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1.
BMC Musculoskelet Disord ; 22(1): 857, 2021 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-34625083

RESUMO

BACKGROUND: Neck and back pain are musculoskeletal conditions with serious individual and societal consequences. Current evidence about the prognostic value for neck and back pain is limited and conflicting. This prospective cohort study aimed to assess the association between leisure-time physical activity (LPA) and improvement of neck and/or back pain in a working population receiving manual therapy or general care in one of two randomized controlled trials (RCTs). METHODS: Analyses of data from two RCTs evaluating the effect of manual therapies for neck and/or back pain was conducted. Participants (n = 1 464) answered questionnaires about frequency and effort level of LPA at baseline. LPA on moderate or vigorous levels was compared to no or low/irregular moderate and vigorous levels. Pain intensity was assessed with numerical scales at baseline and 3-, 6-, and 12-month follow-up. The outcome was minimal clinically important improvement in pain intensity, defined as ≥2 points improvement in mean pain intensity at follow-up. Crude- and adjusted risk ratios (RR) with 95% confidence intervals (CI) were calculated with Poisson regression analysis and stratified by pain location. RESULTS: Participants with neck and/or back pain performing vigorous LPA showed a minimal clinically important improvement after 12 months compared to the control group; RR 1.35 (95% CI; 1.06-1.73). No effect was observed at 3 or 6 months. Moderate LPA did not improve pain intensity in any follow-up. Stratified analyses revealed that the effect of vigorous LPA at 12 months in back pain was RR 1.83 (95% CI; 1.26-2.66) and neck pain RR 1.06 (95% CI; 0.75-1.49). CONCLUSIONS: Persons with neck and/or back pain receiving manual therapy or general evidence-based care have greater chance of improvement after 12 months if they prior to treatment frequently practice vigorous LPA. When analyzed separately, the effect was only present for back pain. TRIAL REGISTRATION: Registration in Current Controlled Trials (ISRCTN), Stockholm Manual Intervention Trial (MINT), ISRCTN92249294 BJORN-trial, ISRCTN56954776.


Assuntos
Dor nas Costas , Cervicalgia , Dor nas Costas/diagnóstico , Dor nas Costas/epidemiologia , Dor nas Costas/terapia , Exercício Físico , Humanos , Atividades de Lazer , Cervicalgia/diagnóstico , Cervicalgia/epidemiologia , Cervicalgia/terapia
2.
Spine (Phila Pa 1976) ; 46(19): 1344-1353, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34517404

RESUMO

STUDY DESIGN: RAND/UCLA Appropriateness Method (RUAM) applied to chiropractic manipulation for patients with chronic low-back pain (CLBP) and chronic neck pain (CNP). OBJECTIVE: Determine the rate of appropriate care provided by US chiropractors. SUMMARY OF BACKGROUND DATA: Spinal manipulation has been shown effective for CLBP and CNP but may not be appropriate for all patients with these conditions. METHODS: Ratings of the appropriateness of spinal and cervical manipulation previously developed by two RUAM expert panels were applied to data abstracted from random samples of patient charts from chiropractors in six US regions to determine the appropriateness of manipulation for each patient. RESULTS: Of 125 chiropractors sampled, 89 provided charts that could be abstracted. Of the 2128 charts received, 1054 were abstracted. Charts received but not abstracted included 460 that were unusable (e.g., illegible), and 555 did not have CLBP or CNP. Across the abstracted charts 72% had CLBP, 57% had CNP, and 29% had both; 84% of patients with CLBP and 86% with CNP received manipulation. Patients with CLBP who had minor neurologic findings, sciatic nerve irritation, or no joint dysfunction were significantly less likely to receive manipulation. Patients with CNP who had substantial trauma etiology, no joint dysfunction, or no radiographs were significantly less likely to receive manipulation. Most manipulation for CLBP (64%) was appropriate and most manipulation for CNP (93%) was for patients where appropriateness was uncertain or equivocal. The proportions of patients receiving inappropriate manipulation for either condition were low (1%-3%) as were the numbers of patients presenting to these chiropractors for which manipulation was inappropriate. CONCLUSION: Chiropractors in this US sample tend to provide manipulation to very few patients with CLBP or CNP for which it is inappropriate. However, more research is needed to determine which patients with CNP benefit from manipulation.Level of Evidence: 4.


