Combining manual therapy, therapeutic exercises, and patient education to reduce neck pain in a 54 y/o female: A retrospective case report
Type of Presentation
Event
Location
Hall of Governors
Start Date
4-7-2017 4:00 PM
End Date
4-7-2017 6:00 PM
Abstract
Background and Purpose: Neck pain has a high global prevalence in humans, interfering with functional and social abilities. The purpose of this retrospective case study was to determine if combined physical therapy interventions decrease non-radicular neck pain.
Case Description: The patient was a 54-year-old Caucasian female who presented to outpatient physical therapy with complaints of neck pain that radiated between her scapulae. There were no reports of prior injury and the patient stated that the pain was without incident and began 6-8 weeks prior to initial outpatient physical therapy visit. She participated in 5 weeks of physical therapy interventions consisting of manual therapy, therapeutic exercises, and patient education.
Outcomes: The intervention caused no adverse effects. The patient reported reduced pain and increase in ROM and functional ability. There was a 4 point decrease on the NPRS and 14%/7points decrease in disability on the NOi indicating functional improvement. For the NOi, the score met the MCIO of 5 points and 7 points. On the NPRS, a 3 point change is needed for the minimal detectable change.
Discussion: Multi-interventional approaches may be beneficial for patients with insidious onset neck pain. Research has shown that there is more long-term effectiveness of using manual therapy with therapeutic exercise in order to treat neck pain. In addition to these interventions, it is important to teach patients about proper posture and body mechanics to maintain pain free functional activities.
Combining manual therapy, therapeutic exercises, and patient education to reduce neck pain in a 54 y/o female: A retrospective case report
Hall of Governors
Background and Purpose: Neck pain has a high global prevalence in humans, interfering with functional and social abilities. The purpose of this retrospective case study was to determine if combined physical therapy interventions decrease non-radicular neck pain.
Case Description: The patient was a 54-year-old Caucasian female who presented to outpatient physical therapy with complaints of neck pain that radiated between her scapulae. There were no reports of prior injury and the patient stated that the pain was without incident and began 6-8 weeks prior to initial outpatient physical therapy visit. She participated in 5 weeks of physical therapy interventions consisting of manual therapy, therapeutic exercises, and patient education.
Outcomes: The intervention caused no adverse effects. The patient reported reduced pain and increase in ROM and functional ability. There was a 4 point decrease on the NPRS and 14%/7points decrease in disability on the NOi indicating functional improvement. For the NOi, the score met the MCIO of 5 points and 7 points. On the NPRS, a 3 point change is needed for the minimal detectable change.
Discussion: Multi-interventional approaches may be beneficial for patients with insidious onset neck pain. Research has shown that there is more long-term effectiveness of using manual therapy with therapeutic exercise in order to treat neck pain. In addition to these interventions, it is important to teach patients about proper posture and body mechanics to maintain pain free functional activities.