scholarly journals Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle

Diagnostics ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 2077
Author(s):  
Blaž Barun ◽  
Igor Barišić ◽  
Ana Krnić ◽  
Benjamin Benzon ◽  
Tonko Vlak ◽  
...  
Keyword(s):  
Health Status ◽  
Physical Therapy ◽  
Shear Wave ◽  
Whiplash Injury ◽  
Neck Disability Index ◽  
Trapezius Muscle ◽  
Shear Wave Elastography ◽  
Information Criterion ◽  
Neck Disability ◽  
Relative Change

A prospective observational study comparing shear wave elastography (SWE) of trapezius muscle with Neck Disability Index (NDI) in a prediction model of health status six months after a whiplash injury. Both SWE values, measured by two radiologists, and NDI scores were obtained at baseline and after physical therapy (PT) (6-month period). Those values were compared with a 3-point Likert scale (no, partial or full recovery). Twenty-two subjects completed the study. A decrease in trapezius stiffness was detected by both radiologists, statistically significant for one (Δ10.1 kPa; p = 0.04) but not for the second radiologist (Δ8.63 kPa; p = 0.07). The measurements showed excellent intra-observer (ICC 0.75–0.94) and inter-observer (ICC 0.78–0.88) reliability. After six months, fully recovered patients showed lower NDI scores than partially recovered patients (Δ22.98; p < 0.001). SWE values did not differ with the recovery status (55.6 ± 9.7 vs. 57 ± 15.8, Δ1.45; p = 0.82). The single most accurate variable in classifying health status six months after whiplash injury was the relative change of NDI, and it showed the highest accuracy (73.9%) and low Akaike information criterion (AIC = 39.2). Overall, the most accurate classification was obtained when combining NDI and SWE after physical therapy with an accuracy of 77.3% and a decrease in AIC (32.8).

scholarly journals COMPARING THE EFFICACY OF UPPER TRAPEZIUS KINESIOTAPING AND STRETCHING EXERCISES IN PATIENTS WITH MECHANICAL NECK ACHE

2019 ◽  
Vol 8 (1) ◽  
pp. 19-24
Author(s):  
Qurat Ul Ain Ausaf
Keyword(s):  
Physical Therapy ◽  
Muscle Strength ◽  
Neck Pain ◽  
Pain Intensity ◽  
Functional Disability ◽  
Neck Disability Index ◽  
Trapezius Muscle ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Neck Disability

BACKGROUND AND AIM Globally, around one third of population is suffering from persistent neck pain and it is considered as 4th important source of disability in the population. Several treatment protocols are available now a day to facilitate patient recovery. Therefore, the aim of this study is to identify the effects of kinesiotaping in improving neck pain, upper trapezius muscle strength and functional disability. STUDY DESIGN Randomized controlled trial SAMPLE SIZE 68 participants were recruited for the study. METHODOLOGY All participants of age 18-40 years were assessed using assessment Performa. Pain intensity, upper trapezius muscle strength and Neck disability index were measured at baseline and after treatment sessions. Group A comprised of 34 participant, received Kinesiotaping and conventional physical therapy treatment whereas, equal number of participants were recruited in Group B that received upper trapezius stretching and conventional physical therapy. RESULT The study revealed that both interventions (Kinesiotaping and stretching) were effective i.e., <0.05 in improving pain intensity, muscle strength and functional disability in patients with mechanical neck ache but significant improvement were recorded in group treated with kinesiotaping. CONCLUSION The study concluded that both interventions are effective in improving pain intensity, muscle strength and neck disability index but kinesiotaping is more beneficial than stretching among patient with mechanical neck ache.

scholarly journals Stress Management as an Adjunct to Physical Therapy for Chronic Neck Pain

2012 ◽  
Vol 92 (10) ◽  
pp. 1348-1359 ◽  
Author(s):  
Angela K. Bruflat ◽  
Jaclyn E. Balter ◽  
Denise McGuire ◽  
Nathan B. Fethke ◽  
Katrina S. Maluf
Keyword(s):  
Physical Therapy ◽  
Neck Pain ◽  
Stress Management ◽  
Muscle Activity ◽  
Psychosocial Stress ◽  
Muscle Relaxation ◽  
Trapezius Muscle ◽  
Chronic Neck Pain ◽  
Multidisciplinary Intervention ◽  
Neck Disability

