Effectiveness of Massage Therapy With Active Component and Therapeutic Exercise in Cervical Pain

Effectiveness of Massage Therapy With Active Component and Therapeutic Exercise in Cervical Pain

It is an interventional study that proves the eficacy of the manual therapy with active manual therapy and combined with exercise in cervical pain.

The study will be divided in two different groups:

• A control group (group A) : they will receive a treatment with manual therapy and physical exercise.
• An experimental group (group B) : they will receive the previous treatment, but also the pacient's do active muscle active contraction.

The exercise is compound by a home program of several exercises with diferent difficulties.

The contraction will consist on a combination of concentric and isometric work. being the patient's pain threshold the one that will guide us to the choice of the predominance of concentric or isometric contraction . Both groups will be joined by a five-minute work on pain education.

Inclusion Criteria:

• accept to participate in the study, through informed consent
• subjects with chronic nonspecific neck pain lasting equal to or more than 3 months

Exclusion Criteria:

• Present neck pain caused by serious pathology such as: inflammatory, congenital, infectious, metabolic and neoplastic diseases.
• Cervical pathology of traumatic origin with less than 6 months of evolution.
• Rheumatic diseases.
• Neck pain with neurological signs such as: radiculopathy and myelopathy.
• Previous surgery of the cervical spine.
• Pregnancy.
• Have received physiotherapeutic treatment in the cervical region during the month prior to the inclusion of the study.
• Have the intention of receiving other physiotherapeutic treatments different from the one proposed during the study period.
• Present serious mental disorders.