The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effect of a Five-week Scapular Correction Exercise in Patients with Chronic Mechanical Neck Pain

  • Lee, Kang-Seong (Department of Biomedical Engineering Welfare Technology)
  • Received : 2020.04.03
  • Accepted : 2020.04.14
  • Published : 2020.04.30
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Abstract

Purpose: The purpose of this study was to compare the change in pain, Neck Disability Index score, and the craniovertebral angle by performing scapular correction exercise or general neck exercise for five weeks in participants with mechanical neck pain. Methods: A total of 31 participants were randomly assigned between the scapular correction exercise and the general neck exercise groups, and all participants performed intervention for 40 minutes each, three times a week for five weeks The effects were evaluated by measuring the Visual Analog Scale score, the Neck Disability Index score, and the craniovertebral angle, before and after the intervention. Independent t-tests were used to compare differences between two groups, and to compare differences between pre- and post-intervention, paired t-tests were used. Results: As measured before and after the intervention, the scapular correction exercise group showed significant improvement in all variables (p<0.05), while the general neck exercise group improved only in the neck disability index score. The differences between the two groups revealed further improvement in the scapular correction exercise group compared to the general neck exercise group (p<0.05). Conclusion: We found that five weeks of the scapular correction exercise to modify the position and movements of the scapula is clinically an important treatment tool for recovery from chronic mechanical neck pain symptoms and restoration of proper neck function.

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References

  1. Fernandez de Las Penas C, Simons D, Cuadrado ML et al. The role of myofascial trigger points in musculoskeletal pain syndromes of the head and neck. Curr Pain Headache Rep. 2007;11(5):365-72. https://doi.org/10.1007/s11916-007-0219-z
  2. Jun D. A longitudinal investigation of the moderating effect of social support on job strain developing non-specific neck pain in office workers. J Kor Phys Ther. 2019;31(4):254-9. https://doi.org/10.18857/jkpt.2019.31.4.254
  3. Finley MA, Lee RY. Effect of sitting posture on 3-dimensional scapular kinematics measured by skin-mounted electromagnetic tracking sensors. Arch Phys Med Rehabil. 2003;84(4):563-8. https://doi.org/10.1053/apmr.2003.50087
  4. Szeto GP, Straker L, Raine S. A field comparison of neck and shoulder postures in symptomatic and asymptomatic office workers. Appl Ergon. 2002;33(1):75-84. https://doi.org/10.1016/S0003-6870(01)00043-6
  5. Falla D, Farina D. Muscle fiber conduction velocity of the upper trapezius muscle during dynamic contraction of the upper limb in patients with chronic neck pain. Pain. 2005;116(1-2):138-45. https://doi.org/10.1016/j.pain.2005.03.038
  6. Lee H, Song J. Functioning characteristics of patients with neck pain: ICF concept based. J Kor Phys Ther. 2019;31(4):242-7. https://doi.org/10.18857/jkpt.2019.31.4.242
  7. Falla D, Jull G, Russell T et al. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007;87(4):408-17. https://doi.org/10.2522/ptj.20060009
  8. Mottram SL. Dynamic stability of the scapula. Man Ther. 1997;2(3):123-31. https://doi.org/10.1054/math.1997.0292
  9. Kim EK, Lee DK. Effect of scapular brace on the pulmonary function and foot pressure of elderly women with forward head posture. J Kor Phys Ther. 2018;30(4):141-5. https://doi.org/10.18857/jkpt.2018.30.4.141
  10. Kendall FP, McCreary EK, Provance PG et al. Muscles: Testing and Function, with posture and pain. Baltimore, MD: Lippincott Williams & Wilkins. 2005:51-85.
  11. Jull G, Sterling M, Falla D et al. Whiplash, headache and neck pain: research based directions for the physical therapies. Elsevier. 2008:206-7.
  12. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000;80(3):276-91. https://doi.org/10.1093/ptj/80.3.276
  13. Ha SM, Kwon OY, Yi CH et al. Effects of passive correction of scapular position on pain, proprioception, and range of motion in neck-pain patients with bilateral scapular downward-rotation syndrome. Man Ther. 2011;16(6):585-9. https://doi.org/10.1016/j.math.2011.05.011
  14. Wegner S, Jull G, O'Leary S et al. The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain. Man Ther. 2010;15(6):562-6. https://doi.org/10.1016/j.math.2010.06.006
  15. Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15.
  16. Munoz Munoz S, Munoz Garcia MT, Alburquerque Sendin F et al. Myofascial trigger points, pain, disability, and sleep quality in individuals with mechanical neck pain. J Manipulative Physiol Ther. 2012;35(8): 608-13. https://doi.org/10.1016/j.jmpt.2012.09.003
  17. Boonstra AM, Schiphorst Preuper HR, Reneman MF et al. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res. 2008;31(2):165-9. https://doi.org/10.1097/MRR.0b013e3282fc0f93
  18. Hickey ER, Rondeau MJ, Corrente JR et al. Reliability of the cervical range of motion device and plumb line techniques in measuring resting head posture. J Man Manip Ther. 2000;8(1):10-7. https://doi.org/10.1179/106698100790811346
  19. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther. 2008;13(2): 148-54. https://doi.org/10.1016/j.math.2006.11.002
  20. Kang D, Oh T. Comparison of the muscle activity in the normal and forward head postures based on the pressure level during cranio-cervical flexion exercises. J Kor Phys Ther. 2019;31(1):1-6. https://doi.org/10.18857/jkpt.2019.31.1.1
  21. Falla D, O'Leary S, Fagan A et al. Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Man Ther. 2007;12(2):139-43. https://doi.org/10.1016/j.math.2006.06.003
  22. Mottram SL, Woledge RC, Morrissey D. Motion analysis study of a scapular orientation exercise and subjects' ability to learn the exercise. Man Ther. 2009;14(1):13-8. https://doi.org/10.1016/j.math.2007.07.008
  23. Phadke A, Bedekar N, Shyam A et al. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial. Hong Kong Physiother J. 2016;35:5-11. https://doi.org/10.1016/j.hkpj.2015.12.002
  24. Yildiz TI, Turgut E, Duzgun I. Neck and scapula-focused exercise training on patients with nonspecific neck pain: A randomized controlled trial. J Sport Rehabil. 2018;27(5):403-12. https://doi.org/10.1123/jsr.2017-0024
  25. Hanvold TN, Waersted M, Mengshoel AM et al. The effect of work-related sustained trapezius muscle activity on the development of neck and shoulder pain among young adults. Scand J Work Environ Health. 2013;39(4):390-400. https://doi.org/10.5271/sjweh.3357
  26. Rezai M, Cote P, Cassidy JD et al. The association between prevalent neck pain and health-related quality of life: a cross-sectional analysis. Eur Spine J. 2009;18(3):371. https://doi.org/10.1007/s00586-008-0823-6
  27. Gross A, Kay TM, Paquin JP et al. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2015;1:CD004250.
  28. Blomgren J, Strandell E, Jull G et al. Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: a systematic review. BMC Musculoskelet Disord. 2018;19(1):415. https://doi.org/10.1186/s12891-018-2324-z
  29. Xu L, Hwang B, Kim T. The Effect of postural correction and visual feedback on muscle activity and head position change during overhead arm lift test in subjects with forward head posture. J Kor Phys Ther. 2019; 31(3):151-6. https://doi.org/10.18857/jkpt.2019.31.3.151