scholarly journals Thermotherapy Plus Neck Stabilization Exercise for Chronic Nonspecific Neck Pain in Elderly: A Single-Blinded Randomized Controlled Trial

2020 ◽  
Vol 17 (15) ◽  
pp. 5572
Author(s):  
Ho-Jin Shin ◽  
Sung-Hyeon Kim ◽  
Suk-Chan Hahm ◽  
Hwi-Young Cho
Keyword(s):  
Neck Pain ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Muscle Properties ◽  
Stabilization Exercise ◽  
Upper Trapezius ◽  
Splenius Capitis ◽  
Neck Disability ◽  
Neck Stabilization

Neck pain is a serious problem for public health. This study aimed to compare the effects of thermotherapy plus neck stabilization exercise versus neck stabilization exercise alone on pain, neck disability, muscle properties, and alignment of the neck and shoulder in the elderly with chronic nonspecific neck pain. This study is a single-blinded randomized controlled trial. Thirty-five individuals with chronic nonspecific neck pain were randomly allocated to intervention (n = 18) or control (n = 17) groups. The intervention group received thermotherapy with a salt-pack for 30 min and performed a neck stabilization exercise for 40 min twice a day for 5 days (10 sessions). The control group performed a neck stabilization exercise at the same time points. Pain intensity, pain pressure threshold (PPT), neck disability index, muscle properties, and alignment of the neck and shoulder were evaluated before and after the intervention. Significant time and group interactions were observed for pain at rest (p < 0.001) and during movement (p < 0.001), and for PPT at the upper-trapezius (p < 0.001), levator-scapula (p = 0.003), and splenius-capitis (p = 0.001). The disability caused by neck pain also significantly changed between groups over time (p = 0.005). In comparison with the control group, the intervention group showed significant improvements in muscle properties for the upper-trapezius (tone, p = 0.021; stiffness, p = 0.017), levator-scapula (stiffness, p = 0.025; elasticity, p = 0.035), and splenius-capitis (stiffness, p = 0.012), and alignment of the neck (p = 0.016) and shoulder (p < 0.001) over time. These results recommend the clinical use of salt pack thermotherapy in addition to neck stabilization exercise as a complementary intervention for chronic nonspecific neck pain control.

Neck and Scapula-Focused Exercise Training on Patients With Nonspecific Neck Pain: A Randomized Controlled Trial

2018 ◽  
Vol 27 (5) ◽  
pp. 403-412 ◽  
Author(s):  
Taha Ibrahim Yildiz ◽  
Elif Turgut ◽  
Irem Duzgun
Keyword(s):  
Exercise Training ◽  
Neck Pain ◽  
Controlled Trial ◽  
Intervention Group ◽  
Three Dimensional ◽  
Neck Disability Index ◽  
Control Group ◽  
Scapular Kinematics ◽  
Neck Disability ◽  
Tracking Device

Objectives:The purpose of this study was to investigate the effects of additional 6-week scapular stabilization training in patients with nonspecific neck pain (NNP).Materials and Methods:A total of 30 patients with NNP were randomly allocated to the study. Fifteen participants in the intervention group received neck-focused exercise and scapular stabilization training, whereas 15 participants in the control group received neck-focused exercise training. All groups were evaluated at baseline and after 6 weeks of rehabilitation. The pain intensity on the neck was measured with the visual analog scale (VAS). The self-reported disability status was measured with the neck disability index (NDI). Three-dimensional scapular kinematics were recorded during dynamic shoulder elevation trials using an electromagnetic tracking device, and data were further analyzed at 30°, 60°, 90°, and 120° of humerothoracic elevations.Results:Comparisons revealed that, regardless of the received treatment, after 6 weeks of training both groups showed significant improvements in VAS (P < .001) and NDI (P < .001) scores. Both VAS and NDI outcomes have a large effect size (r = .618 andr = .619, respectively). For scapular kinematics, there were no group differences, especially for scapular upward–downward rotation and anterior–posterior tilt (P > .05). However, in the intervention group, the scapula was more externally rotated at 120° humerothoracic elevation (P = .04).Conclusion:Findings of this study showed that both manual therapy and active interventions, including neck-focused exercise and scapular stabilization training, are effective in decreasing pain and disability level in patients with NNP. More comprehensive studies with longer follow-up durations are needed to better understand the potential effects of scapular stabilization training in patients with NNP.