Background and Purpose Chronic neck pain is prevalent in the workplace. Research suggests that psychosocial stress may contribute to the development of neck pain by causing excessive or prolonged muscle activity in some individuals. The purpose of this case report is to describe the rationale, development, and implementation of stress management as an adjunct to standard physical therapist management of chronic neck pain in a female office worker who responded to psychosocial stress with elevated muscle activity prior to treatment. Case Description A 44-year-old female office employee with an 8-year history of chronic neck pain participated in this case report. The patient was selected from a group of research participants who demonstrated elevated electromyographic (EMG) activity of the trapezius muscle in response to simulated occupational stressors. The multidisciplinary intervention consisted of 8 physical therapy sessions, supplemented by 8 stress management sessions that included EMG biofeedback and psychotherapy to facilitate muscle relaxation. Outcomes Neck disability decreased by 50%, trait anxiety decreased by 21%, and the duration of trapezius muscle rest in the workplace increased by 56% immediately after the 8-week intervention. These improvements were maintained 6 months after treatment, and the patient reported a complete absence of neck disability at the 2-year follow-up assessment. Discussion A sustained reduction in neck disability was observed for a patient with chronic neck pain after participating in a multidisciplinary intervention that combined physical therapy and stress management approaches to facilitate muscle relaxation in the workplace. Future clinical trials are needed to assess whether stress management is a useful adjunct therapy for patients with chronic neck pain who show elevated muscle activity in response to psychosocial stress.

Cervical radiofrequency neurotomy in patients with chronic whiplash: a study of multiple outcome measures

2006 ◽  
Vol 4 (5) ◽  
pp. 365-373 ◽  
Author(s):  
Tamara Prushansky ◽  
Evgeny Pevzner ◽  
Carlos Gordon ◽  
Zeevi Dvir
Keyword(s):  
Outcome Measures ◽  
Whiplash Injury ◽  
Neck Disability Index ◽  
Pressure Pain Threshold ◽  
Self Report ◽  
Radiofrequency Neurotomy ◽  
Symptom Check List ◽  
Chronic Whiplash ◽  
Neck Disability ◽  
Rate Of Success

Object Cervical radiofrequency neurotomy (CRFN) is used in the treatment of patients with chronic pain and disability due to whiplash injury. Confirmation of its efficiency has, however, been based solely on pain and psychological distress factors. The aim of the present study was to extend the assessment of CRFN efficacy by adding other outcome measures to shed light on neuromotor-functional-psychological interactions by undertaking comparison of pre- and 1-year postintervention data. Methods Forty patients with chronic whiplash injury–associated disorders were evaluated prior to and at two separate sessions after CRFN. The evaluation included Neck Disability Index, cervical range of motion, isometric cervical muscle strength, cervical pressure pain threshold, Symptom Check List–90-Revised, and subjective Self-Report of Improvement (SRI). The authors found that the CRFN had a significantly positive effect on all measured parameters. A case-by-case analysis revealed improvement in 70% of the patients at the final follow-up examination. Using stringent cutoff values, between 30 and 60% of the patients experienced measurable improvement. Evaluation of SRI results indicated that more than 80% of the patients were satisfied with the procedure. Conclusions Approximately 1 year after intervention, CRFN was associated with an acceptable rate of success, as reflected by objective and subjective outcome measures.

Incidence and predictors of chronic headache attributed to whiplash injury

Cephalalgia ◽  
2009 ◽  
Vol 30 (5) ◽  
pp. 528-534 ◽  
Author(s):  
M Obermann ◽  
K Nebel ◽  
A Riegel ◽  
D Thiemann ◽  
M-S Yoon ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Chronic Headache ◽  
Whiplash Injury ◽  
Task Force ◽  
Neck Disability Index ◽  
Primary Headache ◽  
Control Group ◽  
Headache Disorders ◽  
Primary Headache Disorders ◽  
Neck Disability

We identified clinical, demographic and psychological predictive factors that may contribute to the development of chronic headache associated with mild to moderate whiplash injury [Quebec Task Force (QTF) ≤ II] and determined the incidence of this chronic pain state. Patients were recruited prospectively from six participating accident and emergency departments. While 4.6% of patients developed chronic headache attributed to whiplash injury according to the International Classification of Headache Disorders, 2nd edn criteria, 15.2% of patients complained about headache lasting > 42 days (QTF criteria). Predictive factors were pre-existing facial pain [odds ratio (OR) 9.7, 95% confidence interval (CI) 2.1, 10.4; P = 0.017], lack of confidence to recover completely (OR 5.5, 95% CI 2.0, 13.2; P = 0.005), sore throat (OR 5.0, 95% CI 1.5, 8.9; P = 0.013), medication overuse (OR 4.2, 95% CI 1.4, 12.3; P = 0.009), high Neck Disability Index (OR 4.0, 95% CI 1.3, 12.6; P = 0.019), hopelessness/anxiety (OR 3.8, 95% CI 1.3, 8.7; P = 0.024), and depression (OR 3.3, 95% CI 1.2, 9.4; P = 0.024). The lack of a control group limits the conclusions that can be drawn from this study. Identified predictors closely resemble those found in chronic primary headache disorders.

