جستجوی مقالات مرتبط با کلیدواژه « neck muscles » در نشریات گروه « پزشکی »

To determine the impact of Kendall versus Gong’s intervention according to pain sensation, range of movement, function, strength, and posture in cases with text neck syndrome.

This randomized clinical trial recruited a sample of 24 patients with text neck syndrome from Fatima Hospital, Sargodha, Pakistan from January to April 2021. The samples were randomly divided into 2 groups using the envelope method. Group A received Kendall’s intervention while group B received Gong’s mobilization. The intervention was performed in 18 sessions for each patient during 6 weeks i.e. 3 per week. Neck disability index, numeric pain rating scale, cervical range of motion (ROM), cranio-vertebral angle (CVA), rounded shoulder angle (RSA), and modified sphygmomanometer test were used to collect data. All outcomes were measured at baseline and six weeks after intervention and analyzed using SPSS software, version 23. T-test was used to analyze within and between-group differences, and P<0.05 was considered significant. 

A significant difference with P<0.05 was observed for within and between group statistics. Gong’s mobilization showed more effectiveness (P<0.001) for all output measures depending on differences between mean scores.

The study concluded that both Kendall’s exercise and Gong’s mobilization were useful in the reduction of pain and functional disability; improvement in cervical range and strength of cervical muscles. However, Gong’s mobilization was superior to Kendall’s exercise in improving text neck syndrome for outcome measures, including neck pain, disability, craniovertebral angle, rounded shoulder angle, cervical range of motion (ROM), and cervical muscle strength.

Cavernous hemangioma is a venous malformation and intramuscular hemangioma is a rare type of hemangioma. Most of these cases are reported in masseter and temporalis muscles, and the number of patients with hemangioma involving sternocleidomastoid (SCM) muscle is relatively less. The present study reported a case of intramuscular hemangioma and a literature review regarding hemangioma in the sternocleidomastoid muscle. Case Report: The present case was a 24-year-old woman with intramuscular hemangioma of the sternocleidomastoid muscle, manifesting a mass in the right supraclavicular region involving the sternocleidomastoid muscle. The woman was treated with surgery and achieved complete treatment. After surgery, the patient was kept under regular follow-up for the last six months without any evidence of recurrence. 

Intramuscular hemangioma of the sternocleidomastoid muscle is a rare entity that can present as a mass in the neck region. The treatment approach should be considered according to the diagnosis and site of vascular malformation.

Forward head posture (FHP) of the craniocervical region is one of the most common poor postures. The craniovertebral angle (CVA) is one of the most common methods to evaluate this posture. The longus colli (LCo) muscle is an important muscle to control head posture.

This study aimed to evaluate the relationship between CVA and thickness of LCo in women with FHP.

This case-control research included 35 women with FHP and a control group. Sagittal view photography of the cervical spine was used for measurement of CVA. An ultrasonography device measured the thickness of the LCo. Correlation between CVA and thickness of LCo was determined using correlation coefficient in both groups.

Our findings showed a non-significant correlation between the CVA and thickness of LCo in case and control groups.

According to the results of this study, there was no significant correlation between a lower CVA and smaller thickness of LCo.

An acceptable reliability is needed for each scale and a valid decision-making process. Ultrasonography is a simple, cost-effective, and accessible tool compared to magnetic resonance imaging (MRI) to assess echo intensity (EI) as a biomarker of muscle function in neck musculoskeletal problems. However, no evidence is available regarding the reliability of neck muscle echogenicity according to rehabilitative ultrasonography in clinical studies on forward head posture (FHP). We determined the reliability of neck muscles EI in individuals with and without FHP. Transverse images of deep neck flexors (Longus Coli) and suboccipital (Rectus capitis posterior minor) muscles were acquired from 20 individuals with FHP and 20 controls in one session. The intraclass correlation coefficient (ICC), minimum detectable change (MDC), and standard error of measurement (SEM) for EI were measured in this study. The ICC, SEM, and MDC ranges were 0.50 - 0.51, 2.73 - 3.41, and 7.56 - 9.46 for the Longus colli muscle and 0.48 - 0.49, 3.29 - 4.98, and 9.13 - 13.81 for the rectus capitis posterior minor (RCPm) muscle, respectively. Based on the present findings, EI showed acceptable reliability; therefore, it can be used for assessment of neck muscle morphology.

Neck pain is one of the most prevalent musculoskeletal conditions. Manual mobilization plus exercise are recommended for treating people with acute neck pain with movement coordination impairments. Therefore, it is important to consider a safe and effective coordination exercise for the cervical muscles. Using an oscillating device by holding it in the mouth might be a type of coordination exercise for the cervical muscles.

This study aimed to compare the activities of the cervical muscles while using an oscillating blade held in the mouth with different swings.

Ten healthy male university students participated in this study (20.8 ± 0.9 years). The activities of the sternocleidomastoid and cervical extensor muscles were measured using electromyography while using an oscillating blade held in the mouth in horizontal orientation (up-down oscillation). Participants were asked to oscillate the device in one of the following swings: Cervical flexion-extension and knee flexion-extension. Both exercises were performed in a standing position. All EMG activities were normalized by EMG activities during maximum voluntary contractions of those muscles.

The activities of the sternocleidomastoid with knee flexion-extension (5.7 ± 4.8 %) present significantly lower muscle activities (P = 0.011) than those with cervical flexion-extension (12.2 ± 8.6%). The activities of the cervical extensor muscles with knee flexion-extension (10.7 ± 6.5%) present significantly lower muscle activities (P < 0.001) than those with cervical flexion-extension (17.5 ± 10.3%).

The results of this study indicated that the exercise with knee flexion-extension had lower load for the cervical muscles than that with cervical flexionextension. The findings of this study could be basic information for grading intensity of cervical coordination exercise using an oscillating blade held in the mouth