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

The human body functions as an integrated and coordinated unit, with each part capable of influencing the entire system. Modern science views the body holistically, addressing not only the treatment of symptoms but also the root cause of any disorder, often located far from the apparent site of the issue. This study aims to examine the effect of immediate release and static stretching of the gastrocnemius muscle and plantar fascia within the superficial back line on range of motion and chronic neck pain.

In this randomized clinical trial, 32 subjects with nonspecific chronic neck pain, aged 30-40 years, were recruited. Participants were randomly assigned into two equal groups: a control group (16 participants) and an intervention group (16 participants). The intervention group performed release and stretching exercises using a foam roller and band, respectively, while the control group did not receive any intervention. Neck range of motion in the sagittal plane was measured using a goniometer, and pain levels were assessed using a visual analog scale before and after the protocol. Data were analyzed using paired t-tests and ANCOVA at a significance level of 0.05 with SPSS software.

The ANCOVA test revealed a significant difference between the intervention and control groups in terms of neck pain (P=0.001) and neck range of motion in the sagittal plane, including neck flexion (P=0.001) and neck extension (P=0.001) among individuals with chronic neck pain. Paired t-test results showed that, in the intervention group, there were significant differences between pre-test and post-test scores for neck pain, neck flexion, and extension range of motion after participating in the stretching and myofascial release exercises on the gastrocnemius muscle and plantar fascia (P=0.001). However, no significant differences were found in the control group between the pre- and post-test stages (P>0.05).

The use of self-release interventions and stretching exercises on the gastrocnemius muscle and plantar fascia appears to increase range of motion and reduce neck pain. These results suggest tension transmission along the superficial back line, which extends from the plantar fascia to the frontal muscles of the skull, meaning intervention at any point in this chain can affect the entire pathway. This method could be beneficial for individuals with acute neck pain or in cases where direct neck intervention is not possible. By targeting other areas along this muscle chain, improvements in neck symptoms may be achieved. Over recent years, this concept has garnered significant research interest, with a proliferation of studies affirming the existence of the posterior superficial back line through laboratory and cadaver research. Clinically, factors such as the tissue's viscoelastic properties, nerve receptors, and changes in the extracellular matrix are proposed to facilitate tension transmission along muscle chains, though the precise mechanism remains a “black box” in fascia tissue research.

One of the physiological effects of high velocity low amplitude (HVLA) manipulation is change in motor neuron activity, which can be evaluated by measuring the H reflex and F wave latencies. The lack of specific objective and measurable criteria in previous studies related to the treatment of neck pain may have caused bias in effectiveness of treatment options؛ For this reason, proper treatment plans cannot be made. Nevertheless, use of measurable prognostic criteria such as H-reflex and F-wave latencies can have a major role in treatment of mechanical neck pain with cervical HVLA manipulation. Therefore, in this study, we will examine and compare the onset latencies of H-reflex and F-wave parameters of the median and tibial nerves before and after cervical HVLA manipulation.

In this interventional study, patients with mechanical neck pain who referred to Imam Reza Hospital in Tehran during 2018-19 were selected. Before and- after the HVLA manipulation of the neck, the onset latency index related to the H-reflex and F-wave parameters in the upper and lower limbs were measured using an EDX EMG machine. Statistical analysis was performed to compare the before and after results with Kolmogorov-Smirnov and paired t-tests and p-value less than 0.05 was considered significant.

In this study, 35 patients were examined. F wave in the right median nerve did not change significantly after the intervention (p=0.295), but this amount had decreased significantly on the left side (p=0.048). There was no significant change in the tibial F wave latency (p=0.245 on the right side and p=0.133 on the left side). There was a significant change in H reflex in the median nerve after the intervention (p=0.001 for the right side and p=0.030 for the left side). In the tibial nerve, the H reflex decreased significantly after the intervention (p=0.026 for right side and p=0.036 for left side).

H reflex latencies in both left and right median and tibial nerves and F wave latencies only in the left median nerve had a significant decrease after the intervention. HVLA manipulation by inhibiting the motor system reduces muscle tone, and in this way can break the cycle of pain and spasm and is effective in treating neck pain.