Assuntos
Quiroprática , Dor Crônica , Dor Lombar , Manipulação Quiroprática , Manipulação da Coluna , Dor Crônica/diagnóstico , Dor Crônica/terapia , Humanos , Dor Lombar/diagnóstico , Dor Lombar/terapia , Cervicalgia/diagnóstico , Cervicalgia/terapia
3.
Trials ; 22(1): 586, 2021 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-34479613

RESUMO

BACKGROUND: Non-specific chronic neck pain (NCNP) is a common musculoskeletal disorder which has caused a huge economic burden due to its expensive health costs and high re-occurrence rate. Yijinjing and Tuina are widely used for non-specific chronic neck pain in China. But there is little scientific evidence to evaluate their efficacy for NCNP. The aim of this research is to compare the efficacy of Yijinjng combined with Tuina versus Tuina for patients with NCNP. METHODS/DESIGN: A randomized controlled trial in which 102 patients with non-specific chronic neck pain will be recruited and randomly allocated to either the Tuina group or the Yijinjng combined with Tuina group in a 1:1 ratio. The interventions for both groups will be carried out three times a week for 8 weeks. The patients in the two groups will receive follow-up 1 month after the intervention. The primary outcome will be the changes in the visual analog scale (VAS). Secondary outcomes will be measured by the Neck Disability Index (NDI), Self-Rating Anxiety Scale (SAS), and Tissue Hardness and Active Range of Motion (AROM). The data will be analyzed at the baseline, 4 weeks during the intervention, at the end of the intervention, and 1 month after the intervention. The significance level sets as 5%. The safety of interventions will be evaluated after each treatment session. DISCUSSION: The purpose of this trial is to determine whether Yijinjing combined with Tuina is not inferior to Tuina for patients with NCNP. This study will provide clinicians and stakeholders much-needed knowledge for a complementary and alternative therapy for patients with non-specific chronic neck pain. TRIAL REGISTRATION: ChiCTR registry (ChiCTR) 2000036805 . Registered on August 25, 2020.


Assuntos
Dor Crônica , Cervicalgia , Dor Crônica/diagnóstico , Dor Crônica/terapia , Humanos , Cervicalgia/diagnóstico , Cervicalgia/terapia , Medição da Dor , Ensaios Clínicos Controlados Aleatórios como Assunto , Amplitude de Movimento Articular , Resultado do Tratamento
4.
Artigo em Inglês | MEDLINE | ID: mdl-34444389

RESUMO

The INYBI is an instrument used to release the suboccipital myofascial area. There is scarce evidence of its efficacy. A randomized controlled, double-blinded, longitudinal and prospective trial was performed. Ninety-six subjects (aged 29.47 ± 5.16 years) (70 women) with chronic neck pain were randomly assigned to the manual suboccipital inhibition technique (MSIT), instrumental suboccipital inhibition (INYBI) or the INYBI plus upper cervical manipulation technique (INYBI + UCMT) groups and received two sessions with a week interval between them. The Neck Disability Index was used before the first intervention and two weeks after the second intervention. Pre- and post-measurements were taken on both intervention days for pressure pain threshold of the upper trapezius and suboccipital muscles, self-perceived pain and cervical range of motion. In spite of a significant general improvement in time that was found for the three groups for all of the outcome measurements (p < 0.05 in all cases), no between-groups differences were found (p > 0.05 in all cases), with the exception of self-perceived pain for left rotation (p = 0.024), with the MSIT group showing the lower improvement. However, the higher degree of within-group improvements was found for the INYBI + UCMT group. It was concluded that the myofascial release therapy in the suboccipital area is effective in patients with chronic neck pain, either through a manual application or by means of the INYBI tool. Moreover, the addition of craniocervical manipulation achieved the higher within-group improvements, but with no statistical significance.


Assuntos
Dor Crônica , Manipulação da Coluna , Dor Crônica/terapia , Feminino , Humanos , Cervicalgia/terapia , Estudos Prospectivos , Amplitude de Movimento Articular
5.
J Bodyw Mov Ther ; 27: 447-454, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34391270

