scholarly journals Effect of Osteopathic Visceral Manipulation on Pain, Cervical Range of Motion, and Upper Trapezius Muscle Activity in Patients with Chronic Nonspecific Neck Pain and Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled Pilot Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Andréia Cristina de Oliveira Silva ◽  
Daniela Aparecida Biasotto-Gonzalez ◽  
Fábio Henrique Monteiro Oliveira ◽  
Adriano Oliveira Andrade ◽  
Cid André Fidelis de Paula Gomes ◽  
...  
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Functional Dyspepsia ◽  
Rating Scale ◽  
Controlled Study ◽  
Electromyographic Activity ◽  
Double Blind ◽  
Cervical Range Of Motion ◽  
Upper Trapezius ◽  
Emg Signal

Previous studies have reported that visceral disturbances can lead to increased musculoskeletal tension and pain in structures innervated from the corresponding spinal level through viscerosomatic reflexes. We designed a pilot randomised placebo-controlled study using placebo visceral manipulation as the control to evaluate the effect of osteopathic visceral manipulation (OVM) of the stomach and liver on pain, cervical mobility, and electromyographic activity of the upper trapezius (UT) muscle in individuals with nonspecific neck pain (NS-NP) and functional dyspepsia. Twenty-eight NS-NP patients were randomly assigned into two groups: treated with OVM (OVMG; n = 14) and treated with placebo visceral manipulation (PVMG; n = 14). The effects were evaluated immediately and 7 days after treatment through pain, cervical range, and electromyographic activity of the UT muscle. Significant effects were confirmed immediately after treatment (OVMG and PVMG) for numeric rating scale scores (p < 0.001) and pain area (p < 0.001). Significant increases in EMG amplitude were identified immediately and 7 days after treatment for the OVMG (p < 0.001). No differences were identified between the OVMG and the PVMG for cervical range of motion (p > 0.05). This study demonstrated that a single visceral mobilisation session for the stomach and liver reduces cervical pain and increases the amplitude of the EMG signal of the UT muscle immediately and 7 days after treatment in patients with nonspecific neck pain and functional dyspepsia.

scholarly journals Visceral Manipulation Decreases Pain, Increases Cervical Mobility and Electromyographic Activity of the Upper Trapezius Muscle in Non-Specific Neck Pain Subjects with Functional Dyspepsia: Two Case Reports

2019 ◽  
Vol 12 (2) ◽  
pp. 25-30
Author(s):  
Andréia C. O. Silva, PT, MSc ◽  
Claudia S. Oliveira, PT, PhD ◽  
Daniela A. Biasotto-Gonzalez, PT, PhD ◽  
Marco A. Fumagalli, Eng, PhD ◽  
Fabiano Politti, PT, PhD
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Case Reports ◽  
Trapezius Muscle ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Upper Trapezius ◽  
Emg Signal ◽  
Upper Trapezius Muscle ◽  
One Year

Background and Purpose: The lack of clear knowledge about the etiology of nonspecific neck pain (NS-NP) strengthens the need for other mech-anisms, still poorly described in the literature, to be investigated. Therefore, a quantitative analysis of two cases of NS-NP in subjects with functiona dyspepsia was conducted in order to verify the immediate and seven-day postintervention effects of visceral manipulation (VM) to the stomach and liver on neck pain, cervical range of motion (ROM), and electromyographic (EMG) activity of the upper trapezius muscle. Case Description: Case A was an 18-year-old female with a complaint of nonspecific neck pain for one year, with reported pain on waking, momentary intermittent pain, and occasional symptoms of paresthesia in the upper limbs. Case B was a 25-year-old female with a complaint of cervical pain for one year, accompanied by pain in the unilateral temporomandibular joint, and medial thoracic region. Both cases presented functional dyspepsia.Outcomes: The results demonstrated (sub-jects A and B, respectively) a general increase in cervical ROM (range: 12.5% to 44.44%) and amplitude of the EMG signal (immediately postintervention: 57.62 and 20.78; post seven days: 53.54% and 18.83%), and an increase in muscle fiber conduction velocity immediately postintervention (4.44% and 7.44%) and a de-crease seven days postintervention (25.25% and 21.18%). For pain, a decrease was observed immediately postintervention (23.07% and 76.92%) and seven days postintervention (100% for both subjects). Discussion: A single VM provided important clinical improvement in neck pain, cervical spine range of motion, and EMG activity of the upper trapezius muscle, immediately and seven days postintervention in two NS-NP subjects with func-tional dyspepsia.

scholarly journals Effectiveness of an Eye-Cervical Re-Education Program in Chronic Neck Pain: A Randomized Clinical Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Verónica Pérez-Cabezas ◽  
Carmen Ruiz-Molinero ◽  
Jose Jesús Jimenez-Rejano ◽  
Gema Chamorro-Moriana ◽  
Gloria Gonzalez-Medina ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Range Of Motion ◽  
Education Program ◽  
Chronic Neck Pain ◽  
Cervical Range Of Motion ◽  
Upper Trapezius ◽  
Proprioceptive Training ◽  
Splenius Capitis ◽  
Joint Range