scholarly journals Do measures of physical function enhance the prediction of persistent pain and disability following a whiplash injury? Protocol for a prospective observational study in Spain

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e035736
Author(s):  
Ahmed Alalawi ◽  
Alejandro Luque-Suarez ◽  
Manuel Fernandez-Sanchez ◽  
Alessio Gallina ◽  
David Evans ◽  
...  
Keyword(s):  
Observational Study ◽  
Physical Function ◽  
Predictive Factors ◽  
Whiplash Injury ◽  
Prospective Observational Study ◽  
Neck Disability Index ◽  
Persistent Pain ◽  
Physical Factors ◽  
Post Injury ◽  
Neck Disability

IntroductionNot all factors that predict persistent pain and disability following whiplash injury are known. In particular, few physical factors, such as changes in movement and muscle behaviour, have been investigated. The aim of this study is to identify predictive factors that are associated with the development of persistent pain and disability following a whiplash injury by combining contemporary measures of physical function together with established psychological and pain-related predictive factors.Methods and analysisA prospective observational study will recruit 150 consecutive eligible patients experiencing whiplash-related symptoms, admitted to a private physiotherapy clinic in Spain within 15 days of their whiplash injury. Poor outcome will be measured using the Neck Disability Index (NDI), defined as an NDI score of 30% or greater at 6 months post injury. Candidate predictors, including demographic characteristics, injury characteristics, pain characteristics, self-reported psychosocial factors and physical factors, will be collected at baseline (within 15 days of inception). Regression analyses will be performed to identify factors that are associated with persistent neck pain and disability over the study period.Ethics and disseminationThe project has been approved by the Ethics Committee of the province of Malaga, Spain (#30052019). The results of this study will be published in peer-reviewed journals.

scholarly journals Cervical-scapular muscles strength and severity of temporomandibular disorder in women with mechanical neck pain

2016 ◽  
Vol 29 (2) ◽  
pp. 269-278
Author(s):  
Fernanda Pasinato ◽  
Juliana Bordin ◽  
Clarissa C. Santos-Couto-Paz ◽  
Juliana Alves Souza ◽  
Eliane C. R. Corrêa
Keyword(s):  
Muscle Strength ◽  
Neck Pain ◽  
Temporomandibular Disorder ◽  
Neck Disability Index ◽  
Trapezius Muscle ◽  
Neck Muscle ◽  
Cervical Muscle ◽  
Upper Trapezius ◽  
Hand Dynamometer ◽  
Neck Disability

Abstract Introduction: Changes in cervical muscle function have been observed in patients with neck pain (NP) and TMD. However, the relationship between TMD severity and neck muscle strength in the presence/absence of NP is unknown. Objective: To determine the prevalence of TMD in women with and without mechanical NP and assess the cervical-scapular muscle strength and its association with TMD severity. Methods: Fifteen volunteers without neck pain (CG) and 14 women with mechanical neck pain (NPG) took part and were selected by the Neck Disability Index. The diagnosis and severity of TMD were determined by the Research Diagnostic Criteria for TMD and Temporomandibular Index (TI), respectively. The strength of the upper trapezius muscle, and cervical flexor and extensor muscles was measured by digital hand dynamometer. Results: 64.5% of women with NP and 33.3% without NP were diagnosed with TMD (p = 0.095). The NPG showed lower strength of the cervical flexor (p = 0.044) and extensor (p=0.006) muscles, and higher TI (p = 0.038) than in the CG. It was also verified moderate negative correlation between TI and the strength of dominant (p = 0.046, r = -0.547) and non-dominant (p = 0.007, r = -0.695) upper trapezius, and cervical flexors (p = 0.023, r = -0.606) in the NPG. Conclusion: There was no difference in the prevalence of TMD in women with and without NP. However, women with NP have lower cervical muscle strength - compared to those without NP - which was associated with greater severity of TMD. Thus, in women with NP associated with TMD, it is advisable to assess and address the severity of this dysfunction and identify the cervical-scapular muscles compromise.

