Comparison of two methods of cervical spine pain manual therapy using clinical and biochemical pain markers
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 methodsuboccipital relaxationneck painamylasesIgA
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