[en] Presentation: A 22-year-old patient has been selected for this clinical case, who has presented chronic cervical pain for 8 years. She has received different treatments of manual therapy, which have only managed to improve his symptoms during periods of 10-15 days. In addition, recurrent headaches occur every 2-3 days, which, in the same way, with the physiotherapeutic treatments were resolved, but recurring again in the same time interval. This pathology impinges importantly on the activities of the patient's daily life, such as studying or reading. It encourages him to develop everyday actions such as studying or reading. Course objective: To explain the effect that a therapeutic exercise plan can exert on a patient with chronic neck pain. Intervention: We conducted a 7-week treatment program with 21 sessions in clinical and 44 sessions of therapeutic exercise. This program was divided into two main phases. A first time that a manual therapy treatment based on masotherapy and suboccipital inhibition is performed. This first part is complemented with the therapeutic treatment in the clinic, the second stage consisted in a plan of therapeutic exercise that the patient performed at his home every day of the week. Results: The patient has shown improvements in the symptomatology, with a reduction of cervical pain. The headaches that present with moderate intensity have disappeared. The cervical disability scale (CID) has decreased by 22% and the SF-36 quality of life scale showed an improvement of 39.08%. Conclusions: The results of the clinical case have been positive to the intervention of a multimodal protocol of manual therapy and a plan of therapeutic exercise. These results are in general agreement with the scientific literature. However, the time has valued the results in the longer term.

[gl] Presentación: Para este caso clínico seleccionouse unha paciente de 22 anos, que presenta dor crónica cervical dende fai 8 anos. Recibiu diferentes tratamentos de terapia manual, que só conseguiron mellorar a súa sintomatoloxía durante periodos de 10-15 días, Ademais, presenta dores de cabeza recurrentes cada 2-3 días que, da misma forma, cos tratamentos fisioterapéuticos se resolvían, pero volvían a recidivar no mesmo intervalo de tempo. Esta patoloxía incide de forma importante nas actividades da vida diaria da paciente impedíndolle desenrolar accións como estudar ou ler. Obxetivo xeral: Expoñer o efecto que pode exercer un plan de exercicio terapéutico nunha paciente con dor cervical crónica. Intervención: Realizouse un programa de 7 semanas de tratamento con 21 sesión en clínica e 44 sesións de exercicio terapéutico. Este programa dividiuse en dúas fases principais. Unha primera once se realizou un tratamento de terapia manual basado en masoterapia e inhibición de suboccipitais. Esta primeira parte complementouse con exercicio terapéutico en clínica. A segunda etapa consistiu nun plan de exercicio terapéutico que a paciente realizo no seu domicilio tódolos días da semana, dúas veces ó día. Resultados: A paciente manifestou melloras na sintomatoloxía, cunha reducción da dor cervical. As dores de cabeza que presentaba con intensidade moderada desapareceron. A escala de discapacidade (IDC) presentou una disminución do 22% e a escala de calidade de vida SF-36 mostrou unha mellora do 39,08%. Conclusións: Os resultados do caso clínico foron positivos á intervención dun protocolo multimodal da terapia manual e un plan de exercicio terapéutico. Estos resultados coinciden de forma xeral ca literatura científica actual. Como limitación, indicar que algún artículos non presentan una evidencia de alta calidade, o que supón certas dudas sobre os seus resultados