scholarly journals Breathing retraining with chest wall mobilization improves respiratory reserve and decreases hyperactivity of accessory breathing muscles during respiratory excursions: A randomized controlled trial

2020 ◽  
Vol 22 (3) ◽  
Author(s):  
Monticha Sakuna ◽  
Keerin Mekhora ◽  
Wattana Jalajondeja ◽  
Chutima Jalajondeja
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Chest Wall ◽  
Controlled Trial ◽  
Intervention Group ◽  
Chronic Neck Pain ◽  
Control Group ◽  
Chest Expansion ◽  
Upper Trapezius ◽  
Breathing Retraining

Purpose: The aim of this paper was to evaluate the effects of breathing retraining with chest wall mobilization on the onset of accessory breathing muscle recruitment and respiratory reserve in individuals with chronic neck pain. Methods: Thirty-two participants with non-specific chronic neck pain were randomly assigned into intervention and control groups. The intervention group received 30 minutes of breathing retraining with chest wall mobilization and the control group was assigned to rest for 30 minutes. Electromyography (EMG) of upper trapezius (UT), scalene (SC), and sternocleidomastoid (SCM) muscles were recorded during respiratory excursions by cycling for 12 minutes. Measurement of maximum voluntary ventilation (MVV), chest expansion, and pain intensity were taken during normal breathing. The immediate effects within each group and between two groups were analyzed. Results: Significant improvement in respiratory reserve was observed in the intervention group compared to control group through prolonged EMG onset of accessory breathing muscles. Moreover, increase of MVV, chest expansion and decrease in pain intensity were observed. Conclusions: This research suggests that breathing patterns and chest expansion should be considered within the physical assessment of breathing retraining, and that chest wall mobilization offers clinically important improvements in patients with chronic neck pain.

scholarly journals Effect of isometric exercises on the masseter muscle in older adults with missing dentition: a randomized controlled trial

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Satoru Takano ◽  
Kohei Yamaguchi ◽  
Kazuharu Nakagawa ◽  
Kanako Yoshimi ◽  
Ayako Nakane ◽  
...  
Keyword(s):  
Older Adults ◽  
Masseter Muscle ◽  
Controlled Trial ◽  
Intervention Group ◽  
Muscle Thickness ◽  
Control Group ◽  
Older Individuals ◽  
Muscle Properties ◽  
Oral Function ◽  
Masticatory Ability

AbstractMaintaining oral function in older individuals with missing teeth is important for leading a healthy and independent life. This study aimed to evaluate whether simple isometric exercises can maintain and improve the oral function [maximum occlusal force (MOF) and masticatory ability (MA)] and the masticatory muscle properties [masseter muscle thickness (MMT) and echo intensity (MMEI)] in older adults during the maintenance phase of removable prosthetic treatment. Participants were randomly categorized into the intervention and control groups. The mouthpieces were distributed, and participants were instructed to use them for exercising. The intervention group was instructed to perform maximum clenching for 10 s, whereas the control group was instructed to tap the teeth at an arbitrary speed for 10 s. Both were repeated five times at an interval of 5 s between each activity and twice daily for 4 weeks. The outcomes were measured after a month of exercise. The intervention group showed a significant improvement in the MOF, MMT during contraction, MMT at rest and MMEI during contraction. There were no significant differences in the MA and MMEI at rest. In the control group, no improvement was observed in any of the parameters. When the isometric exercises were performed using a mouthpiece, there was an improvement in the oral function and masseter muscle properties in older individuals with Eichner B status who used dentures.

