Effect of adding stretching to standardized procedures on cervical range of motion, pain, and disability in patients with non-specific mechanical neck pain: A randomized clinical trial
Autor: | Everett Lohman, Saad S AlFawaz, Noha Daher, Hatem Jaber, Mansoor Alameri |
---|---|
Rok vydání: | 2019 |
Předmět: |
Complementary and Manual Therapy
Cervical range of motion Pain Threshold medicine.medical_specialty Joint mobilization Physical Therapy Sports Therapy and Rehabilitation law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Non specific law Muscle Stretching Exercises medicine Humans In patient Range of Motion Articular Physical Therapy Modalities 030222 orthopedics Neck pain Neck Pain business.industry Rehabilitation 030229 sport sciences Global Rating Complementary and alternative medicine Physical therapy Cervical Vertebrae medicine.symptom Range of motion business Neck |
Zdroj: | Journal of bodywork and movement therapies. 24(3) |
ISSN: | 1532-9283 |
Popis: | to investigate the benefit of adding stretching exercises to cervical joint mobilization and active rotation exercises for patients with non-specific mechanical neck pain.Thirty-eight subjects with non-specific mechanical neck pain were randomly assigned to a standard procedure group (passive cervical mobilization and active cervical rotation range of motion exercise) or a combined procedure (passive cervical mobilization, active cervical rotation range of motion exercises, and stretching procedures). Mixed factorial analysis of variance was used to compare changes between groups over time in active cervical range of motion, Numeric Pain Rating Scale, Neck Disability Index, Global Rating of Change, and Pressure Pain Threshold.There was a significant change in mean active range of motion in all directions, Pressure Pain Threshold, perceived pain, disability levels, and global rating of change over time (p 0.001). There was a significant group by time interaction in mean active range of motion during extension (p = 0.01), right rotation (p = 0.004), right and left lateral flexion (p = 0.05, and p = 0.02 respectively). However, there was no significant group by time interaction in mean active range of motion during flexion, left rotation, pain intensity (p = 0.09), right and left pressure pain threshold (p = 0.30, 0.47, respectively), and disability (p = 0.07).Both study groups improved significantly in all subjective and objective outcome measures. However, data from this study suggest that adding stretching to the standard procedures may be more effective than the standard procedure alone at improving cervical extension, right rotation, and lateral flexion active range of motion, but not pain and disability. |
Databáze: | OpenAIRE |
Externí odkaz: |