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

Chronic non-specific neck pain is one of the most common musculoskeletal disorders in modern society and is considered a cause of disability in many jobs, especially in office workers.

In this study, 36 female office worker with mean±SD age of 39.20±4.29 years, mean ± SD weight of 70.60±12.37 kg and mean±SD height of 163.15±6.23 cm were randomly divided into three groups: 1. Dynamic neuromuscular stability exercises 2. Stabilization Exercises and 3. Control group. Stabilization exercises with emphasis on the effect on deep neck muscles dynamic neuromuscular stability exercises with emphasis on the effect on cervical thoracic and lumbar pelvic chain coordination were performed for six weeks (3 sessions per week). Visual Analog Scale and disability questionnaire were used to measure the pain and disability of the subjects, respectively, and to measure muscle tolerance, two methods of assessing activation score and deep neck flexor muscle performance index were used by compression biofeedback device. Finally, data analysis was performed using SPSS software (version 22)at the significance level of P=0.05.

The one-way ANOVA test results showed a significant difference between the three groups in all variables (P<0.05). The Turkey post hoc test results showed no significant difference between the pain score and disability of the dynamic neuromuscular stability exercises and stabilization exercise groups (P>0.05). On the other hand, the results showed that after six weeks of training, there was no significant difference between muscle activation score and muscle performance index in the control and stabilization exercise groups (P>0.05).

Both training protocols had a significant effect on reducing pain and disability. However, dynamic neuromuscular stability and stabilization exercises substantially increased the tolerance of deep neck flexor muscles compared with the stabilization exercises group. It can also be a better approach to treat non-specific chronic neck pain.

The study of the angles between the vertebrae and the curvatures of the spine plays an important role in the pathogenesis of spinal disorders. The nature of the cervical region makes it susceptible to various cervical disorders, many of which can be caused by imbalanced alignment. 

In the present study, patients with chronic neck pain were compared with the normal population for cervical indexes. 

One hundred subjects were selected, including 57 males (57%) and 43 females (43%). Neck tilting was significantly lower in the case group than control (41.5 vs. 45.8) (p=0.01). The mean of C0-C2 angle did not differ between groups (p=0.503), however, a significant increase was found for C2-C7 and C0-C7 angles (p=0.012) and (p=0.05), respectively. Further analysis revealed that cranial offset (21.9 vs. 8.6) and cranial tilting (21.3 vs. 10.1) significantly increased in patients with chronic neck pain (p<0.001) and (p=0.004), respectively. Also, cervical Sagittal Vertical Axis (SVA) has shown a significant increase in patients than control (24.8 vs. 9.7) (p<0.001). 

The data have indicated that cervical indexes. Thus, spine surgeons should obtain standing cervical radiographs and evaluate the relationship between T1 slope, Spino Cranial Angle (SCA), and cSVA in all cases affected by cervical pathogenesis, even without obvious deformity.

Considering the high prevalence of neck pain among dental professionals, as well as its adverse effects on the work activities and quality of life of dentists, this study investigates the prevalence of musculoskeletal disorders in dental students in addition to the relationship between the severity of neck pain and the ability to perform work.

In this cross-sectional study, a total of 108 senior dental students and residents participated. The data were collected through four questionnaires, including body map, neck pain and disability scale, neck disability index and work ability index. The data were analyzed through the SPSS software, version 25. Meanwhile, a P<0.05 was considered a significance level.

In this study, 85 out of 180 individuals (87.7%) experienced at least one musculoskeletal disorder. The most reported pain was in the neck (45.4%), back (36.1%), and right shoulder (31.5%), respectively. There was a relatively positive and significant relationship between neck pain intensity and inability to perform daily work (R=0.717, P≤0.01). Also, there was a reverse and significant relationship between neck pain intensity and the ability to work (R=0.384, P≤0.01). 

Musculoskeletal disorders are high among dental students and residents in universities of Tehran City, Iran. Meanwhile, neck pain is the most common disorder. The existence of this disorder affects the daily ability to work, which can reduce productivity, increase sick leave, and ultimately premature retirement.

To study the prevalence of musculoskeletal disorder(MSD) and the associated occupational risk factors among Indian ophthalmologists, including residents and fellows.

A cross-sectional survey was conducted among ophthalmologists in India using a semi-structured questionnaire in a web-based survey. The questionnaire was prepared in English after extensive literature research and consulting with subject experts. It was pretested on ten ophthalmologists and after confirming that there were no ambiguities, the questionnaire was circulated. After providing informed consent online and ensuring the confidentiality of information, respondents could fill out the questionnaire containing questions to assess demographic details, risk factors, and musculoskeletal symptoms.

