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Comparison of two methods of cervical spine pain manual therapy using clinical and biochemical pain markers
Affiliations- Department of Orthopaedics, Medical University of Silesia, Trauma Center, Sosnowiec, Poland
- Department of Medical and Molecular Biology, Medical University of Silesia, Zabrze, Poland
- Safmed clinic, Sosnowiec, Poland
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Abstract
Background. Sedentary lifestyle, often associated with faulty posture is a widespread facilitating factor for
cervical spine dysfunction (CSD).
Objective. The purpose of our study was to compare two methods of physical therapy for CSD: the
McKenzie method and suboccipital relaxation. We investigated the effect of these methods on pain level
perceived by patients and their physical fitness. The levels of biochemical stress indicators were assessed.
Materials and methods. Eighty-six adult patients divided into two groups: A and B. Group A included 42
patients treated with the McKenzie method. Group B consisted of 44 patients, who underwent suboccipital
relaxation. The treatment in both groups comprised 3 treatment sessions over a 6-week period. To assess
salivary sIgA concentration, the ELISA technique was used. The alpha-amylase activity was determined
using static method. Pain assessment was performed using the VAS scale. Disability level was evaluated
with the NDI scale.
Results. Significant decrease of VAS and NDI scores were observed in both groups. An increase of sIgA
concentration was observed in both groups. No difference in amylase activity between the groups was observed,
however, time and group effects the interaction was found to be significant. A significant correlation
between both biochemical markers and VAS score was observed in group B and in the general population.
Conclusions. Both therapies improve patient outcomes, however, at present we cannot indicate the
advantage any method.
Abstract
Background. Sedentary lifestyle, often associated with faulty posture is a widespread facilitating factor for
cervical spine dysfunction (CSD).
Objective. The purpose of our study was to compare two methods of physical therapy for CSD: the
McKenzie method and suboccipital relaxation. We investigated the effect of these methods on pain level
perceived by patients and their physical fitness. The levels of biochemical stress indicators were assessed.
Materials and methods. Eighty-six adult patients divided into two groups: A and B. Group A included 42
patients treated with the McKenzie method. Group B consisted of 44 patients, who underwent suboccipital
relaxation. The treatment in both groups comprised 3 treatment sessions over a 6-week period. To assess
salivary sIgA concentration, the ELISA technique was used. The alpha-amylase activity was determined
using static method. Pain assessment was performed using the VAS scale. Disability level was evaluated
with the NDI scale.
Results. Significant decrease of VAS and NDI scores were observed in both groups. An increase of sIgA
concentration was observed in both groups. No difference in amylase activity between the groups was observed,
however, time and group effects the interaction was found to be significant. A significant correlation
between both biochemical markers and VAS score was observed in group B and in the general population.
Conclusions. Both therapies improve patient outcomes, however, at present we cannot indicate the
advantage any method.
Keywords
McKenzie method, suboccipital relaxation, neck pain, amylase, sIgA
About this articleTitle
Comparison of two methods of cervical spine pain manual therapy using clinical and biochemical pain markers
Journal
Issue
Article type
Original article
Pages
163-170
Published online
2019-09-26
Page views
934
Article views/downloads
1310
DOI
Bibliographic record
Medical Research Journal 2019;4(3):163-170.
Keywords
McKenzie method
suboccipital relaxation
neck pain
amylase
sIgA
Authors
Witold Miecznikowski
Paweł Kiczmer
Alicja Prawdzic Seńkowska
Karolina Cygan
Elżbieta Świętochowska
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