scholarly journals Combined Deep Transverse Friction and Muscle Energy Technique on Mechanical Neck Pain: Article Review

2020 ◽  
Vol 1 (1) ◽  
pp. 17-22
Author(s):  
I Putu Mahendra Putra ◽  
Made Hendra Satria Nugraha ◽  
Ni Wayan Tianing
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Direct Effect ◽  
Secondary Data ◽  
Pain Modulation ◽  
Good Effect ◽  
Local Pain ◽  
Muscle Energy Technique ◽  
Muscle Energy ◽  
Neck Disability

Introduction: Since mechanical neck pain has become a common problem, physiotherapists’ role in reducing symptoms caused by mechanical neck pain varies such as muscle energy technique and deep transverse friction. Based on the references, mechanical neck pain defined as a condition non-radicular or local pain which increased pain intensity during movement. The study aims to understand whether deep transverse friction and muscle energy technique are effective to reduce pain the mechanical neck pain.Method: The study used the secondary data through article review which focuses on the journals and articles related to the muscle energy technique and deep transverse friction in the mechanical neck pain. Results: The application and method of muscle energy technique are aimed at normalizing the structure of dysfunctional tissue, such as the shortening of muscles, which indirectly gives a direct effect on the joint. It is suggested as a method to improve the mobility of the joint. Besides, to reduce pain through pain modulation, deep transverse friction was applicable to provide it at the level of the supra-spinal to release endorphins, enkephaline, and cortisol. Conclusion: Either muscle energy technique or deep transverse friction are shown a good effect to reduce pain, neck disability, and increase ROM of the cervical joint in patients with mechanical neck pain. Besides, deep transverse friction has also reducing spasm/tightness at the cervical joint level in patients with mechanical neck pain.

Comparison of effectiveness of muscle energy technique with Mulligan mobilization in patients with non-specific neck pain

2021 ◽  
pp. 1-10
Author(s):  
Anam Manzoor ◽  
Naveed Anwar ◽  
Kehkshan khalid ◽  
Rizwan Haider ◽  
Mehwish Saghir ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Functional Status ◽  
Group Analysis ◽  
Neck Disability Index ◽  
Muscle Energy Technique ◽  
The Mean ◽  
Muscle Energy ◽  
Neck Disability ◽  
Group 1

Abstract Background: Neck pain is very common in general population. The onset of pain may be sudden or insidious, recurrent or persistent in nature. The prevalence of neck pain in Pakistan is not known. The neck pain that persists for more than 3 months is called chronic neck pain. There are different physiotherapy techniques to manage nonspecific neck pain including Mulligan mobilization and muscle energy technique. Objective: to compare the efficacy of muscle energy technique with Mulligan mobilization in patients having non-specific neck pain. Methodology: This quasi-experimental study was conducted at Mayo hospital physiotherapy department, Lahore. The study duration was six months from March 2017 to September 2017. Sample size calculated was 56 by using g power software. Random sampling technique was used. Subjects were divided into two groups. In the group 1 patients; muscle energy technique was used and in group 2; Mulligan mobilization as natural apophyseal glides (NAGs) and sustained natural apophyseal glides (SNAGs) were used. The pain intensity, functional status of neck and cervical range of motion (ROM) were measured before and after treatment session by using visual analogue (VAS), neck disability index (NDI) and goniometer. Independent t-test was applied for between group analysis. Results: The mean age of participants is 36.89±9.28. The mean improvement in pain intensity was 3.61 for the Muscle energy technique group and for Mulligan group it was 4.86 after three weeks’ treatment. The functional status score according to neck disability index (NDI) pre-treatment mean for the group 1 was 12.04±4.69 and Continuous....

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

Effectiveness of Kinaesthetic Exercise program on Position Sense, Pain, and Disability in Chronic Neck Pain Patients with Cervical Spondylosis – A Randomized Comparative Trial

2020 ◽  
Author(s):  
Ravi Shankar Yerragonda Reddy ◽  
Arun G Maiya ◽  
Sharath Kumar Rao ◽  
Khalid A Alahmari ◽  
Jaya Shanker Tedla ◽  
...  
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Cervical Spondylosis ◽  
Chronic Neck Pain ◽  
Position Sense ◽  
Study Group ◽  
Position Errors ◽  
Flexion Extension ◽  
Comparative Group ◽  
Neck Disability