scholarly journals The effect of two weeks of spinal manipulative therapy and home stretching exercises on pain and disability in patients with persistent or recurrent neck pain; a randomized controlled trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Anders Galaasen Bakken ◽  
Andreas Eklund ◽  
Anna Warnqvist ◽  
Søren O’Neill ◽  
Iben Axén
Keyword(s):  
Neck Pain ◽  
Treatment Effect ◽  
Intervention Group ◽  
Spinal Manipulative Therapy ◽  
Control Group ◽  
Manipulative Therapy ◽  
Randomized Controlled ◽  
Neck Disability ◽  
Stretching Exercises

Abstract Background Recurrent or persistent neck pain affects a vast number of people globally, leading to reduced quality of life and high societal costs. Clinically, it is a difficult condition to manage, and treatment effect sizes are often moderate at best. Activity and manual therapy are first-line treatment options in current guidelines. We aimed to investigate the combination of home stretching exercises and spinal manipulative therapy in a multicentre randomized controlled clinical trial, carried out in multidiscipline ary primary care clinics. Methods The treatment modalities utilized were spinal manipulative therapy and home stretching exercises compared to home stretching exercises alone. Both groups received 4 treatments for 2 weeks. The primary outcome was pain, where the subjective pain experience was investigated by assessing pain intensity (NRS − 11) and the quality of pain (McGill Pain Questionnaire). Neck disability and health status were secondary outcomes, measured using the Neck Disability Indexthe EQ-5D, respectively. One hundred thirty-one adult subjects were randomized to one of the two treatment groups. All subjects had experienced persistent or recurrent neck pain the previous 6 months and were blinded to the other group intervention. The clinicians provided treatment for subjects in both group and could not be blinded. The researchers collecting data were blinded to treatment allocation, as was the statistician performing data analyses. An intention-to-treat analysis was used. Results Sixty-six subjects were randomized to the intervention group, and sixty-five to the control group. For NRS − 11, a B-coefficient of − 0,01 was seen, indication a 0,01 improvement for the intervention group in relation to the control group at each time point with a p-value of 0,305. There were no statistically significant differences between groups for any of the outcome measures. Conclusion Based on the current findings, there is no additional treatment effect from adding spinal manipulative therapy to neck stretching exercises over 2 weeks for patients with persistent or recurrent neck pain. Trial registration The trial was registered 03/07/2018 at ClinicalTrials.gov, registration number: NCT03576846.

Effect of isometric exercises on the masseter muscle in older adults with missing dentition: a randomized controlled trial

2021 ◽  
Author(s):  
Satoru Takano ◽  
Kohei Yamaguchi ◽  
Kazuharu Nakagawa ◽  
Kanako Yoshimi ◽  
Ayako Nakane ◽  
...  
Keyword(s):  
Older Adults ◽  
Masseter Muscle ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Older Individuals ◽  
Muscle Properties ◽  
Oral Function ◽  
Masticatory Ability ◽  
Significant Difference

Abstract Maintaining oral function is important in older individuals with missing teeth for leading a healthy and independent life. This study aimed to evaluate whether simple isometric exercises can maintain and improve oral function (maximum occlusal force [MOF], masticatory ability [MA]) and masticatory muscle properties (masseter muscle thickness [MMT] and echo intensity [MMEI]) in older adults in the maintenance phase of removable prosthetic treatment. Participants were randomly allocated into intervention and control groups. The intervention group was instructed to perform maximum clenching for 10 s, whereas the control group was instructed to tap the teeth at an arbitrary speed for 10 s. Both were repeated five times at an interval of 5 s between each activity and twice a day for 4 weeks. The outcomes were measured after a month of exercise. The intervention group showed significant improvement in MOF, MMT during contraction, and MMEI during contraction. There was no significant difference in the MA and MMEI at rest. In the control group, no improvement was observed in any of the parameters. When the isometric exercises were performed using a mouthpiece, there was improvement in oral function and masseter muscle properties in older individuals with Eichner B status who used dentures.

