دورية أكاديمية
أعرض في EDS

Comparing the effects of neck stabilization exercises versus dynamic exercises among patients having nonspecific neck pain with forward head posture: a randomized clinical trial.

التفاصيل البيبلوغرافية
العنوان: Comparing the effects of neck stabilization exercises versus dynamic exercises among patients having nonspecific neck pain with forward head posture: a randomized clinical trial.
المؤلفون: Batool A; Department of Physiotherapy, Institute of Physical Medicine and Rehabilitation, Dow University of Health and Sciences, Karachi, Pakistan. dr.asmabatool95@gmail.com., Soomro RR; Department of Physiotherapy, Sindh Institute of Physical Medicine and Rehabilitation, Karachi, Pakistan., Baig AAM; Department of Physical Therapy, Faculty of Health Sciences, Iqra University, North Campus, Karachi, Pakistan.
المصدر: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Sep 04; Vol. 25 (1), pp. 707. Date of Electronic Publication: 2024 Sep 04.
نوع المنشور: Journal Article; Randomized Controlled Trial; Comparative Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2000-
مواضيع طبية MeSH: Neck Pain*/therapy , Neck Pain*/physiopathology , Posture* , Exercise Therapy*/methods , Pain Measurement*, Humans ; Adult ; Female ; Male ; Single-Blind Method ; Young Adult ; Range of Motion, Articular ; Adolescent ; Treatment Outcome ; Head ; Disability Evaluation ; Neck/physiopathology
مستخلص: Background: Nonspecific neck pain (NSNP) is a well-established global burden affecting. It is also a common problem in Pakistan. The burden of neck pain is also increasing day by day due to poor work ergonomics, and increased use of computers and mobiles after the pandemic. An individual's poor posture is often associated with forward head posture (FHP). Limited evidence is available about the effects of neck stabilization (NSE) and dynamic exercises (NDE) for nonspecific neck pain particularly in patients with FHP. This aimed to compare the effects of NSE versus NDE among patients having NSNP with FHP in reducing pain, disability, forward head posture and improving neck range of motion.
Methods: It is a single-blinded randomized clinical trial with 60 patients aged 18-40 years, with moderate intensity NSNP for > 3 weeks and < 6 months along with FHP with a moderate disability on neck disability index (NDI) randomly assigned to the treatment groups. Group 1 was doing NSE and group 2 was doing NDE. Transcutaneous Electical Nerve Stimulation, cold packs, and stretching exercises were given to both groups. A total of 9 sessions (3 sessions/ week) were given to participants. NDI questionnaire, Visual analogue scale (VAS), goniometry, and plumb line measurement tool were used as baseline and assessment at the end of 3rd week. The data was analyzed on SPSS version 21. Descriptive analysis was performed. Independent t-test was used for between group comparison and paired t-test used for within group comparison. A p-value less than 0.05 was considered statistically significant.
Results: After treatment within-group analysis of both NSE and NDE showed significant (p < 0.001) improvement in pain on VAS, all ROMs of the neck including flexion, extension, left and right lateral flexion and left rotation, plumb line and NDI score with very large effect size. However, between-group analysis showed non-significant differences (p > 0.05) for post-treatment mean VAS, neck ROM, NDI and plumb line measurement.
Conclusion: Between NSE and NDE, no one is more beneficial than another. Both are equally effective in alleviating pain, increasing ROM, decreasing functional disability, and improving forward head posture in patients with NSNP.
Trial Registration: Registered trial at ClinicalTrials.gov Identifier: NCT05298631, 28/03/2022, prospectively registered.
(© 2024. The Author(s).)
References: Gautam R, Dhamija JK, Puri A, Trivedi P, Sathiyavani D, Nambi G. Comparison of Maitland and Mulligan mobilization in improving neck pain, ROM and disability. Int J Physiother Res. 2014;2(3):561–6.
Sbardella S, La Russa C, Bernetti A, Mangone M, Guarnera A, Pezzi L et al. Muscle energy technique in the rehabilitative treatment for acute and chronic non-specific neck pain: a systematic review. In Healthcare 2021 Jun 17 (Vol. 9, No. 6, p. 746). MDPI.
Ijaz A, Khan I, Ahmed A, Sadiq S. Frequency of neck pain among dentists. Pakistan Orthodontic J. 2016;8(2):89–93.