Abstract Background Chronic neck pain (CNP) is a significant health problem with only a few evidence-based treatment options. There is growing evidence for the effectiveness of kinaesthetic rehabilitation in musculoskeletal disorders. This study aims to assess kinaesthetic exercise programs' efficacy on cervical position sense, pain, and disability in subjects with cervical spondylosis (CS). Methods CNP subjects (>3 months) with a diagnosis of CS were randomly assigned to either a study group (n=125) who received kinesthetic exercises or to a comparative group (n=125) who received isometric neck exercises and deep cervical flexor (DCF) strengthening exercises. Both group subjects participated in the individualized training program for 24 sessions in 6 weeks. The outcome measures were cervical joint position errors (JPE’s) in flexion, extension, rotation left and right, pain intensity, and neck disability. Results All outcomes were improved significantly from baseline to post 24 sessions of intervention. When compared between groups, there was a significant reduction in JPE’s in flexion (mean difference [MD]= 071, CI=0.22–1.20, p=0.001), extension (MD=1.26, CI=0.70–1.81, p< 0.001) and right rotation (MD=1.08, CI=0.58–1.58, p<0.001), pain intensity (MD=1.58, CI=1.09–2.08, p<0.001), and neck disability (MD=10.27, CI=7.42–13.12, p<0.001) after 24 sessions of intervention favoring the study group. Conclusion Study group subjects who received kinesthetic rehabilitation showed more significant improvements in terms of improved proprioception, decreased pain intensity and disability following 24 sessions of interventions compared with the comparative group.

Effectiveness of Laser Therapy and Ultrasound Therapy along with Muscle Energy Technique in subjects with Trapezitis

2021 ◽  
pp. 116-120
Author(s):  
K. Kotteeswaran ◽  
Syed Gaffar ◽  
Krishna. R ◽  
Keerthana Priya. R.
Keyword(s):  
Laser Therapy ◽  
Functional Disability ◽  
Neck Disability Index ◽  
Ultrasound Therapy ◽  
Muscle Energy Technique ◽  
Significant Difference ◽  
Group A ◽  
Muscle Energy ◽  
Group B ◽  
Neck Disability

Aim: To find the effectiveness of laser therapy and ultrasound therapy along with muscle energy technique in treatment of Trapezitis. Materials and Methods: Non-equivalent quasi experimental study design was used in this study. Total of 30 subjects with trapezitis were selected using non probability convenient sampling technique.30 Subjects was divided into two groups by lot system. Group A received laser therapy and Group B received ultrasound therapy and for both the group muscle energy technique was given. The outcome measures are Neck Disability Index (NDI) for measuring Functional Disability. Data collected and tabulated was statistically analyzed. Result: Statistical analysis of post-test, Neck Disability Index (NDI) revealed that there is statistically significant difference seen between Group A and Group B. Conclusion: From the result, it has been concluded that Laser therapy with muscle energy technique (Group A) was more effective than Ultrasound therapy with muscle energy technique (Group B) on improving functional ability in subjects with Trapezitis.

scholarly journals Effectiveness of Progressive Resisted Exercise along with Conventional Exercise and Conventional Exercise Program alone in Subjects with Text Neck Syndrome

2021 ◽  
pp. 536-542
Author(s):  
Divya Jain ◽  
Swapna Jawade ◽  
Neha Chitale
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Conventional Therapy ◽  
Rating Scale ◽  
Neck Disability Index ◽  
Exercise Program ◽  
Pain Rating ◽  
Numerical Pain Rating Scale ◽  
Neck Disability ◽  
Pain Rating Scale

Background: "Text neck" is a term coined to describe the posture created by leaning forward for lengthy periods of time, such as when reading and texting on a cellphone which has been linked to stress injuries. Neck pain, upper back discomfort, shoulder pain, frequent headaches, and greater curvature of the spine are all dangerous indications of text neck. According to a survey, 35% of smartphone users suffer from text neck syndrome. People between the ages of 15 and 18 are more likely to have neck pain. This protocol has been created that describes the design of comparative study to evaluate effectiveness of progressive resisted exercise along with conventional exercise and conventional exercise program alone in text neck syndrome. Methods: The participants (n=80) will be recruited in the study suffering from text neck syndrome and meeting the inclusion criteria. Two groups will be formed such that patients in group A will be treated with conventional therapy and group B will be treated with progressive resisted exercise (PRE) along with conventional therapy. The protocol will cover 4 weeks of treatment. In the rehabilitation period, we will evaluate the pain intensity, strength of neck muscles and functional activity. Our outcome measures will be- Numerical pain rating scale (NPRS) and Neck disability index (NDI). Discussion: Efficacy of the intervention will be evaluated by analyzing the pain intensity by using Numerical pain rating scale (NPRS) and level of functional disability by using Neck disability index (NDI). The result of the study will significantly provide affirmation on either using combination therapy of PRE with conventional exercise or conventional exercise alone.