EFFECTS OF MYOFASCIAL RELEASE AND VAPOCOOLANT SPRAY WITH STRETCH TECHNIQUE ON UPPER TRAPEZIUS TRIGGER POINTS

2016 ◽  
Vol 5 (2) ◽  
pp. 43-48
Author(s):  
Fareeda Shaheen Shah
Keyword(s):  
Neck Pain ◽  
Myofascial Pain ◽  
Intervention Group ◽  
Sampling Technique ◽  
Trigger Points ◽  
Control Group ◽  
Common Source ◽  
Myofascial Release ◽  
Upper Trapezius ◽  
And Control

BACKGROUND Myofascial pain syndrome is a common source of pain in people with bad postures. Mostly trigger points (TrP) of muscles become chronic and cause restricted ROM. Upper trapezius TrP are common in people of all ages especially young and middle aged adults. Physical therapy has been used to release these TrP. OBJECTIVES To determine the effects of Myofascial release and spray with stretch technique on upper trapezius trigger points METHODOLOGY 30 individuals with history of neck pain were taken through non-probability purposive sampling technique. They are randomly allocated to intervention and control group. The intervention group received Myofascial release technique with stretching exercises and the control group received spray with stretch technique. The techniques were applied for three consecutive days. A pre-assessment and post-assessment of ROM and pain scores on VAS were taken. RESULT This study shows that the ranges of cervical side flexion of both sides were increased in intervention and control groups. CONCLUSION Myofascial release have greater effects in releasing upper trapezius TrP with significant reduction in neck pain and improved neck movements as compared to spray and stretch technique and there would be minimal chances of early recurrence of TrP after about 3 days of receiving it.

scholarly journals Educational Intervention on Social Media To Prevent Occupational Neck Pain; A Protocol for a Randomized Trial To Prevention Occupational Neck Pain in Teachers Profession

2021 ◽  
Author(s):  
Sedigheh Sadat Tavafian ◽  
Zohre Moradi ◽  
Seyedeh Somayeh Kazemi
Keyword(s):  
Social Media ◽  
Neck Pain ◽  
Educational Intervention ◽  
Negative Impact ◽  
Controlled Trial ◽  
Intervention Group ◽  
Health Belief ◽  
Psychometric Evaluation ◽  
Control Group ◽  
The Impact

Abstract Background: Neck pain is one of the most common work-related musculoskeletal disorders (WMSDs). Which has important social and economic consequences such as reduced productivity due to absenteeism, leave and early retirement and financial losses due to medical expenses for the workforce, especially teachers, and is a serious problem among teachers. This study aims was to evaluate whether a theory-based intervention social media could change the high-risk behaviors that cause to job-related neck pain among teachers.Methods: This is a community-randomized controlled trial that will be done in three steps. The stages of the study include: The first stage is a qualitative study to obtain the items and areas of the researcher-made questionnaire based on the health belief model (HBM), the second stage is the psychometric evaluation of the questionnaire and the third stage is the design and implementation of model-based educational intervention in social media. The study population is middle school teachers in the 19th district of Tehran, which are randomly divided into two groups of intervention and control. The intervention group receives training packages on social media and the control group does not receive any training. The intervention tries to improve the knowledge, attitude, skills and self-efficacy in adopting neck pain prevention behaviors among teachers. The study will also assess whether the intervention can reduce disability caused by neck pain among teachers.Discussion: Job-related neck pain can have a negative impact on teachers' health. This study is an attempt to investigate the impact, development and implementation of interventions in reducing job-related neck pain on social media.Trial registration number: IRCT20210301050542N1Registered on 16 March 2021 in IRCT (Iranian registry of Clinical TrialEthics Code: IR.MODARES.REC.1399.163

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 Analgesic effects of a capacitive-resistive monopolar radiofrequency in patients with myofascial chronic neck pain: a pilot randomized controlled trial

2019 ◽  
Vol 65 (2) ◽  
pp. 156-164 ◽  
Author(s):  
Isabel Maria Alguacil-Diego ◽  
Josue Fernández-Carnero ◽  
Sofía Laguarta-Val ◽  
Roberto Cano-de-la-Cuerda ◽  
César Calvo-Lobo ◽  
...  
Keyword(s):  
Neck Pain ◽  
Radio Frequency ◽  
Pain Intensity ◽  
Controlled Trial ◽  
Trapezius Muscle ◽  
Chronic Neck Pain ◽  
Upper Trapezius ◽  
Upper Trapezius Muscle ◽  
Neck Disability ◽  
First Session

