase and a 2-week home exercise phase. Functional disability was measured using the Northwick Park Neck Pain Questionnaire and pain was assessed using the McGill Short Form Pain Questionnaire. Cervical motion was measured by a cervical range of motion device (CROM) and the range of shoulder abduction with a mediclino inclinometer. Manipulative physiotherapy treatment involved a cervical lateral glide mobilization technique. Following treatment, visual analysis revealed beneficial effects on pain, functional disability as well as cervical and shoulder mobility. These improvements were maintained over the home exercise phase and at 1-month follow-up. The single case limits generalization of the findings, but the results support previous studies in this area and gives further impetus to controlled clinical trials.

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More information

Published date: February 2002
Keywords: pain, therapy, disability, disabilities
Organisations: Health Profs and Rehabilitation Sciences

Identifiers

Local EPrints ID: 17859
URI: http://eprints.soton.ac.uk/id/eprint/17859
ISSN: 1356-689X
PURE UUID: 16a210e7-31c5-402f-801b-f526344e68f6
ORCID for Dean Phillips: ORCID iD orcid.org/0000-0001-8422-4340

Catalogue record

Date deposited: 17 Nov 2005
Last modified: 15 Aug 2019 00:54

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Contributors

Author: I.M. Cowell
Author: Dean Phillips ORCID iD

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