BACKGROUND: Three different types of manual therapy techniques for @entity1 with @entity4048 and relationship with psychological factors has not been evaluated. AIM: To compare the effectiveness high velocity and low amplitude (HVLA) manipulation vs. posteroanterior mobilization (PA mob) vs. sustain appophyseal natural glide (SNAG) in the management of @entity1 with @entity4048 and to evaluate the interaction with psychological factors. STUDY DESING: Randomized clinical trial. SETTING: Primary Health Care Center. POPULATION: @entity1 with history of @entity4048 over the last 3 months were recruited. METHODS: @entity1 were randomly assigned to receive treatment with HVLA (N.=15), with PA mob (N.=16) or with SNAG (N.=17). One session was applied. @entity158 intensity of @entity4048 , pressure @entity158 threshold over processus spinosus of @entity3627 ( @entity3445 _C2) and cervical range of motion (CROM) were measured pre- and post-intervention. @entity158 catastrophizing, @entity308 , @entity148 and kinesiophobia were assessed in baseline. ANOVAs were performed, with main effects, two-way (treatment x time) and three-way interactions (treatment x psychological variable x time) were examined. RESULTS: Fourthy-eight @entity1 (mean  SD age, 36.5  8.7 years; 87.5% female). A significant interaction treatment x time was observed for VAS-rest in HVLA and AP mob groups (P<0.05). With more @entity158 relief to HVLA and AP mob groups than SNAG groups but all groups improve the same in CROM. Also, a significant three-way treatment x @entity148 x time interaction for VAS in Flexion/Extension was identified (P<0.01), and a trend toward significance was observed for the three way treatment x @entity148 x time interaction, with respect to CROM in Lateral-Flexion movement (P<0.05). CONCLUSION: The results suggest that an HVLA and PA mob groups relieved @entity158 at rest more than SNAG in @entity1 with @entity4048 . Among psychological factors, only trait @entity148 seems interact with Manual therapy, mainly high @entity148 conditions interact with the Mobilization and SNAG effects but under low @entity148 conditions interact with the HVLA effects. Significant mean differences can be observed both in VAS in Flexion/Extension and in CROM in lateral-flexion movement when using mobilization under high @entity148 conditions CLINICAL REHABILITATION IMPACT: The findings provide preliminary evidence to support that three different techniques have similar immediate effects over @entity4048 and while under high @entity148 levels a better outcome is expected after mobilization intervention, under low @entity148 levels a better prognosis is expected after manipulation and SNAG intervention.

Mobilization versus manipulations versus sustain apophyseal natural glide techniques and interaction with psychological factors for XXXX with @entity4048 : randomized controlled trial.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity3445 :: ('CHEBI:61453', 'Chemical') :: ['PPT'] @entity3627 :: ('717', 'Gene') :: ['C2'] @entity4048 :: ('MESH:D019547', 'Disease') :: ['neck pain', 'chronic neck pain', 'Neck pain'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain']
@entity1 :: (9606,Species) :: ['patients']
