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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


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

lingua: Inglese

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