Mode of action of cupping—Local metabolism and pain thresholds in neck pain patients and healthy subjects

Abstract Background Pain sensitivity in chronic neck pain patients may be influenced by health conditions related to higher levels of widespread pressure pain hypersensitivity (sensitization). Trigger points have also been reported to play a role in the sensitization process. Objectives To investigate the association between pressure pain thresholds, trigger points, and health conditions in patients with chronic neck pain. Design Original research, preliminary study. Setting A private clinic. Subjects Thirty-four chronic mechanical neck pain patients and 34 chronic whiplash-associated neck pain patients, giving a final sample of 68 chronic neck pain patients. Methods Patients underwent an assessment of pressure pain thresholds over the upper trapezius, extensor carpi radialis longus, and tibialis anterior muscles and were screened for the presence of trigger points in the upper trapezius muscle. Further, information about health history conditions was obtained and collected in a form. Results Significantly negative correlations between all pressure pain thresholds and duration of health history conditions were found (all P < 0.02). Significantly lower pressure pain thresholds (all P < 0.01) were found in patients with active trigger points as compared with those with latent trigger points. Conclusion Widespread pressure pain hypersensitivity was associated with duration of health history conditions, suggesting that long-lasting health complaints may act as a triggering/perpetuating factor, driving sensitization in individuals with chronic neck pain. Active trigger points may be associated with higher widespread pressure hypersensitivity.

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Correction: Effectiveness of Kinaesthetic Exercise program on Position Sense, Pain, and Disability in Chronic Neck Pain Patients with Cervical Spondylosis – A Randomized Comparative Trial

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin ◽

10.1055/a-1335-8876 ◽

2020 ◽

Author(s):

Ravi Shankar Yerragonda Reddy ◽

Arun G Maiya ◽

Sharath Kumar Rao ◽

Khalid A Alahmari ◽

Jaya Shanker Tedla ◽

...

Keyword(s):

Neck Pain ◽

Cervical Spondylosis ◽

Exercise Program ◽

Comparative Trial ◽

Chronic Neck Pain ◽

Position Sense ◽

Pain Patients

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Optimal Duration of Stretching Exercises for Chronic Non-specific Neck Pain Patients

Case Medical Research ◽

10.31525/ct1-nct04190784 ◽

2019 ◽

Author(s):

Keyword(s):

Neck Pain ◽

Optimal Duration ◽

Pain Patients ◽

Stretching Exercises

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Immediate effects of static and proprioceptive neuromuscular facilitation stretching of hamstring muscles on straight leg raise, craniovertebral angle, and cervical spine range of motion in neck pain patients with hamstring tightness: A prospective randomized controlled trial

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-201840 ◽

2021 ◽

pp. 1-10

Author(s):

Eun-Dong Jeong ◽

Chang-Yong Kim ◽

Nack-Hwan Kim ◽

Hyeong-Dong Kim

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Range Of Motion ◽

T Test ◽

Static Stretching ◽

Proprioceptive Neuromuscular Facilitation ◽

Before And After ◽

Straight Leg Raise ◽

Pain Patients ◽

Group Effects

BACKGROUND: The cranio-cervical flexion exercise and sub-occipital muscle inhibition technique have been used to improve a forward head posture among neck pain patients with straight leg raise (SLR) limitation. However, little is known about the cranio-vertebral angle (CVA) and cervical spine range of motion (CROM) after applying stretching methods to the hamstring muscle. OBJECTIVE: To compare the immediate effects of static stretching and proprioceptive neuromuscular facilitation stretching on SLR, CVA, and CROM in neck pain patients with hamstring tightness. METHODS: 64 subjects were randomly allocated to the static stretching (n1= 32) or proprioceptive neuromuscular facilitation (n2= 32) stretching group. The SLR test was performed to measure the hamstring muscle’s flexibility and tightness between the two groups, with CROM and CVA also being measured. The paired t-test was used to compare all the variables within each group before and after the intervention. The independent t-test was used to compare the two groups before and after the stretching exercise. RESULTS: There were no between-group effects for any outcome variables (P> 0.05). However, all SLR, CVA, and CROM outcome variables were significantly improved within-group (P< 0.05). CONCLUSIONS: There were no between-group effects for any outcome variable; however, SLR, CVA, and CROM significantly improved within-group after the one-session intervention in neck pain patients with hamstring tightness.

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