RESUMO

OBJECTIVE: The purpose of this study was to investigate the effect of 4 weeks of sling-based manual therapy on the cervicothoracic junction (CTJ) area in patients with neck pain and forward head posture. DESIGN: Single-blind randomized controlled trial. SETTING: Outpatient, Chonbuk National University hospital, Republic of Korea. SUBJECTS: A total of 22 participants with neck pain (Numeric Pain Rating Scale >3) and forward head posture (craniovertebral angle <51) were randomly assigned to a CTJ group or a control group (n = 11 each). INTERVENTION: In the control group, joint mobilization and motor control training was applied for the upper cervical spine (C0-C1). The CTJ group applied the same intervention to the upper cervical spine and cervicothoracic junction (C7-T3). MAIN MEASURES: Numeric pain rating scale and neck disability index, craniovertebral angle, active range of motion, and muscle activity were evaluated before and after 4 weeks of intervention. RESULT: The CTJ group participants showed significant improvement in the craniovertebral angle and cervical extension range after the intervention than the control group (P = 0.025, P = 0.001). While both groups presented significant differences after the intervention regarding Numeric pain rating scale, neck disability index, and muscle activity (sternocleidomastoid and anterior scalene muscle), there were no statistically significant differences between the groups (P > 0.05). CONCLUSION: Our results suggest that the CTJ and the upper cervical region in patients with neck pain and forward head posture represent an area which if approached by manual therapy, improves cervical mobility and posture.


Assuntos
Manipulações Musculoesqueléticas , Cervicalgia , Vértebras Cervicais , Humanos , Cervicalgia/terapia , Postura , Amplitude de Movimento Articular , Método Simples-Cego
6.
J Bodyw Mov Ther ; 27: 647-653, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34391301

RESUMO

BACKGROUND: Myofascial pain syndrome (MPS) is the most common form of muscle disorders. Traditional Thai massage (TM) and muscle energy (ME) technique have been used to treat patients with MPS for long time but head-to-head comparisons of these interventions have not been established. AIM: The aim of the current study was to compare the effects of TM and the ME technique on pain intensity (PI), pressure pain threshold (PPT), neck disability (ND), and neck flexion range of motion (NFROM) in patients with chronic neck pain associated with myofascial trigger points (MTrPs). DESIGN: A randomized, single-blinded clinical trial. SETTING: Department of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University. POPULATION: Forty-five patients with chronic neck pain associated with MTrPs were recruited. METHODS: The patients were randomly allocated to the TM, ME, or control groups, with each having eight treatment sessions over a period of two weeks. PI, PPT, ND, and NFROM were assessed before, immediately after the first treatment session, and one day after the last treatment session. RESULTS: Based on the results, both TM and the ME technique resulted in a significant improvement in all parameters (p < 0.05) compared to the control group. Additionally, no significant difference was observed between TM and the ME technique in all parameters. CONCLUSIONS: The application of TM or the ME technique can be a practical alternative approach for the treatment of chronic neck pain associated with MTrPs.


Assuntos
Dor Crônica , Síndromes da Dor Miofascial , Dor Crônica/terapia , Humanos , Massagem , Músculos , Síndromes da Dor Miofascial/terapia , Cervicalgia/terapia , Limiar da Dor , Tailândia , Resultado do Tratamento , Pontos-Gatilho
7.
J Bodyw Mov Ther ; 27: 717-722, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34391312

RESUMO

OBJECTIVE: Being the second highest musculoskeletal problem irrespective of age, gender and occupation, the etiology of neck pain is predominantly mechanical in nature. This can lead to dysfunction with time and recurrence. Altered joint position sense (JPS) from soft tissues can alter the cervical biomechanics by compromising the cephalo spatial orientation, which depends on the visual, vestibular and proprioceptive cues. This study was done to observe the additive effect of "Brahma mudra" (BM) a yogic tool on non-specific mechanical neck pain and its clinical implication on pain, proprioception and functional abilities. METHODS: It was a quasi-experimental pre -post study design involving 30 individuals from a software firm between the age group of 18-45 years. The conventional treatment group received standard physiotherapy regime and in the BM group BM was incorporated in addition to standard physiotherapy regime. Independent sample student t-test/Mann Whitney test were used to compare continuous variables between two groups. Paired sample test/Wilcoxon signed rank test were used for within groups. RESULTS: There was a significant reduction in pain, improved functional abilities and proprioception in BM group when compared to conventional treatment group with 0.01 level of statistical significance. CONCLUSION: It may be concluded that practice of BM had an added effect to conventional standard physiotherapy regime in reduction of pain, improvement of proprioception and functional abilities among individuals with chronic non-specific mechanical neck pain.


