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?Author(s)
Date
2020-09-12Citation
Rodríguez-Fuentes I, De Toro FJ, Rodríguez-Fuentes G, de Oliveira IM, Meijide-Faílde R, Fuentes-Boquete IM. Is myofascial release therapy cost-effective when compared with manual therapy to treat workers’ mechanical neck pains? J Manipulative Physiol Ther. 2020 Sep;43(7):683-690.
Abstract
[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.
Keywords
Cost-benefit analysis
Neck pain
Musculoskeletal manipulations
Neck pain
Musculoskeletal manipulations
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Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC-BY-NC-ND 4.0)
ISSN
0161-4754
1532-6586
1532-6586