The Effectiveness of Neck Stretching Exercises Following Total Thyroidectomy on Reducing Neck Pain and Disability: A Randomized Controlled Trial

Ayhan, RN Hatice; Tastan, RN Sevinc; PhD, RN Emine Iyigün; Öztürk, Erkan; Yıldız, Ramazan; Gorgulu, Semih

doi:10.1111/wvn.12136

Cited by 25 publications

(34 citation statements)

References 26 publications

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“…on the other hand, Jang et al [20] found that there was no significant difference determined between the stretching exercise group and the control one in terms of neck discomfort or RoM 3 months after thyroidectomy. The study results also disagree with Ayhan et al [18], who found no significant differences between the stretching neck exercises group and the control group with regard to neck pain and disability or neck sensitivity and pain with neck movements 1 month after total thyroidectomy.…”

Section: Discussioncontrasting

confidence: 99%

“…The outcomes are also in line with the observations presented by Ayhan et al [18], who investigated the effect of neck stretching exercises after total thyroidectomy on neck pain and disability and reported a statistically significant reduction in pain and disability. Abd-El Mohsen and Ahmed [19] revealed that applying neck stretching exercises significantly improved the neck condition concerning neck pain and disability 1 week after total thyroidectomy.…”

Section: Discussionsupporting

confidence: 91%

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Effect of stretching exercises vs. Kinesio Taping on postoperative neck discomfort following total thyroidectomy in postmenopausal women

Nagib¹,

Karkousha²,

Nahas³

2019

Physiother Quart.

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Introduction. Thyroidectomy is a surgical operation where head and neck extension position is prescribed in the surgical procedure, which may lead to postoperative neck pain and neck range of movement limitation. The study aimed to determine the effect of neck stretching exercises vs. neck Kinesio Taping on neck discomfort following total thyroidectomy. Methods. A quasi experimental design was applied in the pre-test post-test study. overall, 30 female patients after total thyroidectomy were included and randomly assigned into 2 equal groups. Group A received neck stretching exercises while group B received Kinesio Tape for posterior neck muscles; both groups were treated for 1 month after surgery. A universal goniometer was used to assess neck range of motion. The Neck Pain and disability Scale questionnaire served to evaluate pain and disability. Results. There were statistically significant differences in both groups for pre-and post-treatment pain and neck range of motion. For neck range of motion, a statistically significant post-treatment difference was observed between the 2 groups in favour of group A, while for Neck Pain and disability Scale scores, there was no statistically significant post-treatment difference between the 2 groups. Conclusions. Both active neck stretching exercises and Kinesio Taping had a significant effect on pain and range of motion in neck discomfort following total thyroidectomy in postmenopausal women 1 month after treatment, while active neck stretching was more effective on neck range of motion than Kinesio Taping.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 91%

Effect of stretching exercises vs. Kinesio Taping on postoperative neck discomfort following total thyroidectomy in postmenopausal women

Nagib¹,

Karkousha²,

Nahas³

2019

Physiother Quart.

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“…Finally, 17 manuscripts were selected and one of these was added from the bibliography because of its relevance. 1,[16][17][18][19][20] C Quéralt et al 1 Retrospective study N=200 -There were no deaths during follow-up -18 patients with postoperative hematoma, 17% were treated with anti coagulation compared to 13% of patients without.…”

Section: Resultsmentioning

confidence: 99%

Main care to avoid complications associated with thyroidectomy

Ferrés¹

2019

IJFCM

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General objective: To identify the main care in patients undergoing total or partial thyroidectomy to avoid complications associated with surgery. Methodology: Articles were searched in the databases: Pubmed, CINAHL y Cochrane Library Plus, with the free terms: laryngotracheal stenosis, tracheal stenosis, complications, surgery and care. Limited in Indian: English or Spanish, +18 years and published in the last 10 years. Results: Out of a total of 140 articles found, 30 met the inclusion criteria of the finally selected topics. 17 that dealt with the stated objective and that were added to a 2002 article because of its relevance. Hyperthyroidism affects 1-3% of the general population and is usually more common in women. There are different treatment options available depending on their more or less invasive individualization. Surgery offers an early remission of endocrine disorder and more stable than more conservative strategies and also an earlier detection of thyroid cancer. Hypocalcemia is the most frequent, symptomatic or asymptomatic, rebleeding with hematoma, laryngeal nerve injury, acute pain or infection as the most important. There is a series of care that favors the early detection of these and other things. Conclusion: This review has been made with the aim of knowing more about the most frequent complications after a thyroidectomy and establishing the basic learning needs that patients should know at discharge to take responsibility for their health. In addition, a series of recommendations has been made to patients at discharge to empower the patient to be responsible for their health and to recognize early complications, know and take responsibility for medication, know how to heal the wound, etc.

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“…The sample of subjects included in this study is representative of the general population undergoing thyroidectomy, with similar socio‐demographic characteristics (Ayhan et al, ; Takamura et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…The sample of subjects included in this study is representative of the general population undergoing thyroidectomy, with similar socio-demographic characteristics (Ayhan et al, 2016;Takamura et al, 2005). Takamura et al (2005) observed neck pain symptoms in thyroidectomy patients, which continue for a long time after surgery and influence the daily life activities.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal neck disorders in thyroid cancer patients after thyroidectomy

et al. 2019

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Thyroid cancer (TC) is the most common type of cancer in the endocrine system, and thyroidectomy is the preferred treatment. Complications associated are still common and 80% of patients complain of posterior neck pain. The aim of this study was to analyse the long‐term musculoskeletal disorders in TC patients who had undergone thyroidectomy. An observational case–control study was carried out. Twenty‐eight patients who had undergone thyroidectomy and 28 healthy control patients were included. Outcomes were collected 6 months after surgery and included: musculoskeletal neck disorders (neck range of movement, trigger points) and functional variables (pain intensity and disability). Significant differences were found between groups in flexion (p = 0.002) and extension (p = 0.005), with lower values in the thyroidectomy group. The number of trigger points was higher in the thyroidectomy group in both scalenes (p < 0.001), both sternocleidomastoids (p < 0.001), both upper trapezius (p = 0.005 and p = 0.008), right levator scapulae (p = 0.002) and both suboccipitalis (p = 0.002). Pain intensity (p < 0.001) and the Neck Outcome Scale subscales (p < 0.05) also presented significant differences. Thyroidectomy patients, 6 months after surgery, show a significant decrease in neck range of movement and an increase in the number of trigger points. They also show greater pain intensity and more disability.

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The Effectiveness of Neck Stretching Exercises Following Total Thyroidectomy on Reducing Neck Pain and Disability: A Randomized Controlled Trial

Abstract: Neck stretching exercises done immediately after a total thyroidectomy reduce short-term neck pain and disability symptoms.

Cited by 25 publications

References 26 publications

Effect of stretching exercises vs. Kinesio Taping on postoperative neck discomfort following total thyroidectomy in postmenopausal women

Effect of stretching exercises vs. Kinesio Taping on postoperative neck discomfort following total thyroidectomy in postmenopausal women

Main care to avoid complications associated with thyroidectomy

Musculoskeletal neck disorders in thyroid cancer patients after thyroidectomy

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