Effects of the active release technique on pain and range of motion of patients with chronic neck pain

Jun Ho Kim, Han Suk Lee, Sun Wook Park, Jun Ho Kim, Han Suk Lee, Sun Wook Park

Abstract

[Purpose] To compare the influences of the active release technique (ART) and joint mobilization (JM) on the visual analog scale (VAS) pain score, pressure pain threshold (PPT), and neck range of motion (ROM) of patients with chronic neck pain. [Subjects] Twenty-four individuals with chronic neck pain were randomly and equally assigned to 3 groups: an ART group, a joint mobilization (JM) group, and a control group. Before and after the intervention, the degree of pain, PPT, and ROM of the neck were measured using a VAS, algometer, and goniometer, respectively. [Results] The ART group and JM group demonstrated significant changes in VAS and ROM between pre and post-intervention, while no significant change was observed in the control group. Significant differences in the PPT of all muscles were found in the ART group, while significant differences in all muscles other than the trapezius were found in the JM group. No significant difference in PPT was observed in any muscle of the control group. The posthoc test indicated no statistically significant difference between the ART and JM group, but the differences of variation in VAS, PPT, and ROM were greater in the ART group than in the JM and control groups. [Conclusion] ART for the treatment of chronic neck pain may be beneficial for neck pain and movement.

Keywords: Active release technique; Chronic neck pain; Soft tissue.

References

    1. Chung SH, Her JG, Ko TS, et al. : Effects of exercise on deep cervical flexors in patients with chronic neck pain. J Phys Ther Sci, 2012, 24: 629–632.
    1. Hwangbo G: Analysis of the change of the neck pressure pain threshold in long term computer users. Int J Contents, 2008, 8: 151–158.
    1. Sarig-Bahat H: Evidence for exercise therapy in mechanical neck disorders. Man Ther, 2003, 8: 10–20.
    1. Hyung IH, Kim SS, Lee SY: The effect of immediate pain and cervical ROM of cervical pain patients on stretching and manipulation. J Korean Soc Phys Ther, 2009, 21: 1–7.
    1. Oh SG, Yu SH: Biomechanical changes in lower quadrant after manipulation of low back pain patients with sacroiliac joint dysfunction. J Korean Soc Phys Ther, 2001, 8: 167–180.
    1. Jull GA, Falla D, Vicenzino B, et al. : The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther, 2009, 14: 696–701.
    1. Ko TS, Jeong UC, Lee KW: Effects of the inclusion thoracic mobilization into cranio-cervical flexor exercise in patients with chronic neck pain. J Phys Ther Sci, 2010, 22: 87–91.
    1. Kim DD: The effects of manipulation and mobilization on NDI and CROM in young adults with mild neck disability. J Korean Acad Orthop Man Phys Ther, 2010, 16: 53–60.
    1. Jun YW: The effects of upper thoracic joint mobilization technique using Kaltenborn-Evjenth concept on cervicothoracic ROM and pain in patients with chronic neck pain. Graduate school Korea University Master’s Degree, 2012.
    1. Tak SJ, Lee YW, Choi W, et al. : The effects of active release technique on the gluteus mediusfor pain relief in persons with chronic low back pain. Physical Therapy Rehabilitation Science, 2013, 2: 27–30.
    1. Brian A, Kamali A, Michael Leahy P: Release Your Pain: Resolving Repetitive Strain Injuries with Active Release Techniques. Pub Group West, 2005, 15–29.
    1. Lee SJ, Park JH, Nam SH, et al. : Two clinical cases of active release technique with Korean medicine treatment for supraspinatus tendon partial tear. J CHUNA Man Med Spine Nerves, 2014, 9: 89–101.
    1. Dvord J, Valach L, Schmdt S: Cervical spine injuries in Swizerland. Man Med, 1989, 4: 7–16.
    1. Hyun SW: The effects of joint mobilization and conservative physical therapy on the range of motion and pain in patients with cervical pain. Graduate school Kookmin University Master’s Degree, 2003.
    1. Bijur PE, Silver W, Gallagher EJ: Reliability of the visual analog scale for measurement of acute pain. Acad Emerg Med, 2001, 8: 1153–1157.
    1. Kim SH, Kwon BA, Lee WH: Effects of cervical spinal stabilization training in private security on chronic neck pain and cervical function, neck pain, ROM. Korean Secur Sci Rev, 2010, 25: 89–107.
    1. Cho SH: The effect of myofascial release technique and forward head posture correction exercise on chronic tension-type headache. Graduate school Catholic University of Pusan Doctor’s Degree, 2014.
    1. Jang HJ: Effects of combined exercise program on pain and function and range of motion and fatigability in chronic neck pain. Graduate school University Sahmyook Master’s Degree, 2011.
    1. Kim HJ, Bae SS, Jang C: The effects of joint mobilization on neck pain. J Korean Soc Phys Ther, 2003, 15: 65–90.
    1. Côté P, Cassidy JD, Carroll LJ, et al. : The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain, 2004, 112: 267–273.
    1. Lee JH, Lee YH, Kim HS, et al. : The effects of cervical mobilization combined with thoracic mobilization on forward head posture of neck pain patients. J Phys Ther Sci, 2013, 25: 7–9.
    1. Ferreira LA, Santos LC, Pereira WM, et al. : Analysis of thoracic spine thrust manipulation for reducing neck pain. J Phys Ther Sci, 2013, 25: 325–329.
    1. Seo HK: The effect of myofascial release, joint mobilization, and Mckenzine on the cervical muscle activity. Graduate school Daegu University Doctor’s Degree, 2008.
    1. Robb A, Pajaczkowski J: Immediate effect on pain thresholds using active release technique on adductor strains: pilot study. J Bodyw Mov Ther, 2011, 15: 57–62.
    1. George JW, Tunstall AC, Tepe RE, et al. : The effects of active release technique on hamstring flexibility: a pilot study. J Manipulative Physiol Ther, 2006, 29: 224–227.

Source: PubMed

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