scholarly journals Comparison of between Upper Thoracic Manipulation and Cervical Stability Training on Range of Motion and Neck Disability in Patients with Chronic Mechanical Neck Pain

2015 ◽  
Vol 10 (2) ◽  
pp. 35-45 ◽  
Author(s):  
Byoung-Kwon Lee ◽  
Jin-Mo Yang ◽  
Keung-Hwan Kang
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Stability Training ◽  
Neck Disability ◽  
Upper Thoracic

scholarly journals Effect of neck range of motion exercises on neck disability and pain among patients undergoing thyroidectomy

2020 ◽  
Vol 8 (4) ◽  
pp. 1
Author(s):  
Om Elhana Kamel Abo Shehata ◽  
Omima Said M.H. Shehata ◽  
Seham Mohamed Abd elalem
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Neck Disability Index ◽  
Pain Scale ◽  
Control Group ◽  
Surgical Performance ◽  
Surgical Department ◽  
Significant Difference ◽  
Neck Disability ◽  
And Control

Objective: Thyroidectomy is a surgery in which head and neck became extended during operation to facilitate surgical performance. Patients experience neck pain and limitation to the range of motion following surgery. The study’s aim was to assess the effect of neck range of motion exercises on neck disability and pain among patients undergoing thyroidectomy.Methods: A quasi-experimental research design was utilized, the research was carried out at the surgical department in Shebin Emergency Hospital, at Shebin El-Kom District, Menoufia Governorate, Egypt. Sample; 90 adult subjects undergoing thyroidectomy and are welcoming to participate in the current research. Four Instruments for data collection: Instrument (1): Interview questionnaire sheet consists of two parts to assess subjects’ socio-demographic and medical data. Instrument (2): Visual analog pain scale to rate the patients’ level of pain intensity. Instrument (3): Neck disability index to assess neck pain and its effect on patients’ ability to perform daily activities. Instrument (4): Compliance assessment sheet to follow the patient’s adherence with neck range of motion exercise.Results: There was no statistically significant difference found between study and control group socio-demographic characteristics and medical history while there was a statistically significant difference between study and control group concerning neck disability and pain after one week and four weeks post-operative thyroidectomy.Conclusions: Patient compliance with a range of motion exercises significantly improves neck movement in order to be able to carry out daily life activities and reducing pain for the study group in comparison with the control group.Recommendation: Nurses who work in the general surgery department should include a neck range of motion exercises in providing the care and follow up protocol for the patients undergoing thyroidectomy.

scholarly journals Associations of neck muscle strength and cervical spine mobility with future neck pain and disability: a prospective 16-year study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Juhani Multanen ◽  
Arja Häkkinen ◽  
Hannu Kautiainen ◽  
Jari Ylinen
Keyword(s):  
Regression Analysis ◽  
Cervical Spine ◽  
Muscle Strength ◽  
Neck Pain ◽  
Prospective Study ◽  
Range Of Motion ◽  
Neck Muscle ◽  
Spine Mobility ◽  
Neck Strength ◽  
Neck Disability

Abstract Background Neck pain has been associated with weaker neck muscle strength and decreased cervical spine range of motion. However, whether neck muscle strength or cervical spine mobility predict later neck disability has not been demonstrated. In this 16-year prospective study, we investigated whether neck muscle strength and cervical spine mobility are associated with future neck pain and related disability in women pain-free at baseline. Methods Maximal isometric neck muscle strength and passive range of motion (PROM) of the cervical spine of 220 women (mean age 40, standard deviation (SD) 12 years) were measured at baseline between 2000 and 2002. We conducted a postal survey 16 years later to determine whether any subjects had experienced neck pain and related disability. Linear regression analysis adjusted for age and body mass index was used to determine to what extent baseline neck strength and PROM values were associated with future neck pain and related disability assessed using the Neck Disability Index (NDI). Results The regression analysis Beta coefficient remained below 0.1 for all the neck strength and PROM values, indicating no association between neck pain and related disability. Of the 149 (68%) responders, mean NDI was lowest (3.3, SD 3.8) in participants who had experienced no neck pain (n = 50), second lowest (7.7, SD 7.1) in those who had experienced occasional neck pain (n = 94), and highest (19.6, SD 22.0) in those who had experienced chronic neck pain (n = 5). Conclusions This 16-year prospective study found no evidence for an association between either neck muscle strength or mobility and the occurrence in later life of neck pain and disability. Therefore, screening healthy subjects for weaker neck muscle strength or poorer cervical spine mobility cannot be recommended for preventive purposes.

