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Palermo M, Reich S, Rives M. The Effect of Active Release Technique on Hamstring Extensibility: A Critically Appraised Topic. J Sport Rehabil 2024; 33:202-207. [PMID: 38290513 DOI: 10.1123/jsr.2023-0229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 10/30/2023] [Accepted: 12/12/2023] [Indexed: 02/01/2024]
Abstract
CLINICAL SCENARIO Hamstring extensibility plays a significant role in maintaining postural alignment essential for a functional musculoskeletal system. When hamstring extensibility is lacking, individuals are placed at a higher risk for developing various lumbar spine, pelvis, knee, and foot dysfunctions. Limited hamstring extensibility is common, occurring in as much as 40% of college students and 86% of the adult population. Therefore, it is essential to maintain hamstring extensibility, which can be aided by understanding intervention effectiveness for improving flexibility. PURPOSE To critically appraise the literature on the effectiveness of Active Release Technique (ART) for the treatment of hamstring extensibility deficits. CLINICAL QUESTION What is the effect of ART in a healthy population with or without hamstring extensibility deficits? SUMMARY OF KEY FINDINGS Three studies were included for critical appraisal. Two studies concluded a single treatment session of ART that individuals possessing limited straight leg raise range of motion experienced improved active knee extension, popliteal angle, and sit-and-reach test measures. In the third study, a single session of ART was effective at improving hamstring extensibility in males without hamstring extensibility dysfunction. CLINICAL BOTTOM LINE Based on the current level 1 and level 3 evidence, ART may be an effective treatment to produce acute increases in hamstring extensibility. Future research is still needed. STRENGTH OF RECOMMENDATION Level B evidence exists to support the use of ART to improve hamstring extensibility in the healthy population.
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Kang D, Yim J. A Study of 45 Patients with Chronic Neck Pain to Compare the Effects on Pain and Disability of 4 Weeks of Physical Therapy with the Active Release Technique and Strain-Counterstrain Manipulation with Massage Alone, Before and After Treatment. Med Sci Monit 2023; 29:e942027. [PMID: 38013400 PMCID: PMC10693177 DOI: 10.12659/msm.942027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 10/05/2023] [Indexed: 11/29/2023] Open
Abstract
BACKGROUND Active release technique (ART) and strain-counterstrain (SCS) have been reported to be beneficial for patients with trigger point pain. Therefore, this study of 45 patients with chronic neck pain aimed to compare the effects of 4 weeks of physical therapy with the ART and SCS manipulation with massage alone, evaluated before and after treatment, using the visual analog scale (VAS) for pain, the neck disability index (NDI), and the pressure pain threshold (PPT). MATERIAL AND METHODS The participants were 45 adults with neck pain lasting >12 weeks, divided into the ART group (n=15), SCS group (n=15), and control group (n=15). All groups received clinical massage (CM) for 15 min twice a week for 4 weeks. The control group received only CM, the ART group received CM and ART for 15 min twice a week for 4 weeks, and the SCS group received CM and SCS for 15 min twice a week for 4 weeks. VAS, NDI, and PPT were measured before and after the interventions. RESULTS In all groups, there were significant changes in VAS, NDI, and PPT after the interventions (P<0.05), and there was a significant difference among groups in the difference before and after intervention (P<0.05). VAS and NDI showed the greatest difference among before and after intervention in the ART group (VAS pre-post 3.38±0.76, NDI pre-post 5.69±2.78). PPT showed the greatest difference among before and after intervention in the SCS group (PPT pre-post 1.75±0.62). CONCLUSIONS The ART technique and the SCS technique effectively reduced neck pain and neck disorders in adults with chronic neck pain.
