1. Neck and Scapula-Focused Exercise Training on Patients With Nonspecific Neck Pain: A Randomized Controlled Trial.
- Author
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Yildiz, Taha Ibrahim, Turgut, Elif, and Duzgun, Irem
- Subjects
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SCAPULA , *CLINICAL trials , *EXERCISE therapy , *KINEMATICS , *NECK pain , *PROBABILITY theory , *STATISTICAL sampling , *EFFECT sizes (Statistics) , *PAIN measurement , *RANDOMIZED controlled trials , *VISUAL analog scale , *PRE-tests & post-tests , *MOTION capture (Human mechanics) , *PHYSIOLOGY - Abstract
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 and r =.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. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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