Objectives. Proprioceptive training is popularly applied as a therapeutic exercise method in physiotherapy. Its effects on pain and range of motion are only poorly evaluated. Therefore, this study assesses the effectiveness of proprioceptive training with an Eye-Cervical Re-education Program to decrease pain and increase the joint range in chronic neck pain patients. Material and Methods. Design. A randomized, no-blinded, controlled clinical trial. Setting. Physiotherapy consultation. Participants. 44 people were divided into two groups. Interventions. All patients were treated with a multimodal physiotherapy intervention. The experimental group was supplemented with an exercise program that included eye-cervical proprioception. Outcomes. The primary outcomes included pain pressure thresholds (upper trapezius, levator scapulae, and splenius capitis) and cervical range of motion. The secondary outcomes included pain measured by the Visual Analogical Scale and the McGillSpv Questionnaire. Results. The proprioception treatment was effective in reducing the pain pressure threshold in the right upper trapezius (p=0.001), left upper trapezius (p=0.014), right levator scapula (p=0.040), and left splenius capitis (p=0.021). The increase in the joint range was statistically significant (p<0.05) in favor of the Eye-Cervical Re-education Program for all movements assessed. Conclusions. The Eye-Cervical Re-education Program is effective at relieving pain pressure thresholds in the upper trapezius, right levator scapula, and left splenius capitis and especially effective for increasing the cervical range of motion. This trial is registered with NCT03197285 (retrospective registration).

scholarly journals Efficacy and Safety of the Cudrania tricuspidata Extract on Functional Dyspepsia: A Randomized Double-Blind Placebo-Controlled Multicenter Study

2021 ◽  
Vol 10 (22) ◽  
pp. 5323
Author(s):  
Jinyoung Shin ◽  
Tae-Hoon Oh ◽  
Joo-Yun Kim ◽  
Jae-Jung Shim ◽  
Jung-Lyoul Lee
Keyword(s):  
Functional Dyspepsia ◽  
Rating Scale ◽  
Gastrointestinal Symptoms ◽  
Controlled Study ◽  
Caffeine Intake ◽  
Control Group ◽  
Double Blind ◽  
Cudrania Tricuspidata ◽  
Double Blind Placebo ◽  
Folk Remedy

Cudrania tricuspidata is a folk remedy used to treat inflammation in patients with tumors or liver damage. This study investigated the efficacy of Cudrania tricuspidata extract (CTE) for relieving the symptoms of functional dyspepsia. In an 8-week, randomized, double-blind, placebo-controlled study, 100 adults with any condition featured in the Rome IV criteria and a Gastrointestinal Symptoms Scale (GIS) score ≥4 were randomly allocated to take either a placebo (maltodextrin) or a 50 mg CTE tablet, which equally included celluloses, magnesium stearate, and silicon dioxide, twice daily, 20 January 2020, and 3 August 2020. Among the 83 participants finally analyzed, the CTE group was associated with a significant reduction in the gastrointestinal symptom rating scale (day 0: 8.0 ± 5.2, day 28: 4.7 ± 3.9, and day 56: 2.3 ± 2.4, p < 0.001, respectively) in comparison with the control group (day 0: 8.1 ± 4.7, day 28: 7.8 ± 5.7, and day 56: 7.5 ± 6.6, p > 0.05) after adjusting for smoking, drinking, eating habits, stress levels, and caffeine intake. The CTE group resulted in significant improvements of GIS, Nepean Dyspepsia Index (Korean version), and functional dyspepsia-related quality of life over time. There were no different adverse events (p = 0.523). These findings suggest that CTE is safe and efficacious for alleviating gastrointestinal symptoms in patients with functional dyspepsia.

scholarly journals Effectiveness of Muscle Energy Technique with and without Strain Counter Strain Technique in Individuals with Non-Specific Neck Pain - A Pilot Study from Aurangabad, India

2021 ◽  
Vol 10 (31) ◽  
pp. 2470-2475
Author(s):  
Karishma Anurag Kapur ◽  
Sunil Gopal Rao Harsulkar
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Cervical Range Of Motion ◽  
Muscle Energy Technique ◽  
Significant Difference ◽  
Group A ◽  
Muscle Energy ◽  
Neck Disability

