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

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.

scholarly journals The Effect of Eight-Week Corrective Exercises Carried out in Water on Pain, Neck Flexors Endurance and Upper Extremity Range of Motion in Patient with Upper Crossed Syndrome

2019 ◽  
Author(s):  
Hossein Ahmadi ◽  
Ali Yalfani ◽  
Farzaneh Gandomi
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Upper Extremity ◽  
Communication Technologies ◽  
T Test ◽  
Significance Level ◽  
Before And After ◽  
The Mean ◽  
And Control ◽  
Experimental Group

Introduction: Lifestyle and the constant use of communication technologies have led to the upper crossed syndrome. The purpose of this study was to investigate of the effect of comprehensive corrective exercises carried out in water on pain, neck flexors muscles endurance and neck and upper extremity Range of Motion (ROM) in the patients with upper crossed syndrome (UCS). Methods: In this semi-experimental study, after initial screening, 30 students with upper crossed syndrome were selected and assigned randomly into experimental (n=14) and control (n=16) groups. Before and after the intervention, measurements performed to measure the level of pain by VAS scale, neck and shoulder ROM by inclinometer and neck flexors endurance by deep neck flexors endurance test. To analyze the data, SPSS Inc., Chicago, IL; version 18 software was used. The significance level was 0.05. Paired sample t-test was used to compare the mean of the pretest to posttest and independent t-test was used to compare the differences between groups. Results: The experimental group had significant improvement for endurance of neck flexors (P< 0.0001), neck ROM (P< 0.0001), shoulder ROM (P< 0.0001) and neck pain (P< 0.0001). Moreover, the results showed that there were significant differences for endurance of neck flexors (P< 0.0001), neck ROM (P< 0.0001), shoulder ROM (P< 0.0001), and neck pain (P< 0.0001) between groups. Conclusion: According to the results, we can say using water-based corrective exercises could have additional effect on increasing muscles endurance, upper extremity ROM and pain reduction in the patients with upper crossed syndrome, and could be as an effective method for the specialist

A Study to find the effectiveness of Scapular Strengthening Exercise in patients with Cervical Dysfunction

2021 ◽  
pp. 3591-3594
Author(s):  
Kotteeswaran. K ◽  
Chiranjibi Kumar Nayak
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Neck Disability Index ◽  
T Test ◽  
Strengthening Exercise ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Neck Disability ◽  
Cervical Spine Dysfunction

Background: Cervical spine dysfunction is a cause of neck pain. The cause for it is believed to be a disorder (most likely malalignment) of the pain-sensitive facet joints (which may also be due to disc disruption). Dysfunction can also cause secondary muscle spasm, which can may lead to more pain and stiffness. Objective: To find the effectiveness of SNAGs and scapular strengthening exercises in the patients with chronic cervical dysfunction. To find the Neck disability index (NDI) score difference between the functional activities of experimental group and conventional treatment group. Methodology: According to inclusion and exclusion criteria a prior to the study, the principal researcher explained the procedures to all the subjects and inform consent obtained, 30 subjects taken through Random block design and numbering was done for all the subjects. All the odd numbers in one group and all the even numbers in another group are allocated by random table where each group had 15 subjects. The collected data was tabulated and analyzed using descriptive and inferential statistics. To all parameters mean and standard deviation (SD) were used. Paired t-test was used to analyze significant changes between pre-test and post-test measurements. Unpaired t-test was used to analyze significant changes between two groups. Result: rom statistical analysis made with the quantitative data revealed statistically significant difference between the Group A and Group B, and also within the group. The Posttest mean value of Neck Disability Index (NDI) in group A is 12.00 and in group B is 13.80. This shows that Neck Disability Index (NDI) in Group B disability value were comparatively more than Group A disability value, P<0.0001. Conclusion: This study shows better improvement in reducing cervical spine dysfunction (neck pain) by scapular strengthening exercise than resisted neck isometrics. Both the techniques can be used in clinical practice.

scholarly journals Ankle-Dorsiflexion Range of Motion After Ankle Self-Stretching Using a Strap

2015 ◽  
Vol 50 (12) ◽  
pp. 1226-1232 ◽  
Author(s):  
In-cheol Jeon ◽  
Oh-yun Kwon ◽  
Chung-Hwi Yi ◽  
Heon-Seock Cynn ◽  
Ui-jae Hwang
Keyword(s):  
Range Of Motion ◽  
Statistical Significance ◽  
Distal Tibia ◽  
Ankle Dorsiflexion ◽  
Controlled Clinical Trial ◽  
Static Stretching ◽  
Talocrural Joint ◽  
Randomized Controlled ◽  
Before And After ◽  
Stretching Exercises

