Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Effectiveness Of Deep Cervical Fascial Manipulation® And Yoga Postures On Pain And Function In Patients With Mechanical Neck Pain: A Pragmatic, Parallel-Group, Randomised, Controlled Trial

Prabu Raja G
ORCID logo ,
Shyamasunder N Bhat
* ORCID logo ,
Ranganath Gangavelli
,
Anupama Prabhu
,
Antonio Stecco
,
Carmelo Pirri
,
Vennila J
,
Cesar fernandez De-las-penas
Version 1 : Received: 13 September 2023 / Approved: 14 September 2023 / Online: 15 September 2023 (05:30:06 CEST)

A peer-reviewed article of this Preprint also exists.

Raja G, P.; Bhat, S.; Gangavelli, R.; Prabhu, A.; Stecco, A.; Pirri, C.; Jaganathan, V.; Fernández-de-Las-Peñas, C. Effectiveness of Deep Cervical Fascial Manipulation® and Sequential Yoga Poses on Pain and Function in Individuals with Mechanical Neck Pain: A Randomised Controlled Trial. Life 2023, 13, 2173. Raja G, P.; Bhat, S.; Gangavelli, R.; Prabhu, A.; Stecco, A.; Pirri, C.; Jaganathan, V.; Fernández-de-Las-Peñas, C. Effectiveness of Deep Cervical Fascial Manipulation® and Sequential Yoga Poses on Pain and Function in Individuals with Mechanical Neck Pain: A Randomised Controlled Trial. Life 2023, 13, 2173.

Abstract

Background: This study aimed to investigate the effect of fascial manipulation (FM) of the deep cervical fascia (DCF) and sequential yoga poses (SYP) on pain and function in individuals with mechanical neck pain (MNP). Method: Following the predefined criteria, ninety-nine individuals with MNP were recruited, randomised and assigned to either the intervention group (IG) (n=51) or the control group (CG) (n=48). Individuals in the IG received FM (4 sessions in 4 weeks) along with the home-based SYP (4 weeks). The CG participants received the usual care (cervical mobilization and thoracic manipulation (4 sessions in 4 weeks) along with unsupervised therapeutic exercises (4 weeks). The participants underwent baseline and weekly follow-up measurements of pain using a numerical pain rating scale (NPRS) and elbow extension range of motion (EEROM) during upper limb neurodynamic test 1 (ULNT1). The baseline and the 4th session follow-up measurements of the Patient-specific Functional Scale (PSFS) and Fear-avoidance Behavior Questionnaire (FABQ) were also taken. Results: A repeated-measures ANOVA was performed. The mean differences between the IG and CG on NPRS 3rd and 4th sessions are -1.009 (p< 0.05) and -1.701 (p< 0.001), respectively; on EEROM in the 4th session is 20.120 (p< 0.001); on FABQ during the follow-up is -5.036 (p<0.001), showing a statistically significant difference, whereas on PSFS during follow-up is 0.263 (p=0.566), suggesting no significant differences in PSFS. Conclusion: FM and SYP can aid in reducing pain and fear avoidance behavior as well as improving the function and extensibility of the upper quarter region.

Keywords

cervical pain; musculoskeletal manipulation; stretching; soft tissue mobilisation

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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