Assuntos
Dor Crônica , Cervicalgia , Adolescente , Adulto , Humanos , Pessoa de Meia-Idade , Pescoço , Cervicalgia/terapia , Modalidades de Fisioterapia , Propriocepção , Adulto Jovem
8.
Trials ; 22(1): 536, 2021 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-34391451

RESUMO

BACKGROUND: Acupuncture is effective for reducing the symptoms of neck pain (NP). However, the underlying mechanisms are not fully elucidated. Based on evaluating the efficacy of two acupuncture prescriptions for treating NP, this study aims to investigate the potential central mechanism of acupuncture treatment for NP by functional magnetic resonance imaging (fMRI). METHODS: This is a randomized controlled trial; 86 patients will be randomly assigned into two acupuncture treatment groups at a ratio of 1:1. The whole study period includes 2 weeks baseline, 2 weeks treatments, and 12 weeks follow-up (4 and 12 weeks after treatment). The pain severity, the neck disability index, the cervical range of motion, and the pressure pain threshold, etc., will be used to evaluate the clinical efficacy of two acupuncture prescriptions for NP treatment. The MRI scans will be performed to detect cerebral activity changes of 20 patients in each group. The clinical data and MRI data will be analyzed, respectively. Pearson correlation coefficient will be used to evaluate the association between changes of cerebral activity features and improvement of clinical symptoms. DISCUSSION: The results will provide further evidence for the clinical application of acupuncture in the treatment of NP. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2000040930 . Registered on 16 December 2020.


Assuntos
Terapia por Acupuntura , Cervicalgia , Terapia por Acupuntura/efeitos adversos , Humanos , Imageamento por Ressonância Magnética , Cervicalgia/diagnóstico por imagem , Cervicalgia/terapia , Manejo da Dor , Ensaios Clínicos Controlados Aleatórios como Assunto , Resultado do Tratamento
9.
Artigo em Inglês | MEDLINE | ID: mdl-34444594

RESUMO

BACKGROUND: Chronic neck pain is common in the adult general population. Although the etiology of chronic neck pain is under debate, it is clear that chronic neck pain is multifactorial, with both physical and psychosocial contributors. OBJECTIVE: To determine whether adding pain neuroscience education (PNE) to therapeutic exercises improved their pain-disability index, pain catastrophizing, fear-avoidance beliefs, and pain self-efficacy in subjects with chronic nonspecific neck pain. METHODS: This study was a three-arm randomized control trial. Seventy-two patients with chronic nonspecific neck pain were allocated to three groups: therapeutic exercises alone (n = 24), combined (therapeutic exercises + PNE; (n = 24), and a control group (n = 24). Each program took place three times a week, lasting for six weeks. The disability index, pain catastrophizing, fear-avoidance beliefs, and pain self-efficacy measured by the Neck Pain and Disability Scale (NPAD), Pain Catastrophizing Scale (PCS), Fear-Avoidance Beliefs Questionnaire (FABQ), and Pain Self-Efficacy Questionnaire (PSEQ), respectively. Participants were assessed before and after the six-week intervention, and there was no further follow-up. RESULTS: For the outcomes NPAD, PSC, and FABQ, combined intervention demonstrated more significant improvements than therapeutic exercises alone (p ≤ 0.05), whereas no differences were observed between the two intervention groups for PSEQ (p = 0.99). In addition, significant differences were favoring experimental groups versus control for all outcomes (p ≤ 0.001). CONCLUSION: Therapeutic exercises combined with pain neuroscience education reduced the pain-disability index, pain catastrophizing, and fear-avoidance beliefs more than therapeutic exercises alone in patients with chronic neck pain. For pain self-efficacy, there was no statistically significant difference between the two intervention groups; however, the combined group had a more significant effect than therapeutic exercises alone. Further studies with longer periods and follow-up are required.


Assuntos
Dor Crônica , Cervicalgia , Adulto , Catastrofização , Dor Crônica/terapia , Terapia por Exercício , Humanos , Cervicalgia/terapia , Medição da Dor
10.
J Pak Med Assoc ; 71(7): 1720-1724, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34410234