Kaka B, Ogwumike OO. Effect of neck stabilization and dynamic exercises on pain, disability and fear avoidance beliefs in patients with non-specific neck pain. Physiotherapy. 2015;101:e704. (PMID: 10.1016/j.physio.2015.03.3555)
Hoy D, March L, Woolf A, Blyth F, Brooks P, Smith E, et al. The global burden of neck pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1309–15. (PMID: 10.1136/annrheumdis-2013-20443124482302)
Khalid FA, Amjad FA, Ashfaq Ahmad SA, Hanif MK. Frequency of neck pain due to school bag usage among students of public high schools in Lahore, Pakistan. Pakistan Pediatr J. 2018;42(3):207–11.
Akulwar-Tajane I, Darvesh M, Ghule M, Deokule S, Deora B, Mhatre V. Effects of COVID-19 pandemic lock down on posture in physiotherapy students: a cross-sectional study. Med Clin Res. 2021;6(1):91–102.
Taneja A. Effects of work-from-home use laptop or mobile phone causing text neck syndrome during the quarantine period COVID-19. Int J Sci Dev Res. 2021;2(6):54–7.
Pawaria S, Sudhan D, Kalra S. Effectiveness of cervical stabilisation exercises on respiratory strength in chronic Neck Pain patients with Forward Head Posture-A pilot study. J Clin Diagn Res. 2019;13:6–9.
Jahre H, Grotle M, Smedbråten K, Dunn KM, Øiestad BE. Risk factors for non-specific neck pain in young adults. A systematic review. BMC Musculoskelet Disord. 2020;21(1):1–2. (PMID: 10.1186/s12891-020-03379-y)
Palacios-Ceña D, Albaladejo-Vicente R, Hernández-Barrera V, Lima-Florencio L, Fernández-de-Las-Peñas C, Jimenez-Garcia R, López-de-Andrés A, de Miguel-Diez J, Perez-Farinos N. Female gender is associated with a higher prevalence of chronic neck pain, chronic low back pain, and migraine: results of the Spanish National Health Survey, 2017. Pain Med. 2021;22(2):382–95. (PMID: 10.1093/pm/pnaa36833164071)
Sowmya MV. Isometric neck exercises versus dynamic neck exercises in chronic neck pain. IOSR J Nurs Health Sci. 2014;3:32–43. (PMID: 10.9790/1959-03213243)
Celenay ST, Akbayrak T, Kaya DO. A comparison of the effects of stabilization exercises plus manual therapy to those of stabilization exercises alone in patients with nonspecific mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2016;46(2):44–55. (PMID: 10.2519/jospt.2016.597926755405)
Im B, Kim Y, Chung Y, Hwang S. Effects of scapular stabilization exercise on neck posture and muscle activation in individuals with neck pain and forward head posture. J Phys Therapy Sci. 2015;28(3):951–5. (PMID: 10.1589/jpts.28.951)
Nichol E. Neck stabilization exercises compared to physical therapy modalities to decrease insidious neck pain in adults treated in an outpatient setting.
Blanpied PR, Gross AR, Elliott JM, Devaney LL, Clewley D, Walton DM, Sparks C, Robertson EK, Altman RD, Beattie P, Boeglin Eshi. Neck pain: revision 2017: clinical practice guidelines linked to the international classification of functioning, disability and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Therapy. 2017;47(7):A1–83. (PMID: 10.2519/jospt.2017.0302)
Silva AG, Punt TD, Sharples P, Vilas-Boas JP, Johnson MI. Head posture assessment for patients with neck pain: is it useful? Int J Therapy Rehabilitation. 2009;16(1):43–53. (PMID: 10.12968/ijtr.2009.16.1.37939)
Siddiqui M, Akhter S, Baig AA. Effects of autogenic and reciprocal inhibition techniques with conventional therapy in mechanical neck pain–a randomized control trial. BMC Musculoskelet Disord. 2022;23(1):704. (PMID: 10.1186/s12891-022-05668-0358797569309448)
Bernal-Utrera C, González-Gerez JJ, Saavedra-Hernandez M, Lérida-Ortega MÁ, Rodríguez-Blanco C. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: study protocol for a randomized controlled trial. Trials. 2019;20(1):487. (PMID: 10.1186/s13063-019-3598-7313991436688373)
Demir Y. Non-pharmacological therapies in pain management. In Pain management-current issues and opinions. 2012 Jan 18. Intech Open.
