title: [Manual therapy in non-specific neck pain].
abstract: OBJECTIVE
  To investigate the effectiveness of manual therapy (MT) in patients with nonspecific neck pain (NNP).
  
  
  METHODS
  Ninety two patients with NNP, aged from 18 to 60 years (41,1±10,2 years), 64 (69,6%) women, 28 (30,4%) men, were examined. Treatment duration was 3 weeks with 6 sessions (2 sessions per week). The effectiveness of treatment was evaluated by measuring the decrease of pain intensity, improvement of daily activity, and patient-related recovery measured with the 11-point Numerical Rating Scale (NRS), the Neck Disability Index (NDI) and the 7-point Global Perceived Effect scale (GPE). Size effect was assessed using Cohen's d.
  
  
  RESULTS
  In the end of treatment, pain was reduced by 3,4±2,3 points (from 4,5±2,5 to 1,1±1,0 points; Cohen's d 1,98); disability was improved by 9,5±5,0 points (from 15,2±5,6 to 5,8±4,0 points; Cohen's d 1,97); patients assessed mean global improvement as «improved» and «much improved» (the improvement by 2-3 points on GPE scale).
  
  
  CONCLUSIONS
  MT in NNP is effective method of treatment that decreases pain syndrome, improves daily activity and is positively assessed by the patients.
authors.affiliation: Pirogov Russian National Research Medical University, Moscow, Russia; Center for Manual therapy Department of Healthcare, Moscow, Russia.
authors.forename: M A
authors.initials: MA
authors.lastname: Bakhtadze
authors.affiliation: Pirogov Russian National Research Medical University, Moscow, Russia; Center for Manual therapy Department of Healthcare, Moscow, Russia.
authors.forename: K O
authors.initials: KO
authors.lastname: Kuz'minov
authors.affiliation: Pirogov Russian National Research Medical University, Moscow, Russia; Center for Manual therapy Department of Healthcare, Moscow, Russia.
authors.forename: D A
authors.initials: DA
authors.lastname: Bolotov
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026201:Musculoskeletal Manipulations; D019547:Neck Pain / Q000503:physiopathology / Q000628:therapy*; D010147:Pain Measurement; D016896:Treatment Outcome; D055815:Young Adult