2026-04-13T06:50:00Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/135952025-10-24T08:28:48Zcom_2072_451660com_2072_378040col_2072_451662

00925njm 22002777a 4500 dc Parera, Joan author Garolera, Maite author Navarro Pastor, Jose Blas author Bech-Decareda, Dolors Esteve author Gual-Beltran, Josep author Toledo-Marhuenda, José Vicente author 2025-09-03T11:09:50Z 2025-09-03T11:09:50Z 2025-03-24 Cervical manipulation; Whiplash injury; Physiotherapy Manipulació cervical; Lesió per fuetada cervical; Fisioteràpia Manipulación cervical; Lesión por latigazo cervical; Fisioterapia Whiplash injuries (WLs) are the most frequent cause of emergency room visits after motor vehicle collisions. In clinical practice, massage, electrotherapy, mobilization, or therapeutic exercise are used. As part of manual therapy, high-velocity, low-amplitude manipulative techniques can also be used. Objectives: To evaluate the effect of the cervical Specific Adjustment Technique (SAT) in adults affected by whiplash on pain, functionality, cervical mobility, and radiological changes in cervical curvature through a prospective, single-blind, randomized clinical trial. Methods: One hundred and nineteen patients with grade II acute WL were randomly assigned to either the manipulation group (MAN group = 59) or the rehabilitation group (RHB group = 60) to receive 3 or 20 sessions of treatment, respectively. Both groups were measured at baseline and 15, 30, and 120 days after starting treatment. Results: Statistically significant differences were found in the MAN group in flexion (p = 0.041) and left-side bending (p = 0.022); similar statistical values were found in the other measures. According to the interaction treatment-time effect, statistical significance for the Cobb angle was obtained in the MAN group (p = 0.047). Conclusions: the effects of SAT were comparable in terms of pain, functionality, and mobility of the cervical spine. Although further research is needed on its effects in the acute phase, due to its effectiveness and lower associated cost, SAT could be considered a useful technique, at least during the first 3 months after a traffic collision. http://hdl.handle.net/11351/13595 Cervicàlgia Fuetades cervicals Medicina física ANATOMY::Musculoskeletal System::Skeleton::Bone and Bones::Spine::Cervical Vertebrae DISEASES::Wounds and Injuries::Neck Injuries::Whiplash Injuries ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Complementary Therapies::Musculoskeletal Manipulations::Manipulation, Chiropractic ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Therapeutics::Rehabilitation::Physical Therapy Modalities ANATOMÍA::sistema musculoesquelético::esqueleto::huesos::columna vertebral::vértebras cervicales ENFERMEDADES::heridas y lesiones::traumatismos del cuello::lesiones por latigazo cervical TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::tratamientos complementarios::manipulaciones musculoesqueléticas::manipulación quiropráctica TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapéutica::rehabilitación::modalidades de fisioterapia The Effects of Cervical Manipulation Compared with a Conventional Physiotherapy Program for Patients with Acute Whiplash Injury: A Randomized Controlled Trial