Park KN, Ha SM, Kim SH, Kwon OY. Immediate effects of upper trapezius stretching in more and less tensed positions on the range of neck rotation in patients with unilateral neck pain. Phys Therapy Korea. 2013;20(1):47–54. (PMID: 10.12674/ptk.2013.20.1.047)
Ruivo RM, Pezarat-Correia P, Carita AI. Effects of a resistance and stretching training program on forward head and protracted shoulder posture in adolescents. J Manipulative Physiol Ther. 2017;40(1):1–0. (PMID: 10.1016/j.jmpt.2016.10.00527842938)
Farooq MN, Mohseni-Bandpei MA, Gilani SA, Hafeez A. Urdu version of the neck disability index: a reliability and validity study. BMC Musculoskelet Disord. 2017;18:1–1. (PMID: 10.1186/s12891-017-1469-5)
Nafees K, Baig AA, Ali SS, Ishaque F. Dynamic soft tissue mobilization versus proprioceptive neuromuscular facilitation in reducing hamstring muscle tightness in patients with knee osteoarthritis: a randomized control trial. BMC Musculoskelet Disord. 2023;24(1):447. (PMID: 10.1186/s12891-023-06571-y3726896110236696)
Cervical Spine Goniometry. Uwa.edu. [cited 2021 Apr 2]. http://at.uwa.edu/gon/cspine.htm.
Kandasamy G, Bettany-Saltikov J, Van Schaik P. Posture and back shape measurement tools: a narrative literature review. Spinal deformities in adolescents, adults and older adults. 2020 Apr 8.
Haas AL, Bracht K, Stöggl T, Brunner R. Which reference line describes head position best. Physiother Rehabil. 2016;1(2).
Keidan L, Barash A, Lenzner Z, Pick CG, Been E. Sexual dimorphism of the posterior cervical spine muscle attachments. J Anat. 2021;239(3):589–601. (PMID: 10.1111/joa.13448338764278349410)
Sabeen F, Bashir MS, Hussain SI, Ehsan S. Prevalance of neck pain in computer users. Ann King Edw Med Univ. 2013;19(2):137.
Le TT, Jalayondeja W, Mekhora K, Bhuuanantanondh P, Jalayondeja C. Prevalence and risk factors of work-related musculoskeletal disorders among physical therapists in Ho Chi Minh City, Vietnam. BMC Public Health. 2024;24(1):6. (PMID: 10.1186/s12889-023-17527-13816689710759420)
MacDowall A, Skeppholm M, Robinson Y, Olerud C. Validation of the visual analog scale in the cervical spine. J Neurosurg Spine. 2017;28(3):227–35. (PMID: 10.3171/2017.5.SPINE173229243996)
Kuo YL, Lee TH, Tsai YJ. Evaluation of a cervical stabilization Exercise Program for Pain, disability, and physical impairments in University Violinists with nonspecific Neck Pain. Int J Environ Res Public Health. 2020;17(15):5430. (PMID: 10.3390/ijerph17155430327315217432242)
Oh SH, Yoo KT. The effects of stabilization exercises using a sling and stretching on the range of motion and cervical alignment of straight neck patients. J Phys Ther Sci. 2016;28(2):372–7. (PMID: 10.1589/jpts.28.372270655214792976)
Shin H, Kim K, Jung N. Effects of dynamic exercise program using thera-band on craniovertebral angle in adults with forward head posture. J Int Acad Phys Ther Res. 2020;11(1):1960–8. (PMID: 10.20540/JIAPTR.2020.11.1.1960)
فهرسة مساهمة: Keywords: Isometric exercises; Isotonic exercises; Nonspecific neck pain
سلسلة جزيئية: ClinicalTrials.gov NCT05298631
تواريخ الأحداث: Date Created: 20240904 Date Completed: 20240905 Latest Revision: 20240904
رمز التحديث: 20240905
DOI: 10.1186/s12891-024-07749-8
PMID: 39232708
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2474
DOI:10.1186/s12891-024-07749-8