RESUMO

OBJECTIVE: To determine the effects of thoracic spine manipulation on pain pressure sensitivity of rhomboids muscles and thoracic spine mobility. METHODS: The randomised controlled trial was conducted at the Women Institute of Rehabilitation Sciences, Abbottabad, Pakistan, from July to December 2019, and comprised subjects aged 18-30 years having active trigger points in rhomboid muscle. The subjects were randomised into experimental group A and control group B. The eperimental group received thoracic manipulation along with conventional physical therapy, while the control group only received conventional physical therapy. The intervention lasted 2 sessions per week for 3 weeks. Pre- and post-intervention assessment was done with numeric pain rating scale, algometry, inclinometer and the neck disability index. Data was analysed using SPSS 20. RESULTS: Of the 60 subjects, there were 30(50%) in each of the two groups. There were 21(70%) females and 9(30%) males in group A with an overall mean age of 23.86±4.56 years. In group B, there were 18(60%) females and 12(40%) males, with an overall mean age of 23.93±3.96. There was significant improvement in terms of pain (p<0.01) and pain pressure sensitivity (p<0.05). All outcome measures showed significant intra-group differences (p<0.000). CONCLUSIONS: Upper thoracic spine manipulation was found to be more effective in treating interscapular pain and pain pressure threshold of trigger points in rhomboid muscles. Clinical Trial Number: This trial was registered at www.ClinicalTrails.gov with registry number NCT04179214.


Assuntos
Manipulação da Coluna , Pontos-Gatilho , Adulto , Feminino , Humanos , Masculino , Músculos , Cervicalgia/terapia , Medição da Dor , Amplitude de Movimento Articular , Vértebras Torácicas , Resultado do Tratamento , Adulto Jovem
11.
J Manipulative Physiol Ther ; 44(5): 372-377, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34366149

RESUMO

OBJECTIVE: The purpose of this study was to evaluate the relationship between treatment escalation and spinal manipulation in a retrospective cohort of people diagnosed with musculoskeletal disorders of the cervical spine. METHODS: We used retrospective analysis of insurance claims data (2012-2018) from a single Fortune 500 company. After isolating the first episode of care, we categorized 58 147 claims into 7951 unique patient episodes. Treatment escalation included claims where imaging, injection, emergency room, or surgery was present. Modified Poisson regression was used to determine the relative risk of treatment escalation comparing recipients vs nonrecipients of spinal manipulation, adjusted for age, sex, episode duration, and risk scores. RESULTS: The sample was 55% women, with a mean age of 44 years (range, 18-103). Treatment escalation was present in 42% of episodes overall: 2448 (46%) associated with other care and 876 (26%) associated with spinal manipulation. The estimated risk of any treatment escalation was 2.38 times higher in those who received other care than in those who received spinal manipulation (95% confidence interval, 2.22-2.55, P = .001). CONCLUSION: Among episodes of care associated with neck pain diagnoses, those associated with other care had twice the risk of any treatment escalation compared with those associated with spinal manipulation. In the United States, over 90% of spinal manipulation is provided by doctors of chiropractic; therefore, these findings are relevant and should be considered in addressing solutions for neck pain. Additional research investigating the factors influencing treatment escalation is necessary to moderate the use of high-cost and guideline-incongruent procedures in people with neck pain.


Assuntos
Seguro , Manipulação Quiroprática , Manipulação da Coluna , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Vértebras Cervicais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cervicalgia/terapia , Estudos Retrospectivos , Estados Unidos , Adulto Jovem
12.
Trials ; 22(1): 574, 2021 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-34454582

RESUMO

INTRODUCTION: Mechanical neck pain (MNP) is a commonly occurring musculoskeletal condition that is usually managed using electrical modalities, joint mobilization techniques, and therapeutic exercises, but has limited evidence of their efficacy. Pathology (densification) of the deep cervical fascia that occurs due to the increased viscosity of hyaluronic acid (HA) may induce neck pain and associated painful symptoms of the upper quarter region. Fascial manipulation (FM) and yoga poses are considered to reduce the thixotropy of the ground substances of the deep fascia and improve muscle function. The purpose of this study is to investigate the effect of FM and sequential yoga poses (SYP) when compared to the usual care on pain, function, and oculomotor control in MNP. METHODS: This FaCe-Man trial will recruit 160 patients with subacute and chronic mechanical neck pain diagnosed using predefined criteria. Participants will be randomized to either the intervention group or the usual care group, using a random allocation ratio of 1:1. Patients in the intervention group will receive FM (4 sessions in 4 weeks) and SYP (12 weeks) whereas the standard care group will receive cervical mobilization/ thoracic manipulation (4 sessions in 4 weeks) and therapeutic exercises (12 weeks). The primary outcome is the change in the numeric pain rating scale (NPRS). The secondary outcomes include changes in the patient-specific functional scale and oculomotor control, myofascial stiffness, fear-avoidance behavior questionnaire, and elbow extension range of motion during neurodynamics test 1. DISCUSSION: If found effective, FM along with SYP investigated in this trial can be considered as a treatment strategy in the management of mechanical neck pain. Considering the magnitude of the problem, and the pragmatic and patient-centered approach to be followed, it is worth investigating this trial. TRIAL REGISTRATION: ClinicalTrials.gov CTRI/2020/01/022934 . Registered on January 24, 2020 with ctri.nic.in. Clinical Trials Registry - India.


