Exercise Programs Targeting Scapular Kinematics and Stability Are Effective in Decreasing Neck Pain: A Critically Appraised Topic
| Autor: | Chris M Edwards |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Biophysics Psychological intervention Stability (learning theory) Physical Therapy Sports Therapy and Rehabilitation Coaching 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Single-Blind Method Medical prescription 030222 orthopedics Neck pain Neck Pain biology Athletes business.industry Rehabilitation 030229 sport sciences biology.organism_classification Test (assessment) Biomechanical Phenomena Exercise Therapy Scapula Physical therapy medicine.symptom Manual therapy business |
| Zdroj: | Journal of sport rehabilitation. 30(6) |
| ISSN: | 1543-3072 |
| Popis: | Clinical Scenerio: Neck pain is a costly symptom in both civilian and military worlds. While traditional treatments include deep neck flexor stabilizing exercises, manual therapy, electrical therapy, and other nonsurgical interventions, scapular orientation and stability training has emerged as a possible tool to reduce neck pain severity. Methods that can be coached at a distance could be of value in virtual appointments or circumstances where access to a qualified manual therapist is limited. Focused Clinical Question: What is the effectiveness of including exercise programs targeting scapular kinematics and stability to decrease neck pain? Summary of Key Findings: Exercise programs targeting scapular kinematics and stability, with coaching and individualized progressions, appear to reduce neck pain severity. Clinical Bottom Line: Evidence supports the inclusion of exercises for scapular kinematics and stability at a prescription of 3 sessions per week, with a duration of 4 or 6 weeks. Exercise programs should include a “learning” or coaching phase to ensure exercises are performed as intended, and exercise progressions should be based on participant ability rather than predetermined timelines. Further research is needed to better understand the benefits of this potential strategy and the statistical impact of scapular-focused exercise interventions on neck pain in specific populations like military and athletes. Strength of Recommendation: There is ‘Fair’ to ‘Good’ evidence from 2 level 1b single-blind randomized control studies and 1 level 2b pre-post test control design study supporting the inclusion of exercise programs targeting scapular kinematics and stability to decrease chronic neck pain severity. |
| Databáze: | OpenAIRE |
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