SUMMARY BACKGROUND: To date, there is a lack of prior studies on the use of capacitive resistive monopolar radiofrequency (RF) to treat neck pain. The objective of this study was to investigate the immediate effect of capacitive resistive monopolar radiofrequency (RF=448 kHz), in comparison with a placebo, on (1) reducing neck pain intensity at myofascial trigger points (MTrP), (2) decreasing neck disability and (3) improving cervical range of motion (CROM). METHODS: A randomized, double-blind, placebo-controlled trial (NCT02353195) was carried out. Patients with myofascial chronic neck pain (N=24) with active MTrP in one upper trapezius muscle were randomly divided into two groups: a radio-frequency group, which received eight sessions of a monopolar capacitive resistive radio-frequency application over the upper trapezius muscle, and a placebo group (PG), which received eight sessions of placebo radio-frequency over the same muscle. Visual analog scale (VAS), CROM and Neck Disability Index (NDI) were evaluated after the first session and after the eight sessions. RESULTS: The Wilcoxon test for VAS showed statistically significant differences between baseline, immediately after the first session and after eight sessions (p<.001). No significant differences for PG were found. No differences were observed between groups. NDI improved in both groups after eight sessions, but no differences were found between groups (p<.05). ANOVA for time factor showed statistically significant changes in the right cervical rotation in both groups (F=4.112; p=.026) after eight sessions. CONCLUSIONS: Even though there were no differences between both groups, the monopolar capacitive, resistive RF could have a potential effect on pain intensity.

scholarly journals Dry Needling Plus Conventional Physiotherapy for Patients With Chronic Nonspecific Neck Pain: A Randomized Clinical Trial

2021 ◽  
Vol 11 (3) ◽  
pp. 157-170
Author(s):  
Ghazaleh Vahedi ◽  
◽  
Amir Letafatkar ◽  
Zahra Mosallanezhad ◽  
Malihe Hadadnezhad ◽  
...  
Keyword(s):  
Neck Pain ◽  
Intervention Group ◽  
Muscle Thickness ◽  
Control Group ◽  
Dry Needling ◽  
Post Test ◽  
Conventional Physiotherapy ◽  
Neck Disability ◽  
Post Hoc

Purpose: This study aimed to evaluate the effect of conventional physiotherapy plus Dry Needling (DN) technique in patients with chronic nonspecific neck pain with Sternocleidomastoid (SCM) and Upper Trapezius (UT) muscles involvement. Methods: This study was designed as a single-blind randomized clinical trial. A total of 39 patients (19 men and 21 women) with chronic non-specific neck pain with a Mean±SD age of 38.13±5.68 years, a Mean±SD height of 168.28±8.34 cm, and a Mean±SD weight of 75.78±9.02 kg participated in this study. They were randomly divided into conventional physiotherapy (control group: n=19) and conventional physiotherapy plus DN (intervention group: n=20). SCM and UT muscle pain, neck disability, and thickness were assessed for all participants in the pre-test, post-test, and follow-up periods. This study was reviewed and approved by the Faculty of Physical Education and Sport Science, University of Kharazmi, Tehran, Iran. Repeated measures analysis of variance and Bonferroni post hoc tests were used for data analysis using SPSS v. 22. Results: The results of 1-way analysis of variance showed that pain, neck disability, and SCM and UT muscle thickness in the intervention group had a significant decrease compared to the control group in the post-test and follow-up period (P<0.05). Also, according to the results of the corrected Bonferroni post hoc test, the intervention group showed a greater effect size than the control group in the post-test and the follow-up periods in the above variables. Conclusion: The present study results show that adding DN to conventional physiotherapy for neck pain can increase the effectiveness of intervention in relieving pain, disability, and SCM and UT muscle thickness in people with chronic neck pain.

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