Assuntos
Manipulação da Coluna , Ioga , Humanos , Cervicalgia/diagnóstico , Cervicalgia/terapia , Medição da Dor , Postura , Ensaios Clínicos Controlados Aleatórios como Assunto
13.
Medicina (Kaunas) ; 57(6)2021 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-34204366

RESUMO

Background and Objectives: The aim of this study was to assess the effects of physiotherapy with aerobic exercise together with temporomandibular joint range of motion exercises (supervised) and physiotherapy with aerobic exercise only (unsupervised), also to review the correlations between neck movements, pain, temporomandibular joint range of motion movements and quality of life in individuals with migraine. Methods: The flexion, extension and lateral flexion of the cervical spine were measured in degrees with a mechanical goniometer and pressure pain thresholds with algometer. Quality of life was assessed with the SF-36 questionnaire and temporomandibular joint range of motion with a centimeter. Results: The study showed statistically significant cervical flexion results in both groups (p < 0.05), masticatory muscle results and temporomandibular joint range of motion between the groups (p < 0.05). A correlation between left upper trapezius muscle pain and cervical lateral flexion was observed in the intervention group. Physical activity correlated with cervical extension, activity limitation due to physical ailments and general health. A correlation between temporomandibular joint and right-side masticatory muscles pain was found. A correlation between upper trapezius muscle pain and left- as well as right-side temporalis muscles were found in the control group. Strong correlations were found between pain and activity limitation due to physical ailments and emotional state. The temporomandibular joint range of motion strongly correlated with activity limitation due to physical ailments. Conclusions: Physiotherapy based on aerobic exercises together with temporomandibular joint exercises was more effective than physiotherapy based on aerobic exercise for decreasing pain, increasing pressure pain thresholds and cervical range of motion.


Assuntos
Transtornos de Enxaqueca , Qualidade de Vida , Humanos , Transtornos de Enxaqueca/terapia , Cervicalgia/terapia , Modalidades de Fisioterapia , Projetos Piloto , Amplitude de Movimento Articular , Articulação Temporomandibular
14.
J Evid Based Integr Med ; 26: 2515690X211030852, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34293959

RESUMO

Myofascial pain syndrome is a common problem that can develop at any age. This study compares the efficacy of the court-type traditional Thai massage (CTTM) to the Thai hermit exercise (THE) in improving the cervical range of motion (CROM) and reducing pain in the upper trapezius muscle. In this study, 46 patient subjects were randomized into 2 groups, with 1 group administered CTTM and the other administered THE. Prior to and following the experiment, their demographic characteristics, pain levels and CROM were measured using a visual analog scale (VAS) and a goniometer, respectively. Data was then analyzed using descriptive statistics, percentage, mean, and standard deviation, as well as inferential statistics. The findings indicate that subjects in both groups demonstrated significantly lower pain and significantly better CROM (P < 0.05). In terms of comparative treatment between the CTTM and THE groups, the results were not found to differ in the range of motion, but a clear difference in pain level measured by VAS was found, in which CTTM provides a better way of reducing pain at the trigger point than THE (P < 0.05). From the findings, it can be concluded that both CTTM and THE are comparably efficacious therapies for myofascial pain in the upper trapezius muscle.


Assuntos
Terapia por Exercício/métodos , Massagem/métodos , Síndromes da Dor Miofascial/terapia , Cervicalgia/terapia , Músculos Superficiais do Dorso/fisiopatologia , Humanos , Cervicalgia/fisiopatologia , Medição da Dor , Amplitude de Movimento Articular/fisiologia
15.
J Pak Med Assoc ; 71(6): 1532-1524, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34111066

RESUMO

OBJECTIVE: To compare the efficacy of muscle energy technique with Mulligan mobilisation in patients having non-specific neck pain. METHODS: The quasi-experimental study was conducted at the Physiotherapy Department of Mayo Hospital, Lahore, Pakistan, from March to September 2017, and comprised patients of either gender having non-specific neck pain who ere divided into two groups. In group 1 patients, muscle energy technique was used, while group 2 patients had Mulligan mobilisation. Pain intensity, functional status of neck and cervical range of motion were measured before and after treatment. Data was analysed using SPSS 21. RESULTS: Of the 56 patients, 28(50%) were in each of the two groups. The overall mean age was 36.89±9.28 years. Pain intensity, functional status and neck extension range of motion improved significantly more in group 2 (p<0.05). CONCLUSIONS: Mulligan mobilisation was found to be a better option in managing patients with non-specific neck pain.


