The effectiveness of Long’s manipulation on patients with chronic mechanical neck pain

The effectiveness of Long's manipulation on patients with chronic mechanical neck pain

Long’s manipulation (LM) is a representative Chinese manipulation approach including both spinal manipulation and traditional Chinese massage (TCM) techniques. The authors conducted this trial (RCT) with the intention of comparing the immediate and short-term relative effectiveness of LM to TCM on individuals with chronic neck pain. The participants were placed in either the LM group or TCM group at random. LM group was treated with Long’s manipulation, while the TCM group received TCM therapy. Patients attended 8 sessions of treatment (one session every three days). Outcome measures included neck disability (Northwick Park Neck Pain Questionnaire; NPQ), pain intensity (Numeric Pain Rating Scale; NPRS), patient perceived satisfaction of care (PPS) (11-point scale), craniovertebral angle (CV angle) and cervical range of motion (ROM). A blinded assessor performed assessment at baseline, immediate after treatment and 3 months post treatment. LM group achieved significantly more improvement than TCM group in pain intensity (p < 0.001), neck disability (p = 0.049) and satisfaction (p < 0.001) up to 3-month follow-up. There was no significant difference in improvements in CV angle and most of cervical ROM between groups (p = 0.169 ∼ 0.888) with an exception of flexion at 3-month follow-up (p = 0.005).

They concluded that their study had shown that LM could produce better effects than TCM in relieving pain and improving disability in the management of patients with chronic mechanical neck pain.

Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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