Efficacy of dry needling as an adjunct to manual therapy for patients with chronic mechanical neck pain: a randomised clinical trial

2020 ◽  
Vol 38 (4) ◽  
pp. 244-254
Author(s):  
Gracia M. Gallego-Sendarrubias ◽  
David Rodríguez-Sanz ◽  
Cesar Calvo-Lobo ◽  
Jose Luis Martín
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Pain Intensity ◽  
Range Of Motion ◽  
Manual Therapy ◽  
Intervention Group ◽  
Control Group ◽  
Dry Needling ◽  
Cervical Range Of Motion ◽  
Neck Disability

Objective: Chronic mechanical neck pain is associated with musculoskeletal tissue alterations. Active trigger points in the trapezius and levator scapulae muscles are common in patients with chronic mechanical neck pain. In this study, we compared the effect of dry needling (DN) combined with manual therapy (MT) to sham dry needling (SDN) combined with MT on pain, pain pressure threshold, cervical range of motion and neck disability in patients with chronic mechanical neck pain. Methods: A randomised, single-blind clinical trial was carried out involving 101 participants with chronic mechanical neck pain, divided into an intervention group (DN+MT, n=47) and a control group (SDN+MT, n=54). Participants received two treatment sessions. The intervention group received MT in conjunction with DN of the most mechano-sensitive myofascial trigger point (MTrP). The control group received MT plus SDN. Outcomes measures were: pain intensity (numeric pain rating scale, NPRS), pressure pain threshold (PPT), cervical range of motion (ROM) and neck disability (neck disability index, NDI). Results: This study found that between-group differences in pain intensity were statistically significant (P<0.01). Pain decreased after the first intervention in the DN+MT group (3.47±0.25 points on the NPRS) and even more so after the second intervention (4.76±0.24 points on the NPRS). After 4 weeks, pain intensity differed from baseline by 4.89±0.27 points on the NPRS. Statistically significant differences (P<0.001) in PPT were also found between the intervention group and the control group. After the first intervention, a significant increase in PPT within the DN+MT group (3.09±0.8 kg/cm2) was observed. Cervical ROM also showed highly statistically significant differences. After 4 weeks, a statistically significant reduction (P<0.001) in NDI was observed between the two groups. Conclusion: Our results show that DN+MT is efficacious and significantly better than SDN+MT at reducing pain intensity, PPT, neck disability and cervical ROM in patients with chronic mechanical neck pain. Level of evidence: 1b.

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 Effects of Kinesiotaping on the Improvement of Sensorimotor Function along with Disability in Chronic Mechanical Neck Pain

2020 ◽  
Author(s):  
Mohammad Zeeshan ◽  
Siddhartha Sen ◽  
Pooja Bhardwaj Dhawan
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Neck Disability Index ◽  
T Test ◽  
Control Group ◽  
Sensorimotor Function ◽  
Group A ◽  
Group B ◽  
Neck Disability ◽  
Experimental Group

Introduction: Mechanical neck pain is a significant societal burden and may include symptoms in the neck and upper extremity. It has been reported that the lifetime and point prevalence of neck pain are almost as high as those of low back pain. It appears to run a chronic episodic course, which is characterised by episodes of persistent, recurrent, or fluctuating pain and disability. It has been found that an altered muscle activity in the Trapezius and the Serratus anterior muscles can be associated with the presence of pain in the neck during functional activities. Aim: To find out the effects of Kinesiotaping on the improvement of sensorimotor function and neck disability in patients with chronic neck pain. Materials and Methods: This was a pre-test, post-test control group design with 30 subjects randomly selected and divided into two groups, an experimental group (Group A) and a control group (Group B) with 15 subjects in each. Experimental group received Kinesio Tape (KT) for 1 week whereas control group received Sham tape. Measurements were taken on the first day and 1 week after the intervention for Cervical Joint Position Sense (CJPE), range of motion and neck disability using an inclinometer instrument, universal goniometer, Neck Disability Index (NDI) questionnaire, respectively. The data was analysed using SPSS 17 software package. Independent t-test was done to find effect between the groups and paired t-test was done to find out the effect within the group. Results: The study clearly demonstrated a significant improvement in CJPE, Cervical Range of Motion (CROM) and NDI within group A (p<0.05) whereas improvement showed significance in CROM and NDI for group B. While comparing both the groups, significant improvement in proprioception and NDI was shown but not in CROM. Conclusion: The study concludes that patients with chronic mechanical neck pain can be benefitted by the use of Kinesiotaping with improvement of sensorimotor function.