Assuntos
Dor no Peito , Cervicalgia , Adulto , Humanos , Pessoa de Meia-Idade , Músculos , Cervicalgia/terapia , Paquistão , Amplitude de Movimento Articular
16.
Biomed Res Int ; 2021: 5588580, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34095302

RESUMO

Background: Teaching is one of the professions where incidence and prevalence of neck pain is high. Prolonged use of computers, which has further increased due to online teaching amid pandemic, is known to cause neck pain and alter posture, while people with forward head posture (FHP) are prone to develop neck pain and related disability. Research has shown that impairment of deep cervical flexor (DCF) muscles leads to insufficiency in coordination, activation, overload, and poor support on cervical structures that further lead to development of neck pain and altered neck posture. The objective of this study was to see the effect of DCF muscle training using pressure biofeedback on pain and FHP in school teachers with neck pain. Methods: This observational study was conducted at medical center in school premises. Fifty-five school teachers aged between 25 and 40 years with experience of more than 5 years were invited to participate in this study. Subjects were divided in two groups. Both the groups received conventional exercises while in experimental group DCF muscle training using pressure biofeedback was given additionally. Pain and FHP were assessed using NPRS and cranio-vertebral angle using digital photograph technique, respectively, at baseline and end of four weeks of treatment. Results: Although pain and FHP improved in both the groups, mean improvement in both the measures was more in the group that also received DCF training using pressure biofeedback. Conclusions: This study shows that although pain and FHP improved following conventional exercises in school teachers with neck pain, mean improvement was more significant among those who received additional DCF muscle training using pressure biofeedback.


Assuntos
Biorretroalimentação Psicológica/métodos , Terapia por Exercício/métodos , Cervicalgia/terapia , Adulto , Exercício Físico/fisiologia , Feminino , Cabeça/fisiologia , Humanos , Masculino , Músculo Esquelético/fisiologia , Pescoço/fisiologia , Músculos do Pescoço/fisiologia , Postura/fisiologia , Amplitude de Movimento Articular/fisiologia , Professores Escolares
17.
Musculoskelet Sci Pract ; 55: 102417, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34147954

RESUMO

BACKGROUND: The effect of interventions to the Sternocleidomastoid (SCM)-muscle, as an important element of neck movement which is overactive in individuals with chronic neck pain (CNP), are unknown. OBJECTIVE: The aim of the current study is to investigate the effects of SCM stretching and massage on pain, range of motion (ROM), endurance, disability, and kinesiophobia in individuals with CNP. METHODS: In this study, individuals with CNP were randomized 1:1 to parallel SCM-Group (n = 30) or control group (CG) (n = 30). Conventional physiotherapy was applied to CG. In addition to the same interventions applied to the CG, classical massage and stretching exercises were applied to the SCM-muscle in the SCM-Group. Treatment sessions were administered three times each week for a total of 5 weeks. Pain, endurance, ROM, disability, and kinesiophobia were evaluated. Both prior to and immediately following the treatments. Mixed-model repeated measured ANOVAs were then employed to determine if a group*time interaction existed on the effects of the treatment on each outcome variable for each group as the between-subjects variable and time as the within-subjects variables. RESULTS: Improvements in pain, disability, ROM(extension, left-lateral flexion, and right/left-rotation), and endurance were found to be greater in the SCM-Group compared to the CG (p < 0.05). Changes in flexion and right-lateral flexion ROM and kinesiophobia did not significantly differ between the groups (p > 0.05). CONCLUSION: Stretching exercises and massage applied to the SCM-muscle, together with conventional physiotherapy, can reduce pain and disability, and increase ROM and endurance in individuals with CNP. This treatment may therefore be considered for use as an alternative method in treating CNP. The study was registered in ClinicalTrials.gov (NCT04345042).