BACKGROUND Evidence till date indicates high incidence of neck pain, and soft tissue techniques [muscle energy technique (MET), strain counter strain (SCS)] have proven to be effective for non-specific neck pain (NSNP). However, their comparative effect is yet to be proven, hence the present study attempted to investigate the comparative effectiveness of MET with SCS techniques in individuals with NSNP. METHODS Total 10 participants diagnosed with NSNP were included in the study. They were allocated into two groups utilizing convenient sampling. Group A received MET with SCS technique and Group B received MET with conventional physiotherapy. The interventions were given for 2 weeks, 3 sessions per week for 45 minutes. The outcome measures used in the study were numeric pain rating scale (NPRS), neck disability index (NDI), range of motion (ROM) which were assessed before the intervention immediately after the first session and at 1st week and end of 2nd week. RESULTS Intragroup comparison found to be significantly reduced in terms of pain and neck disability index and improvement in cervical range of motion (P = < 0.05). However intergroup comparisons showed significant difference in Group A only at the end of 2nd week of intervention (P = < 0.05), but the results were not significant immediately and at the 1st week of intervention (P = > 0.05). CONCLUSIONS The study concluded that MET with SCS technique is more effective in reducing pain, neck disability and improving cervical range of motion. KEY WORDS MET, SCS, NSNP

scholarly journals Immediate Effects of Bilateral Neuromuscular Taping on Upper Trapezius Muscle in Patients with Chronic Mechanical Neck Pain: A Randomized Clinical Trial

2020 ◽  
Author(s):  
Sandra Sanchez-Jorge ◽  
Angel Oliva Pascual-Vaca ◽  
Elena Sonsoles Rodriguez-Lopez ◽  
Juan Antonio Valera-Calero
Keyword(s):  
Visual Analogue Scale ◽  
Neck Pain ◽  
Range Of Motion ◽  
Analogue Scale ◽  
Trapezius Muscle ◽  
Chronic Neck Pain ◽  
Control Group ◽  
Cervical Range Of Motion ◽  
Upper Trapezius ◽  
Experimental Group

Abstract Background Researchers investigated the effects of neuromuscular taping on different musculoskeletal conditions. Considering the demonstrated short-term effectiveness of neuromuscular taping for the management of shoulder pain, kinesiotaping may also be beneficial in reducing pain in patients with chronic mechanical neck pain. Objective To determine the immediate effects of neuromuscular taping on head position, neck pain and cervical range of motion in individuals with neck pain. Methods Sixty subjects with chronic neck pain were randomly assigned to 1 of 2 groups: the experimental group received neuromuscular taping on upper trapezius bilaterally (with tension) and the placebo group received a sham neuromuscular taping application (without tension). Visual analogue scale (VAS), craniocervical angle and cervical range of motion data were collected at baseline and immediately after the neuromuscular taping application. Results The group-by-time interaction for t-test was statistically significant for pain recorded by visual analogue scale (p< 0.001). Patients in the experimental group obtained a similar improvement in pain to those in the control group (p< 0.001). Conclusions Patients with mechanical neck pain who received and application of neuromuscular taping with proper tension or sham neuromuscular taping exhibited similar reductions in neck pain intensity, but not in cervical range of motion.

scholarly journals Evaluation of the Immediate Effect of Auricular Acupuncture on Pain and Electromyographic Activity of the Upper Trapezius Muscle in Patients with Nonspecific Neck Pain: A Randomized, Single-Blinded, Sham-Controlled, Crossover Study

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Andréia Cristina de Oliveira Silva ◽  
Daniela Aparecida Biasotto-Gonzalez ◽  
Douglas Meira dos Santos ◽  
Nivea Cristina De Melo ◽  
Cid André Fidelis de Paula Gomes ◽  
...  
Keyword(s):  
Neck Pain ◽  
Crossover Study ◽  
Rating Scale ◽  
Trapezius Muscle ◽  
Surface Emg ◽  
Auricular Acupuncture ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

Background. The aim of the present study was to assess the immediate effects of auricular acupuncture (AA) on the electromyographic (EMG) activity of the upper trapezius muscle and pain in nonspecific neck pain (NS-NP) patients. Twelve patients with NS-NP (NS-NP group) and 12 healthy subjects (HS Group) were enrolled in a randomized, single-blinded, crossover study. Each subject received a single session of AA and sham AA (SAA). Surface EMG activity was measured in the upper trapezius muscle at different “step contractions” of isometric shoulder elevation (15%, 20%, 25%, and 30% MVC). The outcome measure in patients with NS-NP was based on the numerical pain rating scale (NRS). AA treatment led to a significant decrease in EMG activity in both groups (NS-NP group:p= 0.0001; HS group:p< 0.0001—ANOVA test). This was not the case for the SAA treatment (NS-NP group:p= 0.71; HS group:p< 0.54). Significant decreases (p< 0.001) in the NRS were found for both treatments (AA and SAA). This study demonstrated the immediate effect of auricular acupuncture on the electromyographic activity of the upper trapezius muscle but the effect of this intervention on pain symptoms in patients with nonspecific neck pain was inconclusive.

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