Is Myofascial Release Therapy Cost-Effective When Compared with Manual Therapy to Treat Workers’ Mechanical Neck Pains?
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Is Myofascial Release Therapy Cost-Effective When Compared with Manual Therapy to Treat Workers’ Mechanical Neck Pains?Autor(es)
Data
2020-09-12Cita bibliográfica
Rodríguez-Fuentes I, Toro FJ, Rodríguez-Fuentes G, Oliveira IM, Meijide-Faílde R, Fuentes-Boquete I. Is Myofascial Release Therapy Cost-Effective When Compared With Manual Therapy to Treat Workers’ Mechanical Neck Pains? J Manipulative Physiol Ther. Epub 2020 Sep 12
Resumo
[Abstract]
Objective: The aim of this study was to do a cost-benefit analysis of myofascial release therapy (MRT) compared to
manual therapy (MT) for treating occupational mechanical neck pain.
Methods: Variables regarding the outcomes of the intervention were intensity of neck pain, cervical disability, quality
of life, craniovertebral angle, and ranges of cervical motion. Costs were assessed based on a social perspective using
diary costs. Between-groups differences in average cost, cost-effectiveness, and cost-utility ratios were assessed using
bootstrap parametric techniques. The economic cost-benefit evaluation was with regard to an experimental parallel
group study design. There were 59 participants.
Results: Myofascial released therapy showed significant improvement over MT for cervical mobility (side bending,
rotation, and craniovertebral angle). The total cost of MRT was approximately 20% less ( $519.81; 95% confidence
interval, $1193.67 to $100.31) than that of MT, although this was not statistically significant. Cost-effectiveness and
cost-utility ratios showed that MRT could be associated with lower economic costs.
Conclusion: With probabilities of 93.9% and 95.8%, MRT seems to be cost-effective for treating mechanical neck
pain without the need to add any additional cost to obtain a better clinical benefit. Consequently, we believe it could be
included in the clinical practice guidelines of different Spanish health care institutions.
Palabras chave
Cost-benefit analysis
Neck pain
Musculoskeletal manipulations
Neck pain
Musculoskeletal manipulations
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Atribución-NoComercial-SinDerivadas 4.0 Internacional
ISSN
0161-4754
1532-6586
1532-6586