Assuntos
Músculos do Pescoço , Cervicalgia , Humanos , Massagem , Cervicalgia/terapia , Amplitude de Movimento Articular , Método Simples-Cego
18.
Medicine (Baltimore) ; 100(22): e26112, 2021 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-34087859

RESUMO

BACKGROUND: With the development of the economy and society, the pace of in-person work has gradually accelerated, resulting in longer and more intense work hours. Long-term and high-intensity work can lead to considerable discomfort in people's cervical spines. OBJECTIVES: This study aims to explore the effect of mind-body exercise intervention on the cervical spine mobility of people with neck discomfort through meta-analysis. METHODS: This study's researchers will search a total of 5 research databases for data retrieval: China National Knowledge Infrastructure (from 1979), Web of Science (from 1950), PubMed (from 1965), Cochrane (from 1991), and EBSCO (from 1949) (Date of retrieval: March 10, 2021). Two authors will independently search literature records, scan titles, abstracts, and full texts, collect data, and assess materials for risk of bias. Stata14.0 software will be used for the data analysis. RESULTS: The current study is a systematic review and meta-analysis program with no results. Data analysis will be completed after the program has been completed. DISCUSSION: There is potential evidence that exercise can have a positive effect on the cervical spine mobility of people with cervical spine discomfort. In addition, direct evidence of the benefits of mind-body exercise intervention may be more important. INPLASY REGISTRATION NUMBER: INPLASY202140126.


Assuntos
Vértebras Cervicais/fisiopatologia , Terapias Mente-Corpo/métodos , Cervicalgia/terapia , Ensaios Clínicos como Assunto , Humanos , Projetos de Pesquisa
19.
Complement Ther Clin Pract ; 44: 101421, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34082392

RESUMO

BACKGROUND AND PURPOSE: Muscle energy techniques (METs) are used to reduce tension in neck muscles and therefore, can be used together with Swedish massage to enhance its effect. The aim of this study was to assess if using METs combined with massage could improve sleep quality. MATERIALS AND METHODS: In this prospective, randomised controlled trial forty patients with chronic cervical spine pain were divided into two equal groups. Both groups attended 10 sessions of Swedish massage, and the study group additionally attended MET-sessions. Sleep disturbances were assessed with the Pittsburgh Sleep Quality Index (PSQI). RESULTS: A significant improvement in terms of sleep disturbances was seen in both groups. The MET group demonstrated improvement in all PSQI components. In the control group, the improvement included only 4 components of the index. CONCLUSION: Massage therapy combined with relaxing METs may be more effective than massage therapy alone in this group of patients.


Assuntos
Massagem , Cervicalgia , Humanos , Músculos , Cervicalgia/terapia , Estudos Prospectivos , Sono , Suécia , Resultado do Tratamento
20.
Musculoskelet Sci Pract ; 54: 102385, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33965773

RESUMO

BACKGROUND: Understanding the factors associated with care-seeking behaviour in adolescents with spinal pain will inform health care professionals and guide a better decision-making. OBJECTIVE: To identify factors, including parents' habits and behaviour, related to care-seeking in adolescents with neck pain or low back pain (LBP). STUDY DESIGN: A cross-sectional study. METHODS: Adolescents between 10 and 17 years were randomly recruited from public schools. The proportion of adolescents with neck or LBP and those who had sought care for neck and LBP were assessed with the Nordic Musculoskeletal questionnaire. Daily activity limitation and the frequency of parents' habits and behaviour were collected using self-reported questions. Logistic regression analyses were performed to investigate if the following factors were associated with adolescents' care-seeking behaviour due to neck or LBP: daily activity limitations, physical activity (PA) domains, items of the social support scale. RESULTS: The prevalence of adolescents reporting neck or LBP was 31.4% (318 out of 1011). Of these, 35.8% (n = 114) sought care for neck or low back pain. Activity limitations related to neck or LBP (OR: 5.83, 95% CI: 3.46 to 9.84), higher PA levels at school (OR: 1.67, 95% CI: 1.02 to 2.75), and PA encouragement (OR: 2.73, 95% CI: 1.27 to 5.85) were associated with care-seeking in adolescents with neck or LBP. CONCLUSION: Adolescents with activity limitations due to neck or LBP, higher PA levels at school and encouraged by parents or friends to practice PA were more likely to seek care for their neck or LBP.


Assuntos
Exercício Físico , Dor Lombar , Aceitação pelo Paciente de Cuidados de Saúde , Adolescente , Estudos Transversais , Atenção à Saúde , Humanos , Dor Lombar/terapia , Cervicalgia/epidemiologia , Cervicalgia/terapia
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