We received 551 valid responses, out of which 74.77% reported musculoskeletal symptoms since starting practice in ophthalmology. We found a statistically significant association of work‑related MSD with greater hours of practice, a higher number of hours of surgery, and a larger patient load. The self-reported symptoms were maximum in lower back (56.55%), followed by neck (49.03%), upper back (38.59%), and shoulder (23.79%). As a remedial measure, 58.98% resorted to rest while only 8.98% consulted orthopedist. Only 46% were aware of good ergonomic practices. Surgery (74.5%), indirect ophthalmoscopy (51.69%), and slit-lamp examination (50.73%) were reported as the major culprits. Respondents declared an interference with personal life (39.56%), with work (33.74%) as well as having caused psychological stress (43.2%) due to work-related MSD.

A vast majority of our respondents reported work-related MSD. Major risk factors were hours of practice, hours of surgery, higher body mass index, sedentary lifestyle, and higher patient load. The awareness of ergonomic practices was low.

The study aimed to investigate the effects of deep neck flexor (DNF) and deep neck extensor (DNE) muscle exercises on pain, passive range of motion (PROM), craniovertebral angle (CVA), neck flexor endurance (NFE), neck extensor endurance (NEE), and the number of weekly painkiller usage (NWPKU) in chronic non-specific neck pain (CNNP) patients.

A total of 27 CNNP patients, incuding intervention group (n=15) and control group (n=12), were recruited for this study. Patients in the intervention group participated in 6 weeks of DNF and DNE exercises plus traditional physiotherapy. After 10 sessions (3 weeks), the exercise protocol was followed for 3 weeks of the home-based exercise form. Control group patients received traditional physiotherapy alone. The numeric pain rating scale (NPRS), PROM, CVA, NFE, NEE, and NWPKU were examined and compared between groups, at the baseline and after six weeks.

Numeric pain rating scale, PROM, CVA, NFE, NEE, and NWPKU improved significantly in both groups after treatment (P<0.001). The NPRS, passive flexion, passive extension, passive right-side bending, passive left rotation, CVA, NFE, NEE, and NWPKU differences were significant (P<0.05).

The study supports the positive effects of combination therapy (DNF and DNE exercises plus traditional physiotherapy) on pain, passive neck range of motion, neck lordosis posture, and neck muscle endurance in CNNP patients.

Many studies have shown that non-ergonomic positioning of the spine is one of the main causes of postural deformity. In this regard, opium smoking requires sitting in non-ergonomic positions, which increases the possibility of posture disorders due to exposure for several hours a day and over many years.

This study aimed to compare neck pain and disability, forward head posture (FHP), and the curvature of the thoracic spine (thoracic hyperkyphosis [THK]) in opium users and non-drug users.

In this comparative cross-sectional study, 80 opium smokers were compared with 74 non-drug users in terms of craniovertebral angle (FHP), THK, and neck pain (Visual Analog Scale [VAS]) and disability (neck disability index [NDI]). Data were analyzed by Kolmogorov-Smirnov and independent t-tests using SPSS version 23.

The difference between the 2 groups was significant in all variables, including VAS (P = 0.004), NDI (P < 0.001), craniovertebral angle (P = 0.003), and THK (P = 0.006).

Forward head posture, THK, neck pain, and neck disability are more prevalent in opium smokers than non-drug users. This could be due to the long hours of the non-ergonomic position while smoking opium.

Chronic pain is a serious secondary problem for many individuals with disabilities.

A total of 231 disabled athletes invited to compete in a multi-sport national sports tournament for para-athletes in Ahvaz, Iran, participated in the study to be investigated whether spinal pain (SP) prevalence and characteristics are different among different sports and disabilities. Athletes’ demographic information, SP prevalence, characteristics, and disability using the athlete disability index questionnaire were obtained. SP prevalence, characteristics, and factors affecting SP intensity and disability caused by low back pain (LBP) were determined as primary outcome measures before data collection.

The mean (95% confidence intervals) disability percentage and LBP intensity score were 22.2% (19.2-25.3) and 2.14(1.84-2.47) of 10, respectively. The highest LBP intensity was among physical fitness participants and patients with spinal lesions. Weightlifting athletes and athletes with arm movement limitations had the highest disability. The mean (95% confidence intervals) neck pain intensity score was 2.16(1.80-2.54).

