Efecto de los deslizamientos apofisarios naturales sostenidos versus la técnica de inhibición neuromuscular integrada sobre el dolor cervical inespecífico

Autores/as

  • Hajar M. Edris Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Mohammed E. Abdulalim Researcher of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
  • Ahmed Salim Mohamed Salim Profesor del Departamento de Fisioterapia Pediátrica y Cirugía, Facultad de Fisioterapia, Universidad Al Salam, Khafr El-Zayat, Egipto
  • Khaled Alaa Eldin Fetouh Lecturer of Physical Therapy for Orthopedic Department, Faculty of Physical Therapy, King Salman International University, South Sinai, Egypt.
  • Nagwa Sayed Abdelwahed Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Maha Samir Younis Ahmed Lecturer of Physical Therapy for Internal Medicine and Geriatric Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Doaa Mohammed El Ghazally El Zawhry Lecturer of Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.
  • Mennatallah M. Abdellatif Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt.

DOI:

https://doi.org/10.47197/retos.v79.119235

Palabras clave:

Dolor de cuello, compresión isquémica, deslizamientos apofisarios naturales sostenidos

Resumen

Fundamento: El dolor cervical inespecífico (PNIN) se puede definir como un dolor mecánico que surge entre el occipucio y la tercera vértebra torácica sin una explicación específica.

Propósito: Diferenciar entre los efectos de los deslizamientos apofisarios naturales sostenidos (SNAG) frente a la técnica de inhibición neuromuscular integrada (INIT) en pacientes que padecen Dolor Cervical Inespecífico (NSNP).

Métodos: Sesenta individuos fueron divididos en tres grupos equivalentes al azar. Se administró tratamiento de fisioterapia convencional a todos los grupos A, B y C, mientras que al Grupo B se le administraron SNAG y al Grupo C también se le administró el enfoque INIT. Las evaluaciones se realizaron con el uso de EVA, algómetro de presión, CROM, índice de discapacidad del cuello.

Resultados: Los análisis estadísticos (MANOVA, ANOVA y pruebas post hoc) indicaron que las diferencias fueron estadísticamente significativas (P = 0,001) en Dolor, Rotación Rt, Rotación Lt y TPP y (P = 0,0001) EN Flexión, Extensión, Flexión Lateral Rt, Flexión Lateral Lt e IDN, lo que indica que el Grupo C y el Grupo B fueron más efectivos que el Grupo A para mejorar los resultados. Los resultados para los grupos B y C no fueron significativamente diferentes. El Grupo C mostró la mejora más significativa, luego seguido por el Grupo B y finalmente el Grupo A.

Conclusión: Agregar inconvenientes o INMI al programa convencional es beneficioso en el manejo de NSNP.

Biografía del autor/a

  • Hajar M. Edris, Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Mohammed E. Abdulalim, Researcher of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

    Researcher of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.

  • Khaled Alaa Eldin Fetouh, Lecturer of Physical Therapy for Orthopedic Department, Faculty of Physical Therapy, King Salman International University, South Sinai, Egypt.

    Lecturer of Physical Therapy for Orthopedic Department, Faculty of Physical Therapy, King Salman International University, South Sinai, Egypt.

  • Nagwa Sayed Abdelwahed, Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Maha Samir Younis Ahmed, Lecturer of Physical Therapy for Internal Medicine and Geriatric Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Internal Medicine and Geriatric Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Doaa Mohammed El Ghazally El Zawhry, Lecturer of Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

    Lecturer of  Physical Therapy for Burn and Surgery Department, Faculty of Physical Therapy, May University in Cairo, Cairo, Egypt.

  • Mennatallah M. Abdellatif, Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt.

    Lecturer of Physical Therapy for Basic Sciences Department, Faculty of Physical Therapy, Badr University in Cairo, Cairo, Egypt.

Referencias

Ahmad, R., Asim, H., & Nasir, R. (2015). Comparison of Mulligan manual therapy techniques with Kal-tenborn manual therapy techniques in patients with nonspecific neck pain in improvement on neck disability index. Int J Sci Res, 4(8):1913-1916.

Arumugam, V., Selvam, S., & MacDermid, J. C. (2014). Radial nerve mobilization reduces lateral elbow pain and provides short-term relief in computer users. The open orthopaedics journal, 8, 368–371.

Baker, R. T., Nasypany, A., Seegmiller, J. G., & Baker, J. G. (2013). Instrument-assisted soft tissue mobili-zation treatment for tissue extensibility dysfunction. International Journal of Athletic Therapy and Training, 18(5), 16-21.‏

Boonstra, A. M., Schiphorst Preuper, H. R., Reneman, M. F., Posthumus, J. B., & Stewart, R. E. (2008). Re-liability and validity of the visual analogue scale for disability in patients with chronic muscu-loskeletal pain. International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation, 31(2), 165–169.

Cagnie, B., Danneels, L., Van Tiggelen, D., De Loose, V., & Cambier, D. (2007). Individual and work related risk factors for neck pain among office workers: a cross sectional study. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 16(5), 679–686.

Chaitow, L., & Delany, J. (2008). Clinical application of neuromuscular techniques: The upper body, Shoulder, arm and hand (Vol. 1). Elsevier Health Science; 1-20.

