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    Investigating inter-relationships between pain, mobility, and posture following osteopathic treatment in patients with chronic neck pain

    Frith, Kathryn Louise

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    Date
    2013
    Citation:
    Frith, K. L. (2013). Investigating inter-relationships between pain, mobility, and posture following osteopathic treatment in patients with chronic neck pain. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy).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/10652/2363
    Permanent link to Research Bank record:
    https://hdl.handle.net/10652/2363
    Abstract
    BACKGROUND: Previous studies have investigated the benefits of osteopathic treatment on pain and disability associated with neck pain but variables associated with treatment efficacy are unclear. This study aimed to investigate whether posture or mobility is associated with changes in pain and disability following osteopathic treatment. METHODS: Twenty-one participants (15 female and 6 male) with chronic neck pain received two osteopathic treatments per week for 3 weeks. and were randomised to start treatment immediately or after a 3-week delay. Neck Disability Index (NDI), pain via Visual Analogue Scale (VAS), cervical range of motion (in two planes and about its rotational axis), and posture via craniovertebral angle (CVA) were measured. RESULTS: A large inverse correlation was seen between initial NDI and change in VAS (from initial to post treatment) following osteopathic treatment (r = -0.62, p = 0.004). Non-significant trends towards inverse correlations of moderate effect size were observed between initial CVA and change in NDI from initial to follow-up (r = -0.41, p = 0.07), and between initial rotation left and change in NDI (initial to follow up) (r = -0.44, p = 0.28). Changes in pain and disability were not associated with any other posture or mobility variables or their change. CONCLUSIONS: This study shows little evidence that neck posture or mobility, or their changes, are associated with neck disability or pain changes following osteopathic treatment. Posture and mobility measures do not seem useful for predicting clinical outcomes of manual therapy.
    Keywords:
    neck pain, osteopathic medicine, manipulation, manual therapy, mobilisation, movement, musculoskeletal, spine, soft tissue treatment, mobility, posture
    ANZSRC Field of Research:
    110499 Complementary and Alternative Medicine not elsewhere classified
    Degree:
    Master of Osteopathy, Unitec Institute of Technology
    Supervisors:
    Bacon, Catherine; Moran, Robert
    Copyright Holder:
    Author

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    This digital work is protected by copyright. It may be consulted by you, provided you comply with the provisions of the Act and the following conditions of use. These documents or images may be used for research or private study purposes. Whether they can be used for any other purpose depends upon the Copyright Notice above. You will recognise the author's and publishers rights and give due acknowledgement where appropriate.
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    • Osteopathy Dissertations and Theses [208]

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