The effects of osteopathic treatment on non-specific chronic neck pain and disability
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Citation:Gasson, M. (2013). The effects of osteopathic treatment on non-specific chronic neck pain and disability. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy). Unitec Institute of Technology, Auckland, New Zealand. Retrieved from https://hdl.handle.net/10652/2339
Permanent link to Research Bank record:https://hdl.handle.net/10652/2339
Background: Neck pain is common among the general population and can be disabling and costly. Aim: The aim of this quasi-randomised controlled trial was to investigate whether osteopathic treatment would reduce perceived disability and pain in people with chronic neck pain. Methods: Twenty-one participants (mean age 52.1 ± 10.8 years; 6 males, 15 females) with chronic, non-specific neck pain (median duration of symptoms of 313 weeks [range = 17-1565]) were recruited and enrolled in this study. Participants were randomised either to begin immediately or after 3 weeks, a 3-week course of osteopathic. Results: An ANOVA model revealed greater improvements after 3 weeks in Neck Disability Index (NDI) (P = 0.03) for the Immediate-Start group (from 23 ± 12 to 17 ± 11 points) compared to a negligible change for those who had a delayed start (25 ± 10 to 26 ± 10 points). Analysed as a single cohort, improvements over time were observed for all outcome measures (P values all <0.01). Post hoc analyses showed a mean reduction of 9 percentage points (95% CI: 5 – 13) for NDI, 2 points reduction (95% CI: 1 – 3) for PSFS, and 9-point reduction (95% CI: 3 – 14) for MPQ from before to immediately following the last treatment session as well as similar reductions from before treatment to the 6-week follow-up measure (at P < 0.05 level). A similar analysis for pain intensity (VAS) showed changes from pre-intervention 3.3 ± 2 cm to all follow-up treatment measurements, the final measurement at 6-weeks being 1.5 ± 1.5 cm. Conclusion: Self-reported pain and disability were reduced following a course of osteopathic treatment. This quasi-randomised controlled trial suggests that osteopathic treatment may be effective for the management of chronic neck pain.