Chaitow, L., & DeLany, J. (2011). Clinical Application of Neuromuscular Techniques, Volume 2 E-Book: Clinical Application of Neuromuscular Techniques, Volume 2 E-Book. Elsevier Health Sciences.‏

Côté, P., Cassidy, J. D., & Carroll, L. (2003). The epidemiology of neck pain: what we have learned from our population-based studies. The Journal of the Canadian Chiropractic Association, 47(4), 284–290.

D'Ambrogio, K. J., & Roth, G. B. (1997). Positional release therapy: Assessment & treatment of muscu-loskeletal dysfunction. St. Louis: Mosby.

Edris, H. M., El-Sayed, W. H., & Mohamed, G. I. (2017). Mulligan versus kinesio tape in patients with me-chanical neck pain. Int J Physiother Res, 5(6), 2443-50.‏

El-Sodany, A. M., Alayat, M. S. M., & Zafer, A. M. I. (2014). Sustained natural apophyseal glides mobiliza-tion versus manipulation in the treatment of cervical spine disorders: a randomized controlled trial. Int J Adv Res, 2(6), 274-280.

Gautam, R., Dhamija, J. K., & Puri, A. (2014). Comparison of maitland and mulligan mobilization in im-proving neck pain, rom and disability. Int J Physiother Res, 2(3), 482-87.‏

Greenman, P. E. (1996). Principles of manual medicine;‏ Williams & Wilkins; 1996.

Hammer W. I. (2008). The effect of mechanical load on degenerated soft tissue. Journal of bodywork and movement therapies, 12(3), 246–256.

Hanten, W. P., Olson, S. L., Butts, N. L., & Nowicki, A. L. (2000). Effectiveness of a home program of ischemic pressure followed by sustained stretch for treatment of myofascial trigger points. Physical therapy, 80(10), 997–1003.

Hou, C. R., Tsai, L. C., Cheng, K. F., Chung, K. C., & Hong, C. Z. (2002). Immediate effects of various physi-cal therapeutic modalities on cervical myofascial pain and trigger-point sensitivity. Archives of physical medicine and rehabilitation, 83(10), 1406–1414.

Hurwitz, E. L., Randhawa, K., Yu, H., Côté, P., & Haldeman, S. (2018). The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. European spine journal : offi-cial publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 27(Suppl 6), 796–801.

Ismail, M. M. (2008). The Effect of Neck Endurance Training as a Component of an Exercise Program for Chronic Non-specific Neck Pain. Bull. Fac. Ph. Th. Cairo Univ, 13(1), 309-315.‏

Jones, L. H. (1964). Spontaneous release by positioning. The Do, 4, 109-116.

Jyothirmai, B., Kumar, K. S., Raghavkrishna, S., & Madhavi, K. (2015). Effectiveness of integrated neu-romuscular inhibitory technique (INIT) with specific strength training exercises in subjects with upper trapezius trigger points. International Journal of Physiotherapy, 2(5), 759-763.

Kazmi, S. A. M., Iqbal, S., Rafi, M. S., & Hamidi, K. (2012). Immediate effects of spinal manipulation com-pared to mulligan sustained natural apophyseal glide mobilization technique in cervical pain. Pakistan Journal of Rehabilitation, 1(2), 17-21.‏

Lytras, D. E., Sykaras, E. I., Christoulas, K. I., Myrogiannis, I. S., & Kellis, E. (2020). Effects of Exercise and an Integrated Neuromuscular Inhibition Technique Program in the Management of Chronic Me-chanical Neck Pain: A Randomized Controlled Trial. Journal of manipulative and physiological therapeutics, 43(2), 100–113.

Nagrale, A. V., Glynn, P., Joshi, A., & Ramteke, G. (2010). The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: a randomized controlled trial. The Journal of manual & manipulative therapy, 18(1), 37–43.

Paksaichol, A., Janwantanakul, P., Purepong, N., Pensri, P., & van der Beek, A. J. (2012). Office workers' risk factors for the development of non-specific neck pain: a systematic review of prospective cohort studies. Occupational and environmental medicine, 69(9), 610–618.

Scott Haldeman, D. C., Carroll, L., Cassidy, J. D., & Åke Nygren, D. D. S. (2008). The bone and joint decade 2000-2010 task force on neck pain and its associated disorders. European Spine Journal, 17, 5.

Yin, Q., Wang, D., Chen, X. H., Lu, F., & Cao, H. Z. (2024). Reliability and validity of the pressure algometer in predicting gynecological surgery pain. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 37(1), 2406342.

You, M., Wang, Z., Yang, H., Chen, B., Yang, L., & Li, J. (2022). The use of neurodynamic mobilization in patients with cervical spondylotic radiculopathy: in mild pain or pain-free range? A randomized controlled trial.‏

Descargas

Publicado

01-06-2026

Número

Sección

Artículos de carácter científico: investigaciones básicas y/o aplicadas

Cómo citar

Edris, H. M., Abdulalim, M. E., Salim, A. S. M., Fetouh, K. A. E., Abdelwahed, N. S., Ahmed, M. S. Y., El Zawhry, D. M. E. G., & Abdellatif, M. M. (2026). Efecto de los deslizamientos apofisarios naturales sostenidos versus la técnica de inhibición neuromuscular integrada sobre el dolor cervical inespecífico. Retos, 79, 852-861. https://doi.org/10.47197/retos.v79.119235