جستجوی مقالات مرتبط با کلیدواژه « گردن درد » در نشریات گروه « پزشکی »

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.

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.

The present study investigates the role of psychological patterns and the duration of smartphone and laptop use on neck pain.

The statistical population of this correlational study included all students of Ferdowsi University of Mashhad-Iran, in the academic year of 2021-2022. Two-hundred forty-two students were selected by the multi-stage cluster method. The data were gathered through NEO Personality Inventory (NEO-PI), Depression, Anxiety, Stress Scale (DASS-21), Nordic Neck Pain Scale, and a researcher-made questionnaire to check smartphone and laptop usage hours. Information and data were analyzed using the structural equation model.

The results showed that personality traits and their dimensions (such as flexibility, neuroticism, introversion/extroversion, work conscientiousness, and agreeableness), psychological stress and its subscales (anxiety, depression, and stress), and the duration of using smartphone and laptop could not have a significant effect on neck pain (P> 0.05) (Power AGFI> 0.90, Power RMSEA> 0.90).

Based on the findings, psychological patterns and the duration of smartphone and laptop use have no significant effects on neck pain, and it is necessary to use more accurate tools to investigate in a wider and deeper way.

Neck pain is one of the most common musculoskeletal disorders among smartphone users. The purpose of the present study was to compare the immediate effects of rest and McKenzie exercise on pain level and disability index among individuals who complained of pain and discomfort in the neck after using a smartphone.

Ten males and 14 females with an average age of 25.71 years, who complained of pain and discomfort in the neck after using a smartphone, participated in this clinical trial study. During two consecutive days, they received conservative interventions including rest and Mackenzie exercise. The duration of each intervention was one session. The level of pain and disability was measured with the visual analog scale (VAS) and the neck disability index questionnaire before starting the treatment (immediately after using the smartphone), and after performing rest interventions and McKenzie exercises. The data were analyzed by ANOVA with repeated measures (P < 0.05).

Subjects reported lower levels of pain and disability following both intervention methods (rest and McKenzie exercise) compared to before the start of the treatment period. The Cohen's d effect size index showed the high effectiveness of Mckenzie's exercise compared to the resting condition on the level of pain and disability.

The results of this study showed that McKenzie's exercise can more effectively decrease the amount of pain and disability in the neck and shoulder areas following the use of a smartphone compared to rest.

Upper Cross Syndrome is a complication of muscle imbalance that occurs in people with  forward head , kyphosis, and forward shoulder. The formation of this posture is very common when working with computers. Therefore, the purpose of this study was to investigate the relationship between upper extremity syndrome and neck pain in students using computer.

56 students with neck pain with a mean age of 15 ± 2.53 and an average weight of 60.50 ± 4.41 as available samples (students using computer at Amir Kabir and Ghazali School in Divandere) were chosen. A Jain camera and AutoCAD software were used to measure the head forward, a flexible ruler was used to measure kyphosis, and a ruler was used to measure the shoulder forward from the last appendage to the wall. The VAS visual scale was also used to measure pain. Pearson correlation and regression were used for statistical analysis and Kolmogorov-Smirnov test was used to evaluate the normality of the data.

There was a significant relationship between head protrusion with neck pain (p <0.003, r = -0.402), increased kyphosis with neck in (p <0.001, r = 0.295) shoulder forward with Neck pain was obtained (p <0.007, r = 0.376). The results also showed that there was a significant relationship between upper extremity syndrome or neck pain (r = 0.458).

Based on the results of this study, it was concluded that being in inappropriate positions such as being behind a computer for many years can cause the mentioned positional abnormalities, also due to the relationship between neck pain and coming forward. Increased head, shoulders and kyphosis, in the training program of these users, emphasis should be placed on correcting inappropriate postures of the head, shoulders and thoracic spine.

Work-induced musculoskeletal pain disorders are among the most common problems among workers. This study aimed to compare fatigue and trunk and neck postures during work in tailors with and without nonspecific chronic neck pain.

In this cross-sectional study, 30 sewing machine operators participated voluntarily in two groups of people with (15 persons) and without (15 persons) chronic nonspecific neck pain. The craniovertebral, cranial, and shoulder angles were calculated three times (at the start of work, after 2 hours of continuous work, and after 4 hours of continuous work) using the photogrammetric method.   Borg scale was used to examine work-induced fatigue. A one-way repeated measure analysis of variance at the significance level of 0.05 was used for data analysis.