The effectiveness of neck stabilization exercises in reducing the pain of patients with neck pain has been reported in previous studies. Most of the interventions to improve thoracic mobility are dedicated to manual therapy, and the role of exercise therapy has received less attention. Therefore, the aim of this study was to compare the effect of neck stabilization exercises with and without thoracic mobility exercises on pain, proprioception, and posture of women with chronic neck pain and forward head posture.36 women with chronic neck pain and forward head posture were randomly divided into three groups of control, stabilization exercises, and stabilization exercises with thoracic mobility. The intervention groups did the exercises for 8 weeks, 3 sessions a week, and 45-60 minutes, and the control group continued their normal life. Pain, proprioception, and forward head posture angle were evaluated by visual analogue scale, cervical-cephalic relocation test, and craniovertebral angle, respectively. Data analysis was performed using repeated measure ANOVA and Bonferroni's post hoc test at an error level of 0.05 and using SPSS software version 26.The stabilization exercises group with and without thoracic mobility showed significant improvement in proprioception, pain, and posture compared to the control group (p≤0.001). There was no significant difference between the experimental groups (p≥0.05). However, the stabilization exercises group with thoracic mobility had more improvement in posture and pain.Performing neck stabilization with and without thoracic mobility exercises is an effective intervention in improving posture, proprioception, and reducing pain in women with chronic neck pain. Therefore, the use of this exercise protocol is recommended as an effective treatment approach for women with neck pain.

Musculoskeletal disorders and associated pains are represent significant and prevalent factors contributing to occupational injuries. The aim of this study was to investigate the effect of online upper cross syndrome-based exercises and the posture retraining on pain, disability, fatigue, and mental workload of experienced by dentists in Shahrekord city.

A total of 33 dentists were selected as the statistical sample and randomly assigned to three groups including, control (n = 11), Online National Academy of Sports Medicine (NASM) based corrective exercises (n=11), and posture retraining (n=11) groups. Baseline assessments were conducted, and outcomes were examined immidietly after the interventions. The experimental groups underwent the study interventions for six weeks, while the control group maintained their regular daily activities during this period. Primary outcome measure was pain, and secondary measures included disability, perceptual fatigue, mental workload, and quality of life. Within-group comparisons were analyzed using paired sample t-tests, and between-group comparisons utilized one-way analysis of variance.

The results indicated that both exercise interventions positively affected pain, disability, perceptual fatigue, mental workload, and quality of life among dentists (P<0.05). Notably, correction of the upper crossed syndrome demonstrated a more significant effect compared to the posture retraining intervention (P<0.05).

The utilization of online NASM-based corrective exercises and posture retraining could have positive effects in reducing pain and disability and also improving the overall performance of dentists.

The purpose of the study was to compare the effectiveness of single session resting and kinesio taping on pain level, disability and range of motion among individuals who complained of pain and discomfort in the neck after using a smartphone.

Twenty-four individuals with average age of 25.71 years, who complained of pain and discomfort in the neck after using a smartphone, participated in this quasi-experimental study. During two consecutive days, they received conservative interventions including resting and kinesio taping exercise. The duration of each intervention was one session. The level of pain, disability and the cervical spine's range of motion were measured with the visual analog scale (VAS), the neck disability index questionnaire and cervical spine's range of motion using the standard goniometer before starting the treatment (immediately after 15 minutes of using the smartphone), and after performing resting and taping interventions. The data were analyzed by ANOVA with repeated measures (p<0.05).

Both resting and taping methods were significantly decreased the mean score of pain and disability of the neck, but the effect of taping was more. The results also showed that both intervention methods led to a significant increase in cervical spine's range of motion, but the effectiveness of taping was higher than resting.

The results of this study showed that kinesio tape technique in comparing with resting can more effectively decreased the amount of pain and disability in the neck as well as incising cervical spine's range of motion in smartphone users.

Neck pain is a prevalent problem negatively affecting individuals’ health and quality of life. Therefore, the present research was conducted to determine the impacts of neck stabilization and thoracic mobility exercises on disability, range of motion, and endurance of females with non-specific chronic neck pain.

This single-blinded clinical trial was conducted on 36 females with non-specific chronic neck pain in three 12-people groups in the city of Qom. The subjects of the first intervention group (those doing neck stabilization exercises) and the second intervention group (those doing neck stabilization exercises with thoracic mobility) performed the exercises as three 60-minute sessions per week for 8 weeks in the gym, and the control group received a set of corrective exercises. Disability, the neck range of motion, and muscular endurance were measured by the Neck Disability Index (NDI), goniometer and the Progressive Iso-inertial Lifting Evaluation (PILE) test, and biofeedback sphygmomanometer, respectively.

