Objective. To investigate the effectiveness of manual therapy (MT) in patients with nonspecific neck pain (NNP). Material and methods. Ninety two patients with NNP, aged from 18 to 60 years (41,1±10,2 years), 64 (69,6%) women, 28 (30,4%) men, were examined. Treatment duration was 3 weeks with 6 sessions (2 sessions per week). The effectiveness of treatment was evaluated by measuring the decrease of pain intensity, improvement of daily activity, and patient-related recovery measured with the 11-point Numerical Rating Scale (NRS), the Neck Disability Index (NDI) and the 7-point Global Perceived Effect scale (GPE). Size effect was assessed using Cohen’s d. Results. In the end of treatment, pain was reduced by 3,4±2,3 points (from 4,5±2,5 to 1,1±1,0 points; Cohen’s d 1,98); disability was improved by 9,5±5,0 points (from 15,2±5,6 to 5,8±4,0 points; Cohen’s d 1,97); patients assessed mean global improvement as «improved» and «much improved» (the improvement by 2-3 points on GPE scale). Conclusion. MT in NNP is effective method of treatment that decreases pain syndrome, improves daily activity and is positively assessed by the patients.
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Bakhtadze, M. A., Kuzminov, K. O., & Bolotov, D. A. (2017). Manual therapy in non-specific neck pain. Zhurnal Nevrologii i Psihiatrii Imeni S.S. Korsakova, 117(2), 49–52. https://doi.org/10.17116/jnevro20171172149-52