Effectiveness of median nerve neural mobilization versus oral ibuprofen treatment in subjects who suffer from cervicobrachial pain: a randomized clinical trial

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Effectiveness of median nerve neural mobilization versus oral ibuprofen treatment in subjects who suffer from cervicobrachial pain: a randomized clinical trial

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Título: Effectiveness of median nerve neural mobilization versus oral ibuprofen treatment in subjects who suffer from cervicobrachial pain: a randomized clinical trial
Autor: Rodríguez Sanz, David;Unda Solano, Francisco;López López, Daniel;Sanz Corbalán, Irene;Romero Morales, Carlos;Calvo Lobo, César
Facultad/Centro: Escuela Universitaria de Ciencias de la Salud
Area de conocimiento: Fisioterapia
Resumen: Oral ibuprofen (OI) and median nerve neural mobilization (MNNM) are first line treatments for patients who suffer cervicobrachial pain (CP). OI may produce side effects which are not tolerated by all subjects who suffer CP, whereas MNNM has no known side effects. Therefore, the aim of this study was to assess the effectiveness of both treatments (OI vs. MNNM) in CP. Material and methods: This investigation was a blinded parallel randomized clinical trial (NCT02593721). Sixty-two participants diagnosed with CP were recruited and randomly assigned to 2 groups (n = 31), which received MNNM or 1200 mg/day OI treatment for 6 weeks. The numeric rating scale for pain intensity was the primary outcome. The cervical rotation range of motion (CROM) and the upper limb function were the secondary outcomes. Results: The results showed that OI treatment (η2 = 0.612–0.755) was clearly superior to MNNM (η2 = 0.816–0.821) in all assessments (p < 0.05) except for the CROM device results, which were equivalent to those of the MNNM group (p > 0.05). Three subjects were discharged because of OI side effects. Conclusions: Oral ibuprofen may be superior to MNNM for pain reduction and upper limb function increase of subjects with CP. Nevertheless, both treatments were effective. Median nerve neural mobilization may be considered an effective non-pharmaceutical treatment option in subjects with CP. Regarding OI adverse effects, our findings challenge the role of pharmacologic versus manual therapy as possible treatments that may improve pain intensity and upper limb functionality in subjects with CP. Effectiveness of median nerve neural mobilization versus oral ibuprofen treatment... | Request PDF. Available from: https://www.researchgate.net/publication/320554952_Effectiveness_of_median_nerve_neural_mobilization_versus_oral_ibuprofen_treatment_in_subjects_who_suffer_from_cervicobrachial_pain_a_randomized_clinical_trial [accessed Mar 08 2018].
Descripción física: 9 p.
Revisión por pares: SI
Editor: Termedia Publishing
Datos: Archives of Medical Science , 2017
URI: http://hdl.handle.net/10612/7565
Fecha: 2017-08-16
Tipo: info:eu-repo/semantics/article
Materia: Fisioterapia
Medicina. Salud
Palabras clave: Rehabilitation
Rehabilitación
Upper extremity
Extremidades superiores
Antiinflamatorios no esteroideos
Non-steroidal anti-inflammatory
Ibuprofeno
Ibuprofen
Manipulación (Terapéutica)
Musculoskeletal manipulations
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2017_Rodríguez- ... ectiveness MNNM vs IBU.pdf 88.12Kb PDF Ver/Abrir 2017_Rodríguez-Sanz et al.__Arch Med Sci_Effectiveness

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