scholarly journals Traditional Acupuncture and Laser Acupuncture in Chronic Nonspecific Neck Pain: Study Protocol for a Randomized Controlled Trial

2021 ◽  
Author(s):  
RAFAELA PERON ◽  
Érika Patrícia Rampazo ◽  
Richard Eloin Liebano
Keyword(s):  
Neck Pain ◽  
Pain Intensity ◽  
Rating Scale ◽  
Acupuncture Treatment ◽  
Numerical Rating Scale ◽  
Controlled Trial ◽  
Pressure Pain Threshold ◽  
Pain Modulation ◽  
Laser Acupuncture ◽  
Acupuncture Points

Abstract Background: Nonspecific neck pain is a multifactorial and very common condition in adult individuals. No reports were found in the literature comparing the effectiveness of Traditional Acupuncture (TA) and Laser Acupuncture (LA) in cases of chronic nonspecific neck pain. Therefore, the aim of the present study is to investigate the effectiveness of TA and LA therapies in individuals with chronic nonspecific neck pain.Methods/design: This study will be a controlled and randomized clinical trial. A total of 60 individuals will be randomized into two groups (30 each). The TA group will receive the acupuncture treatment using needles, while the LA group will receive the laser acupuncture treatment. The acupuncture points (Tianzhu, Fengchi, Jianjing, and Jianzhongshu) will be stimulated bilaterally with needles or laser. The primary outcome will be pain intensity, determined using the numerical rating scale. The secondary outcomes will be pressure pain threshold, temporal summation of pain, conditioned pain modulation, use of analgesic drugs after treatment, and the global perceived effect scale. The assessments will be performed immediately before and after treatment. At the follow-up, 1 months after the end of the treatments, evaluation will be made of the pain intensity and the global perceived effect. Statistical analysis of the data obtained will consider a significance level of p < 0.05.Discussion: This study will provide evidence concerning the effects of LA treatment, in comparison to TA, leading to benefits for individuals suffering from chronic nonspecific neck pain.Trial registration: RBR-7vbw5gd (Brazilian Registry of Clinical Trials - ​ReBEC)

scholarly journals Immediate effect of muscle energy technique versus passive stretching for upper trapezius muscle on neck pain

2020 ◽  
Vol 7 (1) ◽  
pp. 86
Author(s):  
Mansi Ray ◽  
Roopa Desai
Keyword(s):  
Neck Pain ◽  
Trapezius Muscle ◽  
Upper Trapezius ◽  
Passive Stretching ◽  
Muscle Energy Technique ◽  
Upper Trapezius Muscle ◽  
Muscle Energy ◽  
Carry Over ◽  
Cervical Rotation ◽  
Hot Pack

<p class="abstract"><strong>Background:</strong> Neck pain is a common musculoskeletal problem in the General population. Upper trapezius is a superficial postural muscle that tends to get shortened due to overuse activity which causes neck pain and reduces neck mobility. The aim of this study was to compare the immediate effect of Muscle energy technique (MET) and passive stretching of upper trapezius muscle in neck pain patients.</p><p class="abstract"><strong>Methods:</strong> An experimental study was undertaken during period from March 2017 to March 2018. 358 participants with Neck pain were included in this study. Participants were divided in two groups: Group A received Hot pack and MET for upper Trapezius. Group B received Hot pack and Passive stretching for upper trapezius. Visual analogue scale (VAS) at end range of motion (ROM), same cervical side flexion and opposite side cervical rotation by goniometer and tape were taken as outcome measures. Participants were assessed prior to the treatment, immediately after the treatment and post 24 hours to see the carry over treatment.</p><p class="abstract"><strong>Results: </strong>Mann Whitney U test showed that VAS at end range of motion, opposite side cervical rotation and same side cervical side flexion had significant improvement in MET group as compared to passive stretching group (p&lt;0.0001). Carry over effect was less significant with p&lt;0.0001.</p><p class="abstract"><strong>Conclusions: </strong>A single session of MET for upper trapezius muscle reduced the pain intensity (VAS) and increased the cervical rotation and cervical side flexion.</p>

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