Context  A variety of ankle self-stretching exercises have been recommended to improve ankle-dorsiflexion range of motion (DFROM) in individuals with limited ankle dorsiflexion. A strap can be applied to stabilize the talus and facilitate anterior glide of the distal tibia at the talocrural joint during ankle self-stretching exercises. Novel ankle self-stretching using a strap (SSS) may be a useful method of improving ankle DFROM. Objective  To compare the effects of 2 ankle-stretching techniques (static stretching versus SSS) on ankle DFROM. Design  Randomized controlled clinical trial. Setting  University research laboratory. Patients or Other Participants  Thirty-two participants with limited active dorsiflexion (&lt;20°) while sitting (14 women and 18 men) were recruited. Main Outcome Measure(s)  The participants performed 2 ankle self-stretching techniques (static stretching and SSS) for 3 weeks. Active DFROM (ADFROM), passive DFROM (PDFROM), and the lunge angle were measured. An independent t test was used to compare the improvements in these values before and after the 2 stretching interventions. The level of statistical significance was set at α = .05. Results  Active DFROM and PDFROM were greater in both stretching groups after the 3-week interventions. However, ADFROM, PDFROM, and the lunge angle were greater in the SSS group than in the static-stretching group (P &lt; .05). Conclusions  Ankle SSS is recommended to improve ADFROM, PDFROM, and the lunge angle in individuals with limited DFROM.

scholarly journals Efficacy of Korean Medicine Combination Treatment on Recurrent Neck Pain After Medical Procedures: A Retrospective Study

2021 ◽  
Vol 38 (1) ◽  
pp. 32-40
Author(s):  
Hyo-Seung Huh ◽  
Wu-Jin Jeong ◽  
Ki-Tae Park ◽  
Sun-Ho Lee ◽  
Sun-A Kim ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Combination Treatment ◽  
Medical Procedures ◽  
Korean Medicine ◽  
Significant Difference ◽  
Before And After ◽  
Group A ◽  
Group B ◽  
Admission Group

Background: The aim of this study was to evaluate the efficacy of Korean medicine combination treatment on recurrent neck pain after medical procedures.Methods: This retrospective study included 158 inpatients of the Daejeon Jaseng Hospital of Korean Medicine who were diagnosed with “Cervical disc disorder with radiculopathy (M50.1)” between December 14<sup>th</sup>, 2017 and May 29<sup>th</sup>, 2019. The patients were assigned to 1 of 2 groups based on whether they received medical procedures on the cervical spine at least once. Korean medicine combination treatment was evaluated using EuroQol-5 dimensions index (EQ-5D), numeric rating scale (NRS), and neck disability index (NDI) scores.Results: Before and after treatment, the patients who received medical procedures on the cervical spine at least once before admission (Group A) showed a statistically significant difference in the NDI and NRS scores but not in the EQ-5D scores. This was similar to the patients who had not received medical procedures on the cervical spine before admission (Group B) they showed a statistically significant difference in the NDI and NRS scores but not in the EQ-5D scores. When comparing the results of Group A and Group B before and after treatment, no statistically significant differences were observed in the EQ-5D, NDI, and NRS scores.Conclusion: Korean medicine combination treatment improves the neck functional disability of patients who suffer from recurrent neck pain despite patients having undergone medical procedures.

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.

scholarly journals KOMBINASI MCKENZIE EXERCISE DAN ULTRASOUND LEBIH BAIK DARIPADA MYOFASCIAL RELEASE DAN ULTRASOUND UNTUK MEMPERBAIKI DISABILITAS PADA MECHANICAL NECK PAIN

2017 ◽  
Author(s):  
Jasmine Kartiko Pertiwi ◽  
Ketut Tirtayasa ◽  
Sugijanto ◽  
J. Alex. Pangkahila ◽  
I Made Muliarta ◽  
...  
Keyword(s):  
Neck Pain ◽  
Soft Tissues ◽  
Joint Space ◽  
T Test ◽  
Mean Difference ◽  
Myofascial Release ◽  
Group I ◽  
Significant Difference ◽  
Before And After ◽  
Quasi Experimental

Introdaction: Patients with mechanic neck pain a population that often found overstretches it is caused by occurred between the two bones in the neck on the ligaments and soft tissues located around, static resulting in hipomibilitas the joint space and joint play movement, resulting in the emergence of provocation on the part of the occipital region on Cervical stressor resulting in excess tissue around the contractile and non-contractile. Purpose: This study the application of ultrasound and McKenzie exercise and myofacial release ultrasound in reducing disability in mechanical neck pain, Methods: This research method is a quasi experimental research with Pre and Post Test Two Group Design. The samples were divided into two treatment groups consisting of McKenzie exercice and ultrasounds were 20 participants with myofascial release and ultrasound with 19 participants, a total of 39 participants. Result: Differences between the mean decrease in neck with NDI disability before and after the application of each group were tested by t-test related, the results obtained mean between the groups before treatment 17,10±1,889% and after treatment 12,90±2,490% by value (p = 0.001) with a mean difference of 42% and showed the average group between before treatment 17,42±2,388% and after treatment 15,63±2,362% (p = 0.001) with a mean difference of 17,9%. The statistical test of using independent t-test showed is a significant difference between group I and group II and the result is p = 0.001 (p< 0.05). Conclusion: application of combined Mc Kenzie exercise and ultrasound better than the application of a combination of myofacial release and ultrasound in reducing disabilities in case of mechanical neck pain.

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