There were significant differences in craniovertebral, cranial, and shoulder angle changes (P<0.001) between the two groups while working. So postural trunk and neck changes were more evident in the nonspecific chronic neck pain group. However, there were no significant fatigue differences between the two groups (P=0.639).

The upper quarter posture of workers with nonspecific chronic neck pain may be negatively affected more during working. So it is suggested that maintaining proper posture should be more emphasized among these workers.

Chronic neck pain is a common problem and is often associated with changes in sensory-motor functions such as decreased neck proprioception, altered neck muscle coordination, and increased postural fluctuations. The aim of this study was the effectiveness of exercise therapy in improving chronic non-specific neck pain in athletes in Khorramabad.

The present study was a pre-test-post-test clinical trial with an intervention group and a control group. Thirty athletes with chronic neck pain were purposefully selected and randomly divided into two groups of exercise therapy (n = 14) and control (n = 15). Evaluation of neck pain and disability was performed before and immediately after eight weeks of 3 sessions (15 minutes) of rehabilitation exercises by Visual Analog Scale (VAS) and Neck Disability Index from both intervention and control groups, respectively. Data were analyzed using covariance tests at the level of α = 0.05.

The results showed that the pain intensity (P≤0.001) and functional disability (P≤0.001) after eight sessions of training in athletes with chronic nonspecific neck pain were significantly reduced.

Rehabilitation exercises intervention including stabilizing and strengthening the neck improves pain in athletes with chronic neck pain and disability, so it is recommended that rehabilitation exercises be used as a suitable and practical method in treating athletes with chronic non-specific neck pain.

Neck pain is one of the main musculoskeletal disorders in adults and is the fourth leading cause of disability in the world. The aim of this study was to determine the effect of sensorimotor training on proprioception, posture and pain in female patients with chronic non-specific neck pain.

This is a quasi-experimental study with a pretest-posttest and a control group. Thirty women with chronic nonspecific neck pain were selected by purposive sampling method and randomly divided into ی experimental and control groups of 15 patients. The subjects in the experimental group participated in a sensorimotor training program (three days a week for 8 weeks), while the subjects in the control group did not participate in any exercise program. Pain, proprioception and forward head posture angle with Visual Analogue Scale (validity 0.94 and reliability 0.97), craniocervical joint position error test (validity and reliability; 0.85%), Craniovertebral Angle (Validity and reliability; 0.88%) were measured before and after 8 weeks of sensorimotor training.

The groups in the pre-test phase were match in terms of pain, proprioception and forward head angle (P<0.05); but in the post-test phase, significant differences was recorded (P<0.001). After 8 weeks of sensorimotor training, the experimental group showed a significant improvement in pain, proprioception and forward head angle compared to the control group.

The findings showed the effectiveness of sensorimotor training program on pain, proprioception and forward head angle. Sensorimotor exercises significantly reduced pain, proprioception and forward head angle improvement in patients with chronic nonspecific neck pain. As a result, it seems that these exercises can be used as a comprehensive treatment protocol to improve various disorders in these patients.

Chronic nonspecific neck pain considered as a common problem which most of the time comes with changes in sensorimotor functions, beside high financial expense, its accompany with pain and personal concerns in society. The purpose of this research was to study and compare the effect and maintenance of breath training with and without yoga on Pain, range of motion and quality of life in women with chronic nonspecific neck pain.

The present study was a quasi - experimental study with a pretest-posttest design with a control group. For this purpose, 45 women (40 to 50 years old) with chronic non-specific neck pain and fulfilled the inclusion criteria has been selected by convenience sampling in 3 equal groups of 15 patients (randomly). Then two experimental groups performed the training protocol. The protocol was eight weeks of 45minute exercise program, three sessions per week, of breath training with yoga, breath training. In order to assess pain, range of motion and quality of life of subject, visual analogue scale, Universal Goniometer and whoqol-brief questionnaire was used. All variables were measured one week prior to the study, before, and immediately after the intervention and four weeks afterwards. After data collection, for data analysis Repeated measure ANOVA was applied at the significant level of (p≤0/05).

The findings of this study showed that both breath training with yoga and breath training has significant effect on pain, range of motion and quality of life of subject women with chronic non-specific neck pain(P≤0.05). Conducting a between-group comparison also showed that the pain, range of motion and quality of life variables had the highest variation, which was related to the breath training with yoga and breath training, respectively.

