Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial

Çelenay, Şeyda Toprak; Kaya, Derya Özer; Akbayrak, Türkan

doi:10.1016/j.math.2015.07.003

Cited by 69 publications

(46 citation statements)

References 70 publications

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“…It was observed that all the intervention groups (MET and NSE) improved the psychological status (anxiety and depression) post-intervention. This agrees with the result of other studies (17,28), which recorded an improvement in the level of depression when neck muscles were treated with therapeutic exercises. The reason for the marked improvement in the psychological status may be that there was an improvement in the pain and disability of patients…”

Section: Discussionsupporting

confidence: 93%

Effects of Muscle Energy Technique and Neck Stabilization Exercises on Pain, Psychological Status, and Sleep Disturbance in Patients with Non-Specific Chronic Neck Pain

Zibiri

Akodu

Okafor

2019

Middle East J Rehabil Health Stud

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Background: Neck pain is one of the most common and painful musculoskeletal conditions. It is a problem in societies probably due to the widespread use of electronic gadgets such as computers, mobile phones, and tablets. It causes pain, functional disability, depression, and sleep disturbances. Therapeutic exercises have been known to be one of the major interventions to improve chronic neck pain.Objectives: This randomized controlled study aimed to compare the efficacy of muscle energy technique (MET) and neck stabilization exercise (NSE) on pain, neck disability, depression, anxiety, and sleep disturbance in patients with non-specific chronic neck pain (NSCNP). Methods:Thirty-five participants participated in this study. They were recruited from two hospitals in Lagos state and randomly assigned into 3 groups using computer-generated random number sequence. Group 1 (n = 12) received MET, neck care education (NCE), and infra-red radiation (IR), group 2 (n = 12) received NSE, neck care education (NCE), and IR, and group 3 (n = 11) received NCE and IR. Assessment of pain, neck disability, depression, anxiety, and sleep disturbance were done using numerical pain rating scale (NPRS), neck disability index (NDI), hospital anxiety depression scale (HADS) and Insomnia severity index (ISI) at baseline, end of 4 weeks and 8 weeks post-intervention. This study lasted for a period of 5 months (May -September, 2017). Results:The participants in the 3 groups (MET+NCE+IR, NSE+NCE+IR, NCE+IR) indicated significant improvement in all the outcome parameters; pain (P = 0.001, 0.001, 0.001, respectively), disability (P = 0.002, P = 0.002, P = 0.003, respectively), depression (P = 0.02, 0.002, 0.003, respectively), anxiety (P = 0.01, P = 0.002, P = 0.03, respectively), and sleep disturbance (P = 0.01, P = 0.002, P = 0.01, respectively) post-intervention. Significant differences were observed in all outcome parameters except for depression (P = 0.456) and anxiety (P = 0.179) when across group comparisons were performed. Conclusions:Muscle energy technique and neck stabilization exercises and neck care are all effective in managing pain, neck disability, depression, anxiety, and sleep disturbance in NSCNP patients, but neck stabilization exercises have a better effect than a muscle energy technique.

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Section: Discussionsupporting

confidence: 93%

Effects of Muscle Energy Technique and Neck Stabilization Exercises on Pain, Psychological Status, and Sleep Disturbance in Patients with Non-Specific Chronic Neck Pain

Zibiri

Akodu

Okafor

2019

Middle East J Rehabil Health Stud

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“…Kassolik et al as well demonstrated improvement in pain outcome for both classic and tensegrity massage [24]. Similar results were also obtained by Celenay et al for chronic mechanical neck pain, which was treated with cervical and scapulothoracic stabilization exercises with and without connective tissue massage and massage therapy [6]. Thus, massage therapy appears to have a positive effect in shoulder pain, which was also confirmed in this study.…”

Section: Discussionsupporting

confidence: 89%

Evaluation of a New Exercise Program in the Treatment of Scapular Dyskinesis

Nowotny

Kasten²,

Kopkow³

et al. 2018

Int J Sports Med

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An abnormal motion of the scapula, or scapular dyskinesis (SD), can be effectively treated through conservative therapy. The aim of this study is to evaluate a new specific exercise program to restore normal position. A standardized and specific exercise program was created. In a prospective multi-center approach, patients were randomized into two groups: one group received the specific exercise program over a period of six weeks and the controls received massage therapy. The visual-analog scale, QuickDASH score, SICK scapula rating scale, hand press-up position test, lateral scapular slide test and internal rotation of the shoulder were evaluated. Twenty-eight patients were included in the study: fifteen in the exercise group and thirteen in the control group. Pain levels on the visual analog scale (VAS) were significantly reduced in both groups (exercise p=0.007; control p=0.004). The scores for QuickDASH (p=0.001), SICK scapula rating scale (p=0.003) and hand press-up position test (p=0.026) were significantly improved in the exercise group only. Scapula-focused exercise programs, as well as massage therapy, can effectively relieve pain in patients with SD. However, scapula-focused exercises resulted, specifically, in greater improvement of shoulder function.

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“…These include restoring optimal tissue length, reduce pain, improve tissue circulation and improve function (Ajimsha et al, 2014;Barnes, 1997;Celenay et al, 2016;Myers, 2009). It has been postulated that, following injury or a lack of movement, fascia can form adhesions and abnormal cross-links rendering the fascia less pliable and resistant to movement (Bouffard et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

The acute effects of integrated myofascial techniques on lumbar paraspinal blood flow compared with kinesio-taping: A pilot study

Shah

Arkesteijn

Thomas

et al. 2017

Journal of Bodywork and Movement Therapies

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Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial

Cited by 69 publications

References 70 publications

Effects of Muscle Energy Technique and Neck Stabilization Exercises on Pain, Psychological Status, and Sleep Disturbance in Patients with Non-Specific Chronic Neck Pain

Effects of Muscle Energy Technique and Neck Stabilization Exercises on Pain, Psychological Status, and Sleep Disturbance in Patients with Non-Specific Chronic Neck Pain

Evaluation of a New Exercise Program in the Treatment of Scapular Dyskinesis

The acute effects of integrated myofascial techniques on lumbar paraspinal blood flow compared with kinesio-taping: A pilot study

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