scholarly journals Chronic Neck Pain and Cervico-Craniofacial Pain Patients Express Similar Levels of Neck Pain-Related Disability, Pain Catastrophizing, and Cervical Range of Motion

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Daniel Muñoz-García ◽  
Alfonso Gil-Martínez ◽  
Almudena López-López ◽  
Ibai Lopez-de-Uralde-Villanueva ◽  
Roy La Touche ◽  
...  
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Pain Catastrophizing ◽  
Pearson Correlation ◽  
Neck Disability Index ◽  
Mouth Opening ◽  
Cervical Range Of Motion ◽  
Patient Groups ◽  
Craniofacial Pain ◽  
Neck Disability

Background. Neck pain (NP) is strongly associated with cervico-craniofacial pain (CCFP). The primary aim of the present study was to compare the neck pain-related disability, pain catastrophizing, and cervical and mandibular ROM between patients with chronic mechanical NP and patients with CCFP, as well as asymptomatic subjects. Methods. A total of 64 participants formed three groups. All participants underwent a clinical examination evaluating the cervical range of motion and maximum mouth opening, neck disability index (NDI), and psychological factor of Pain Catastrophizing Scale (PCS). Results. There were no statistically significant differences between patients with NP and CCFP for NDI and PCS (P>0.05). One- way ANOVA revealed significant differences for all ROM measurements. The post hoc analysis showed no statistically significant differences in cervical extension and rotation between the two patient groups (P>0.05). The Pearson correlation analysis shows a moderate positive association between NDI and the PCS for the group of patients with NP and CCFP. Conclusion. The CCFP and NP patient groups have similar neck disability levels and limitation in cervical ROM in extension and rotation. Both groups had positively correlated the NDI with the PCS.

Effectiveness of static and intermittent cervical tractions in the management of patients with chronic non-specific neck pain: A pilot randomised trial

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Nazir Bashir Mukhtar ◽  
Zaharau Ado Sabari ◽  
Bashir Kaka
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Analogue Scale ◽  
Randomised Trial ◽  
Neck Disability Index ◽  
Pain Disability ◽  
Significant Difference ◽  
Cervical Traction ◽  
The Mean ◽  
Neck Disability

Background: Physiotherapists commonly employ cervical traction for patients with neck pain. There is a dearth of literature on the effects of static and intermittent cervical traction on pain, range of motion and disability among patients with chronic non-specific neck pain. Therefore, this study aims to compare the effect of static and intermittent cervical traction on pain, disability and range of motion among patients with chronic, non-specific neck pain.Methods: Twenty-four participants were randomised into two groups – Static and Intermittent cervical traction respectively. They were recruited from the Aminu Kano Teaching Hospital and the National Orthopaedic Hospital in Dala-Kano, Kano. Both groups received exercises and infrared treatment, in addition to Static and Intermittent cervical traction. Outcomes were assessed at the baseline and at the end of six weeks of intervention. Pain was assessed through the use of a Visual Analogue Scale, neck disability through a Neck Disability Index questionnaire and cervical range of motion with a goniometer. Data was analysed using descriptive and inferential statistics, and alpha was set at <0.05.Results: The mean ages of the participants were 46.00±7.81 and 36.00±15.02 for the groups Static and Intermittent respectively. Both groups were comparable at baseline (p>0.05). Both Static and Intermittent cervical traction was effective in reducing the disability (p<0.05) and pain (p<0.05). There was no significant difference between the groups at six weeks in terms of pain, disability and range of motion (P>0.05).Conclusion and recommendation: Both Static and Intermittent cervical traction effectively manages chronic, non-specific neck pain and neither is superior to the other. 

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