According to the results, breath training with yoga showed greater recuperation than breath training. The breath training with yoga are recommended as an adjunct method in treatment of subject with chronic nonspecific neck pain..

Neck pain is a common disease and a relatively early disorder among military personnel. Neck pain causes disability, reduced quality of life, productivity, combat readiness of forces, and increased health care costs. The purpose of this study was to investigate the risk factors associated with neck pain in male military Personnel.

In this case-control study, 200 male military personnel with chronic neck pain and 200 healthy military personnel were evaluated by simple random sampling. A three-part questionnaire (demographic, occupational and clinical information) with closed questions, NDI (Neck Disability Index), Job Related Physical Demands questionnaire (JRPD), Health Risk Appraisals questionnaire (HRA) was used as the tools. For both groups, four questionnaires were completed, then the relationship between risk factors associated with neck pain in both groups was determined.

The demographic data (age, height, weight, work experience) was matched between both groups. Among the factors studied, there were positive significant relationships between neck pain with hard job titles (p=0.010), prolong work experience (p=0.002), heavy and continuous physical activity (p=0.011), exercises of neck - shoulders and shoulder belt (p=0.002), movements associated with lifting a heavy load of more than 25 kg (p=0.002), daily working hours (p=0.007), deformity in the dorsal and cervical spine (p=0.002), movements with bending and righting (p=0.002), neck rotation (p=0.005), movements accompanied by heavy load-displacement from the height above the shoulder (p=0.002) and awkward posture (p=0.004). Also, there were negative significant relationships between neck pain with attendance in exercise programs (P=0.003), body mass index (p=0.025) education level (p=0.003), smoking (p=0.017), duration of neck pain (p=0.002), history of neck pain (p=0.010) carrying heavy bags and objects by shoulder belt (p=0.002), and duration of exercise in male military Personnel.

By identifying the risk factors associated with neck pain and reducing the amount of these factors, new lesions or their expansion can be prevented and the level of efficiency of military forces can be improved.

Chronic neck pain is a common problem in musculoskeletal disorders and limitation of neck and shoulder movements can reduce quality of life. The aim of this study was to evaluate the effect of Dalk and Ghamz massage on range of neck and shoulder motions and quality of life in patients with chronic non-specific neck pain.

This quasi-experimental study was conducted in Tehran, Iran 2018. The intervention was performed in 4 successive stages. The study outcomes in relation to quality of life were measured before the intervention, after the intervention, and one month after the intervention. Restrictions of neck and shoulder and movements were measured before and after each intervention and one month after the last intervention. Data analysis was done in SPSS.

Findings showed significant differences between the scores for quality of life and range of motion in neck region before and after the intervention (P<0.05). These values did not reveal any significant differences in one-month follow-up (P> 0.05).

The Dalk and the Ghamz massage improved the quality of life and range of motion in shoulder and neck region in patients with chronic non-specific neck pain.

Neck pain is the second common musculoskeletal disorder Clinical trial only by back pain. Despite the high prevalence of neck pain, its treatment is still a major challenge. Neck stabilizer training is a technique designed to improve the internal mechanisms of the spine which causes cervical spine stability and invulnerability. On the other hand, manual treatments are low-costly with the least side effects used to treat neck pain. The aim of this study was to compare the effect of stability execrise with and without positional release technique on the pain and neck motion range in men with chronic neck pain. This is a semi-experimental study. The statistical population consisted of the employees of the Mellat bank of Tehran province. Using convenience sampling method, 24 patients with chronic neck pain were randomly divided into two groups . The first group received stabilization exercises with positional release technique and the second group received only stabilization exercises. Each group received a five-week treatment. Pain was assessed on the basis of Visual Analogue Scale (VAS) and neck motion range by goniometer before and 48 hours after the treatment. ANOVA along with repeated measures was employed for data analyses and significant level was considered P<0.05. There was a significant difference between both groups in terms of pain severity and neck motion range after intervention (P <0.005). There was a significant difference between the severity of pain as well as the neck motion range (P<0.005). In the other words, more improvements were achieved in stabilization exercises with positional release technique. Stabilization exercises in combination with positional release technique had a dramatic effect on reducing pain and increasing the neck motion range compared to the positional release technique group. Thus, it is recommended to use this combination to relieve the neck pain.

