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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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European Journal of Physical and Rehabilitation Medicine 2011 December;47(4):561-8

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English

Effects of myofascial technique in patients with subacute whiplash associated disorders: a pilot study

Picelli A. 1, 2, Ledro G. 1, 3, Turrina A. 3, Stecco C. 4, Santilli V. 2, 5, Smania N. 1, 6

1 Neuromotor and Cognitive Rehabilitation Research Centre Center, Department of Neurological, Neuropsychological, Morphological and Movement Sciences, University of Verona, Verona, Italy; 2 PhD course in Experimental Physical Medicine and Rehabilitation applied to Human Locomotor System, University of Rome “La Sapienza”, Rome, Italy; 3 Madrid School of Osteopathy, Italian Section, Verona, Italy; 4 Section of Anatomy, Department of Human Anatomy and Physiology, University of Padua, Padua, Italy; 5 Department of Physical Medicine and Rehabilitation, La Sapienza University, Rome, Italy; 6 Neurological Rehabilitation Unit, Azienda Ospedaliera-Universitaria Integrata, Verona, Italy


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BACKGROUND:Whiplash associated disorders commonly affect people after a motor vehicle accident, causing a variety of disabling manifestations. Some manual and physical approaches have been proposed to improve myofascial function after traumatic injuries, in order to effectively reduce pain and functional limitation.
AIM: To evaluate whether the application of the Fascial Manipulation© technique could be more effective than a conventional approach to improve cervical range of motion in patients with subacute whiplash associated disorders.
DESIGN: Pilot randomized clinical trial.
METHODS: Eighteen patients with subacute whiplash associated disorders were randomized into two groups. Group A (N.=9) received three, 30-minute sessions, (every five days during a two week period) of neck Fascial Manipulation©. Group B (N.=9) received ten, 30-minute sessions (five days a week for two consecutive weeks) of neck exercises plus mobilization. Patients were evaluated before, immediately after and two weeks post-treatment. Primary outcome measures: cervical active range of motion (flexion, extension, right lateral-flexion, left lateral-flexion, right rotation, and left rotation).
RESULTS: A statistically significant improvement in neck flexion was found after treatment in favour of Group A (60.2±10.8°) compared with Group B (46.3±15.1°). No differences were found between groups for the other primary outcomes at post-treatment or follow-up.
CONCLUSION: The Fascial Manipulation© technique may be a promising method to improve cervical range of motion in patients with subacute whiplash associated disorders.
CLINICAL REHABILITATION IMPACT: Myofascial techniques may be useful for improving treatment of subacute whiplash associated disorders also reducing their economic burden.

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nicola.smania@univr.it