Comparison of Treatment Outcome of the Effectiveness of Isometric Exercises as Compared to General Exercises with Cervical Spine Mobilization in The Management of Chronic Non Specific Neck Pain (original) (raw)
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Anaesthesia, Pain & Intensive Care, 2022
Background & Objective: Neck pain is a very prevalent health condition. Physiotherapists use multiple treatment options for treating mechanical neck pain. We evaluated the effects of upper thoracic spine mobilization and mobility exercise and upper cervical spine mobilization and stabilization exercises in treating patients with mechanical neck pain. Methodology: A randomized clinical trial was conducted comprising of 36 patients recruited from different clinics of Faisalabad, both genders, ages from 20-40 y, and randomly divided into two groups. Group A underwent upper thoracic mobilization and mobility exercise while Group B underwent upper cervical mobilization with stabilization exercises for 2 times a week for 4 weeks. Pain scores on Numerical Pain Rating Scale (NPRS) and cervical range of movements (ROM) scores were measured before treatment and then weekly for 4 weeks, while Neck Disability Index (NDI) was assessed at baseline and at the end of 4th week. SPSS version. 22 was used to analyze the data. Independent sample t-test was used for between group compression and P ≤ 0.05 (95%) was considered as significant. Results: There was significant improvement in mean NPRS scores at 1st week, 2nd week, 3rd week and 4th week post-treatment (P < 0.05). There was significant improvement in mean cervical ROM at 2nd week, 3rd week and 4th week post-treatment readings (P < 0.05) and mean NDI score at 4th week (P < 0.05). Conclusion: Both groups were found effective in improving pain, range of motion and neck function, but significant improvement in outcomes was observed in upper cervical mobilization and stabilization exercises group. Abbreviations: NPRS - Numerical Pain Rating Scale; ROM - Range of movements; NDI - Neck Disability Index; MNP - Mechanical neck pain; Key words: Adult; Cervical Vertebrae / physiopathology; Disability Evaluation; Exercise Therapy / methods; Female; Humans; Male; Manipulation, Spinal / methods; Neck / physiopathology; Neck Pain / physiopathology; Neck Pain / rehabilitation; Pain Measurement; Range of Motion, Articular; Thoracic Vertebrae / physiopathology; Treatment Outcome; Young Adult
2014
To evaluate the effectiveness of isometric exercises as compared to general exercises in chronic non-specific neck pain. For this randomised controlled trial total 68 patients (34 each group) with chronic non-specific neck pain were recruited from Alain Poly Clinic and Institute of Physical Medicine & Rehabilitation Dow University of Health Sciences, Karachi between May, 2012 and August, 2012. Simple randomisation method was used to assign participants into isometric exercise group and general exercise groups. The isometric exercise group performed exercises for neck muscle groups with a rubber band and general exercises group performed active range of movement exercises for all neck movements. Patients in both groups received 3 supervised treatment sessions per week for 12 weeks. Visual Analogue Scale (VAS), North wick Park Neck Pain Questionnaire and goniometer were used to assess pain, disability and neck range of movements at baseline and after 12 weeks. Both interventions showe...
Non-specific neck pain is a common reason for adults to consult health care providers. Therefore one should always seek the most effective intervention(s) within the wide spectrum of treatments available. Knowledge on neck functions and pain, its relationship at different positional isometric training are important for developing exercise protocols, but very few studies have examined neck functions and pain in relationship to different positional isometric training. The purpose of this study was to quantify the diffence in isometric neck strength training at neutral and functional position.A total of 34 male patients with non-specific neck pain with mean age of 29.3±2.8years participated in the study. Based on inclusion criteria the participants were randomized into a group- A (isometric exercise at neutral position) and group-B (isometric exercise at functional position), n=17 in each group. Outcome measurements such as perceived neck pain and the functional disability were assessed by a visual analog scale (VAS), and the neck disability index (NDI) respectively at the baseline (0), 3rd week and at 8th week after respective intervention for both groups. The total duration of the study was for 8weeks.VAS and NDI within group-A and group-B were significantly reduced at 3rd week and 8th week (p<0.05). Whereas between groups analysis showed the difference in improvements in VAS and NDI were statistically non-significant at any point of interventional period (p>0.05). The Current study concluded that VAS and NDI considerably improves with isometric neck exercises, however there is no added advantage of neutral and functional positional changes during isometric neck exercise training in treating patients with neck pain. Keywords: Neck pain, Isometrics, positions, VAS, NDI, Functional Positions