Neck musculoskeletal disorders are common among dentists. The aim of the current study was to investigate the effect of proprioceptive exercises on pain and disability index in female dentists with nonspecific chronic neck pain.
The questionnaire was distributed among 24 female dentists matched by age, gender, and neck pain complaints in the past three months. Particpants were randomly divided into two groups: the first group received proprioceptive exercises and the second group were not give any intervention. The pain and disability assessment were administered in the baseline and after six weeks of exercises. The Kolmogorov Smirnoff and Wilcoxon were used for statistical data analysis (α≥0.05).
The results of the present study revealed significant decrease in neck pain (P=0.006) and disability index (P=0.008) after six weeks of proprioceptive exercise.
According to the results, the proprioceptive exercise intervention was successful in decreasing pain and disability in female dentists with chronic neck pain. Considering the extreme effect of the proprioceptive exercise group, we recommend that this program be used in the correction of individuals with chronic neck pain and muscles imbalance.

Neck pain is a common problem in human societies. The purpose of this study was to investigate the effect of six weeks of functional cognitive training on the cognitive factors of people with non-specific chronic neck pain.

In this clinical trial study, 24 patients with chronic neck pain were randomly divided into two groups of cognitive functional exercise and control. Cognitive factors were assessed before and immediately after six weeks of cognitive training using pain self-efficacy questionnaire, pain catastrophizing scale, fear-avoidance believes inventory, and depression, anxiety, and stress-21 questionnaire. Data were analyzed using repeated measures ANOVA and paired t tests.

Comparison of two groups after treatment showed a significant difference in all cognitive variables; so that all factors were improved in the intervention group (P = 0.001). Paired t-test results also showed a significant difference in all variables in the intervention group, before and after the test (P = 0.001); but no significant difference was observed for the control group.

The findings suggest that functional cognitive training can be used as a novel method to improve the cognitive factors among the people with chronic neck pain.</div>

It is important to use reliable, valid, and responsive instruments to assess the treatment outcomes. The functional rating index (FRI) is a patient reported outcome measure to assess the pain and function in patients with neck and low back pain. The FRI has been translated and culturally adapted into Persian language. The purpose of this study was to investigate the responsiveness of Persian functional rating index in patients with chronic non-specific neck pain (CNSNP).

The adult patients with CNSNP recruited from Shariati Hospital in Tehran and filled the Persian functional rating index (PFRI), Persian neck disability index (PNDI), and pain numerical rating scale (NRS) before and after 10 physiotherapy sessions, from March to July 2017. The patients completed the global rating change scale after treatment. For statistical analyses, the effect size (ES), standardized response mean (SRM), Guyatt response index (GRI) were used. The Spearman or Pearson test was used for correlation analyses. The area under the receiver operating curve (ROC) and minimal clinically important difference (MCID) were calculated.

In this study, 30 patients (female 17) with a mean of age 45.6 years [standard deviation (SD) 13.8] participated. The mean duration of neck pain was 14.7 months (SD 12.8). Significant strong and moderate correlations were identified between PFRI with PNDI and GRC scores (r= 0.78 and r= 0.69). The respective ES and SRM values were 0.73 and 0.78 for PFRI. The GRI was 5.58. The AUC was 0.89 (P= 0.001). MCID was 11.7%.

This study confirms that the Persian functional rating index is responsive for assessing disability in Persian speaking patients with chronic non-specific neck pain

Aims and Neck related dysfunction, especially chronic neck pain, has become considerably prevalent in society. Neck pain is the most prevalent pain in middle-aged women and is more common in women than men. The purpose of this study was to evaluate the effect of respiratory exercises on pain, disability, proprioception and forward head posture in female patients with chronic neck pain.
Material and Thirty-six women with mean age of 35±3.4 years old with chronic neck pain were recruited. Pain, disability, proprioception and forward head posture angle were measured via visual analog scale, neck disability index, craniocervical joint repositioning (degree) test and craniovertebral angle, respectively before and after 8-weeks of respiratory exercise program.
Findings: Significant changes were observed in pain (P=0.014), disability (P=0.009), proprioception (P=0.016) and forward head posture (P=0.026) in women with chronic neck pain after an 8-week respiratory exercise program.
The results of this study showed that respiratory exercise is effective on pain and disability reduction and also on increasing proprioception accuracy and improvement of forward head posture in women with chronic neck pain. Therefore, as an exercise therapy supplement, using the respiratory exercises in order to help for treatment of signs and problems in patients with chronic neck pain is recommended.