A high prevalence of SP was observed among most disabilities and sports. Although its intensity is rarely severe among a population of any disability or sports, it is undeniably disabling among the vulnerable population of para-athletes.

A prospective cohort study to evaluate and compare the responsiveness of the Persian version of the neck disability index (NDI), neck pain & disability scale (NPDS), neck outcome score (NOOS), and to determine the minimal clinically important difference (MCID) and minimal detectable change (MDC). To date, no studies have made a direct comparison between the responsiveness of the Persian version of NPDS, NDI, and NOOS questionnaires. At the end of the study, 55 patients with chronic non-specific neck pain completed the NPDS, NDI, and NOOS questionnaires at the beginning and end of three weeks of physiotherapy treatment. Additionally, patients completed the global rating of change scale to differentiate between improved and unimproved patients. Comparison of responsiveness was performed using anchor-based methods (receiver operating characteristic (ROC) curve and correlation analysis). MCID and MDC were assessed to investigate relevant changes for each questionnaire. ROC curves analysis showed areas under the curves of 0.70, 0.64, and 0.43 to 0.63 for the NPDS, NDI, and NOOS subscales, respectively. The correlation coefficients between the global rating of the change scale and the change scores of the NPDS and NDI were 0.38 (P<0.01) and 0.30 (P<0.05), respectively. There were no significant correlations between NOOS subscales and global rating of change score (r=0.001- 0.21, P>0.05). The MCID for the NPDS, NDI, and NOOS subscales were 28.09 (score 0-100), 7.5 (score 0-50), and 13.75 to 28.64 (score 0-100), respectively. The MDCs were found to be in the following order: 47.1 points for NPDS, 36.1 for NDI, and 23.5 to 39.7 for NOOS subscales. The Persian NPDS seems more responsive than the NDI and NOOS questionnaires. The level of clinically meaningful change in NDI, NPDS, and NOOS questionnaires is in the range of measurement error.  Level of evidence: IV

Subacute thyroiditis is an uncommon thyroid disease which usually occurs after a viral infection. During COVID-19 pandemics, several subacute thyroiditis cases were identified during or after COVID-19. Due to their similar manifestations and high prevalence of COVID-19, subacute thyroiditis might be neglected if the clinicians do not keep it in mind. In this care report, we present a missing patient with SARS-COV-2 infection and subacute thyroiditis which was not suspected until the latent phase of the disease.The patient report can be a re-emphasis on the importance of clinical examination and especially paying attention to palpation of the thyroid gland.

 Continuous radiofrequency ablation (RFA) can effectively manage cervical facet joint pain related to neuropathic symptoms in the post-radiofrequency period. Additionally, pulse radiofrequency (PRF) provides relief of neuropathic symptoms. However, the effect of combined RFA and PRF has yet to be determined.

 The study aimed to compare the effectiveness and safety of RFA (CRF group) and combined RFA and PRF (CPRF group).

 The study retrospectively reviewed the charts of patients with cervical facet joint pain undergoing RFA between June 1, 2014, and June 1, 2017, or combined RFA and PRF between June 1, 2017, and June 1, 2020, at a pain research center. Thirty-nine consecutive patients identified from charts meeting the inclusion criteria were included and classified in CRF (n = 22) and CPRF groups (n = 17). The results were evaluated using a Visual Analog Scale (VAS) and neck pain disability index (NDI) before procedures and 1, 3, and 6 months after the injections. Successful treatment was expressed as at least 80% pain relief from baseline and NDI score <15 points. The duration of pain relief was expressed as the period between pain relief and pain reoccurrence to 50% of the preprocedural pain level. The primary outcome was successful treatment in the groups, and the secondary outcome was the duration of pain relief and post-cervical radiofrequency side effects in the groups.

 Fourteen (66.7%) patients in the CRF group and 12 (66.7%) in the CPRF group experienced successful treatment at three and six-month follow-ups (P > 0.05). The median time to the reoccurrence of at least 50% of preprocedural pain level was 303.8 days in the CRF group and 270 days in the CPRF group (P = 0.395). However, the CPRF group showed significantly less postoperative numbness, dysesthesia, and hypersensitivity syndrome than the CRF group (P < 0.05).

 Combined RFA and PRF can be complementary treatment for cervical facet joint pain, providing an adequate success rate and duration of pain relief as RFA alone but with significantly fewer post-radiofrequency side effects.