scholarly journals Effectiveness of Myofascial Release vs High Frequency TENS for Pain Relief and Functional Improvement in College Students with Trapezius Myalgia: A Comparative Study

2021 ◽  
pp. 352-358
Author(s):  
Aditi Joshi ◽  
Swapna Jawade ◽  
Neha Chitale
Keyword(s):  
Pain Relief ◽  
High Frequency ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Trapezius Muscle ◽  
Functional Improvement ◽  
Myofascial Release ◽  
Upper Trapezius ◽  
Trapezius Myalgia ◽  
Neck Disability

Background: Trapezius Myalgia is characterized by pain in the trapezius muscle. The patient suffering from myalgia usually complaints of pain, stiffness and tightness of the upper trapezius muscle. Acute or chronic neck-shoulder pain is the hallmark of this condition. The pain in the muscle usually lasts for few days or it can be even longer. The presence of spasm in upper trapezius muscle is shown by neck pain in the back of the neck and between the bases of the neck and the shoulder. This protocol has been created that describes the design of experimental study to evaluate and compare the effect of Myofascial Release (MFR) versus High-Frequency TENS for pain relief and functional improvement in subjects with Trapezius Myalgia. Methods: The participants (n=45) will be recruited in the study suffering from Trapezius Myalgia and meeting the inclusion criteria. Two groups will be formed such that group A will be treated with Myofascial Release technique and group B will be treated with High Frequency TENS modality. The protocol will cover 4 weeks of treatment. Regular assessment will be carried out on 1st and 4th week of the rehabilitation period. During the rehabilitation period, we will evaluate pain status and functional improvement and range of motion of the neck in the subject at regular intervals. Our outcome measures will be – Numerical Pain Rating Scale (NPRS) and Neck Disability Index (NDI). Discussion: The efficacy of the intervention will be evaluated by analyzing pain relief using Numerical Pain Rating Scale (NPRS) and functional improvement by using Neck Disability Index (NDI). The result of the study will significantly provide affirmation on using these modalities for treating myalgia patients. 

scholarly journals Eccentric Exercise Reduces Upper Trapezius Muscle Stiffness Assessed by Shear Wave Elastography and Myotonometry

2020 ◽  
Vol 8 ◽  
Author(s):  
Aleksandra Kisilewicz ◽  
Pascal Madeleine ◽  
Zofia Ignasiak ◽  
Bogdan Ciszek ◽  
Adam Kawczynski ◽  
...  
Keyword(s):  
Shear Wave ◽  
Eccentric Exercise ◽  
Trapezius Muscle ◽  
Shear Wave Elastography ◽  
Muscle Stiffness ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle

COMPARISON OF EFFICACY OF MECHANICAL INTERMITTENT AND KALTENBORN CERVICAL TRACTION MOBILIZATION WITH BELT IN RADIATING NECK PAIN: A RANDOMIZED CLINICAL TRIAL

2017 ◽  
Vol 20 (04) ◽  
pp. 1750023
Author(s):  
Amala Sahasrabudhe ◽  
Charu Eapen ◽  
C. P. Zulfeequer
Keyword(s):  
Physical Therapy ◽  
Neck Pain ◽  
Outcome Measures ◽  
Rating Scale ◽  
Pain Treatment ◽  
Neck Disability Index ◽  
Patient Specific ◽  
Cervical Traction ◽  
Neck Disability ◽  
Manual Traction

Purpose: The aim of this paper is to see the effectiveness of cervical traction manual or mechanical as an adjunct to physical therapy in the treatment of radiating neck pain. Method: 50 subjects with radiating neck pain, 25 in each group were taken. Both groups received moist heat and cervical retraction exercises for five sessions. The KTr group received Kaltenborn manual traction and the Tr group received mechanical cervical traction. Outcome measures: Numeric Pain Rating Scale and cervical ROM were taken at baseline, after first treatment and at the end of 5th day. Neck disability index and Patient-Specific Functional Scale were taken at baseline and at the end of fifth session. Results: After 5 days of treatment, statistical improvements ([Formula: see text].05) were observed in all outcome measures in both groups. The immediate reduction in pain intensity and increased range of motion was observed in the KTr group. Conclusion: The study showed that both traction methods are equally effective when used as adjunct to physical therapy in radiating neck pain treatment. Immediate effects in reduction of pain and increase in the ROM are more in the manual traction group. Hence, manual cervical traction along with physical therapy can be considered as choice of treatment for immediate improvements in pain and ROM of the cervical spine.

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