Disability, range of motion, and muscular endurance of the subjects in both intervention groups significantly improved compared to the control group (P<0.05). Compared to the first intervention group, the range of motion and muscular endurance of subjects in the second intervention group showed a significant improvement (P<0.05).

Doing neck stabilization and thoracic mobilization exercises was found to be an influential intervention in the improvement of disability, range of motion, and muscular endurance of females with non-specific chronic neck pain.

The purpose of this study was to investigate the uniform effect of feedbag correction exercises on pain, motor range and angle angel of girls with ahead.

The statistical sample of the present study includes 30 people, 15 women with head forward problem were considered as experimental group and 15 women without head forward problem were considered as control group. NASM head-forward corrective exercise protocol was used as a feedback corrective exercise protocol. This protocol includes four sections of restraint techniques, stretching techniques, activation techniques, and cohesion techniques, which were performed in a period of 45 minutes in each stage of the exercise. After the initial evaluations and measurements, the experimental group did its exercises for 8 weeks, 3 sessions per week, each session lasting 45 minutes. During this time, the control group did not do any activity related to corrective exercises and did not use any medicine to reduce pain. Again, pain and performance measurements were taken after the protocol.. The Shapirvillek test was used to determine the normal distribution of the research variables and for statistical analysis of the research hypotheses, the covariance analysis test (ANCOVA) was used. The confidence interval for all hypotheses was 0.05 p <0.05.  

The results of the covariance test indicate a significant effect of feedbag correction exercises on pain, motor range and angle angle of girls with forward head complications (P. 0.001). 

In general, the results of this study showed the effect of feedback corrective exercises on reducing neck pain, motor range and angle angle of girls with forward head complications. On this basis, it seems that the exercises of this study can be effective in improving the motor performance of girls with the forward head

Background and Objectives In recent years, access to rehabilitation services has been limited due to the COVID-19 pandemic; therefore, Telehealth is suggested as a solution for providing physical therapy services. The present study aimed to examine the validity and reliability of online postural assessment of the cervical spine and shoulder region in people with chronic neck pain. Subjects and Methods A total of 23 participants with neck pain were recruited. The presence of shoulder symmetry, kyphosis, anterior and lateral head tilt, and relative scapula position were assessed using face-to-face and online methods. The satisfaction of participants with the online assessment was recorded. Each participant underwent online-based and conventional FTF assessments randomly in a single session. Results Online assessment of different scapula positions demonstrated poor to moderate agreement with face-to-face assessment. Online assessment indicators of head-neck angle, head tilt in the sagittal and frontal plane, shoulder alignment, and kyphosis had a high correlation coefficient with the face-to-face method. Furthermore, the percentage of agreement and intra-examiner reproducibility of this method was excellent for all indicators. Most participants displayed a good level of satisfaction with the online method. Conclusion Online postural assessment of the cervical spine is valid and reliable for measuring shoulder symmetry, kyphosis, anterior and lateral head tilt angle, and craniocervical angle in neck pain patients who do not have access to physical therapy services.

Chronic neck pain is one of the most common musculoskeletal disorders that has a great impact on people's quality of life, health, and work efficiency. Due to the high costs of drug treatments, the search for simple and low-cost treatment solutions is inevitable. Stretching and tissue release techniques are effective solutions for correcting skeletal-muscular disorders. Therefore, this study aimed to investigate their effectiveness in controlling pain and improving the performance of people suffering from non-specific chronic neck pain.

In this semi-experimental study with parallel groups and pre-test-post-test design, 39 patients with non-specific chronic neck pain with an average age of 25 to 45 years, in a non-random and available form, were selected from the office workers. Individuals were randomly assigned into three groups of traction stretch, release, and control, and received interventions for six weeks. At the beginning and after the completion of the interventions, pain intensity, qualitative fatigue, and quality of life were evaluated using the visual measure of pain, multidimensional fatigue questionnaire, and SF36 questionnaire, respectively. To compare the averages, one way ANCOVA a mixed analysis of variance test was used.

Intra-group comparisons showed that pain intensity, quality of life, and fatigue improved significantly in both intervention groups (P<0.05). Stretching and release exercises both had a significant effect on improving the variables (P<0.05). However, the results of the release exercises group were more significant.

Six weeks of releasing and stretching techniques in non-specific chronic neck pain patients reduces pain and fatigue and increases their quality of life.