{"doi":"10.1016/j.jbmt.2019.11.002","title":"Osteopathic manipulative treatment combined with exercise improves pain and disability in individuals with non-specific chronic neck pain: A pragmatic randomized controlled trial","abstract":null,"journal":"Journal of Bodywork and Movement Therapies","year":2020,"id":655358,"datarank":0.5416376868966337,"base_score":3.6109179126442243,"endowment":3.6109179126442243,"self_citation_contribution":0.5416376868966337,"citation_network_contribution":0.0,"self_endowment_contribution":0.5416376868966337,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":36,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1710732,"name":"Tais Malysz","orcid":null,"position":1,"is_corresponding":false},{"id":1710733,"name":"Luciano de Souza da Silva","orcid":null,"position":2,"is_corresponding":false},{"id":1710734,"name":"Tamara Rocha Ribeiro Sanches","orcid":null,"position":3,"is_corresponding":false},{"id":1710736,"name":"Karoline Camargo Bragante","orcid":null,"position":4,"is_corresponding":false},{"id":1710737,"name":"Franciele Locatelli","orcid":null,"position":5,"is_corresponding":false},{"id":1710739,"name":"Cleder Pontel Vigolo","orcid":null,"position":6,"is_corresponding":false},{"id":1710740,"name":"Simone Vaccari","orcid":null,"position":7,"is_corresponding":false},{"id":1710741,"name":"Cristina Homercher Rosa Francisco","orcid":null,"position":8,"is_corresponding":false},{"id":1710742,"name":"Simone Monteiro Steigleder","orcid":null,"position":9,"is_corresponding":false},{"id":1710743,"name":"Geraldo Pereira Jotz","orcid":null,"position":10,"is_corresponding":false},{"id":1710730,"name":"Sandro Groisman","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Osteopathic manipulative treatment combined with exercise improves pain and disability in individuals with non-specific chronic neck pain: A pragmatic randomized controlled trial","abstract":"<h4>Purpose</h4>To determine effectiveness of osteopathic manipulative treatment combined with stretching and strengthening exercises in the cervical region on pain and disability in individuals with non-specific chronic neck pain.<h4>Methods</h4>90 adults with non-specific chronic neck pain were randomized to either exercises group (EG, n = 45) or osteopathic manipulative treatment associated with exercises group (OMT/EG, n = 45). The primary outcomes were obtained by the use of Numeric Pain-Rating Scale (NPRS), Pressure Pain Threshold (PPT) and Neck Disability Index (NDI). Secondary outcomes included range of motion (ROM) for cervical spine rotation, Fear-Avoidance Beliefs Questionnaire Work/Physical Activity (FABQ-W/PA) and Pain-self efficacy at two different moments: baseline and 4 weeks after the first treatment. Techniques and dosages of OMT were selected pragmatically by a registered osteopath. Generalized Estimating Equations model (GEE), complemented by the Least Significant Difference (LSD) and the intention-to-treat analysis, was used to assess the clinical outcomes.<h4>Results</h4>Analysis with GEE indicated that OMT/EG reduced pain and disability more than the EG alone after 4 weeks of treatment with statistically significant difference (p < 0,05), as well as cervical active rotation was significantly improved (p = 0.03). There were no between-group differences observed in Pressure Pain Threshold (PPT) measure, Fear-Avoidance Beliefs Questionnaire and Pain-self efficacy.<h4>Conclusion</h4>The association between OMT and exercises reduces pain and improves functional disability more than only exercise for individuals with non-specific chronic neck pain.","is_dataset_classified":null,"base_score":3.6109179126442243,"endowment":3.6109179126442243,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"32507144","pmcid":null,"openalex_id":"https://openalex.org/W2984991547","authors":[],"funders":[{"funder_name":"Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil","grant_id":"001","title":null}],"total_grants":1,"fwci":0.6419,"citation_percentile":0.70188602,"influential_citations":0,"citation_trend":[{"year":2021,"count":1},{"year":2022,"count":3},{"year":2023,"count":11},{"year":2024,"count":8},{"year":2025,"count":7},{"year":2026,"count":6}],"oa_status":"closed","license":"https://www.elsevier.com/legal/tdmrep-license","oa_locations":[{"url":"https://api.elsevier.com/content/article/PII:S1360859219303973?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S1360859219303973?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.jbmt.2019.11.002","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/32507144","host_type":"repository"}],"fields_of_study":["Musculoskeletal pain and rehabilitation","Myofascial pain diagnosis and treatment","Fibromyalgia and Chronic Fatigue Syndrome Research","Adult","Chronic Pain","Exercise","Humans","Manipulation, Osteopathic","Neck Pain","Pain Measurement","Treatment Outcome"],"mesh_terms":["Adult","Humans","Pain Measurement","Exercise","Treatment Outcome","Neck Pain","Manipulation, Osteopathic","Chronic Pain"],"keywords":["Medicine","Gee","Physical therapy","Neck pain","Randomized controlled trial","Manual therapy","Range of motion","Chronic pain","Rating scale","Physical medicine and rehabilitation","Generalized estimating equation","Internal medicine","Psychology","Alternative medicine","Osteopathy","Disability","Musculoskeletal Manipulations","Osteopathic Manipulative Treatment"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-11T10:35:27.012088Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}