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Rebelatto MN, Alburquerque-Sendín F, Gava V, Camargo PR, Haik MN. Cervical sensitivity, range of motion and strength in individuals with shoulder pain: A cross-sectional case control study. Musculoskelet Sci Pract 2023; 67:102834. [PMID: 37527568 DOI: 10.1016/j.msksp.2023.102834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 07/22/2023] [Accepted: 07/25/2023] [Indexed: 08/03/2023]
Abstract
OBJECTIVES To assess whether cervical sensitivity, range of motion (ROM) and strength are impaired in individuals with shoulder pain and how they interact with sociodemographic and clinical data. METHODS Forty-eight individuals with shoulder pain and 48 asymptomatic matched ones were included. Pressure pain thresholds (PPTs) in cervical region and tibialis anterior muscles, ROM of cervical flexion, extension, lateral flexions and rotations and cervical muscle strength of flexion, extension and lateral flexions were assessed. Between-groups comparisons and a logistic multiple regression model were performed. RESULTS The symptomatic group showed lower and not meaningful PPTs in trapezius of the unaffected/unmatched side, both sternocleidomastoid muscles, and tibialis anterior and reduced ROM in cervical extension (MD = -9.00°) when compared to the asymptomatic group. No differences were identified in muscle strength. Reduced PPT of the trapezius and reduced cervical extension ROM together accounted for 40.2% of the variance of the chance of presenting shoulder pain. CONCLUSION Individuals with shoulder pain have more, but not clinically relevant, cervical sensitivity and lower cervical extension than asymptomatic individuals. The lower the PPT of the upper trapezius and the cervical extension ROM, the higher was the chance to present shoulder pain. Regional interdependence between cervical spine and shoulder may explain cervical physical function alterations in shoulder pain.
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Affiliation(s)
- Marcelo N Rebelatto
- Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, Brazil
| | - Francisco Alburquerque-Sendín
- Universidad de Córdoba, Department of Nursing, Pharmacology and Physical Therapy, Córdoba, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Córdoba, Spain.
| | - Vander Gava
- Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, Brazil
| | - Paula R Camargo
- Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, Brazil
| | - Melina N Haik
- Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, Brazil
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Minnucci S, Innocenti T, Salvioli S, Giagio S, Yousif MS, Riganelli F, Carletti C, Feller D, Brindisino F, Faletra A, Chiarotto A, Mourad F. Benefits and Harms of Spinal Manipulative Therapy for Treating Recent and Persistent Nonspecific Neck Pain: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther 2023; 53:510-528. [PMID: 37561605 DOI: 10.2519/jospt.2023.11708] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/12/2023]
Abstract
OBJECTIVE: We aimed to estimate the benefits and harms of cervical spinal manipulative therapy (SMT) for treating neck pain. DESIGN: Intervention systematic review with meta-analysis of randomized controlled trials (RCTs). LITERATURE SEARCH: We searched the MEDLINE, Cochrane CENTRAL, Embase, CINAHL, PEDro, Chiropractic Literature Index bibliographic databases, and grey literature sources, up to June 6, 2022. STUDY SELECTION CRITERIA: RCTs evaluating SMT compared to guideline-recommended and nonrecommended interventions, sham SMT, and no intervention for adults with neck pain were eligible for our systematic review. Prespecified outcomes included pain, range of motion, disability, health-related quality of life. DATA SYNTHESIS: Random-effects meta-analysis for clinically homogenous RCTs at short-term and long-term outcomes. Risk of bias was assessed using the Cochrane Risk of Bias 2.0 Tool. We used the Grading of Recommendations, Assessment, Development, and Evaluations approach to judge the certainty of evidence. RESULTS: We included 28 RCTs. There was very low to low certainty evidence that SMT was more effective than recommended interventions for improving pain at short term (standardized mean difference [SMD], 0.66; 95% confidence interval [CI]: 0.35, 0.97) and long term (SMD, 0.73; 95% CI: 0.31, 1.16), and for reducing disability at short-term (SMD, 0.95; 95% CI: 0.48, 1.42) and long term (SMD, 0.65; 95% CI: 0.23, 1.06). Transient side effects only were found (eg, muscle soreness). CONCLUSION: There was very low certainty evidence supporting cervical SMT as an intervention to reduce pain and improve disability in people with neck pain. J Orthop Sports Phys Ther 2023;53(9):510-528. Epub: 10 August 2023. doi:10.2519/jospt.2023.11708.
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Reduced Pain by Mind-Body Intervention Correlates with Improvement of Shoulder Function in People with Shoulder Pain: A Randomized Controlled Trial. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2022; 2022:6149052. [PMID: 35368768 PMCID: PMC8970874 DOI: 10.1155/2022/6149052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 01/06/2022] [Accepted: 03/08/2022] [Indexed: 11/18/2022]
Abstract
Meditation and acupressure-like stimulations have been shown to relieve pain. The aim of this study was to determine whether a short bout of mind-body intervention combined with meditation and acupressure-like stimulation was able to alleviate shoulder pain and improve its function in a short time window. Sixty-five adults with shoulder pain were recruited and randomly classified into two groups. One group participated in an intervention which consisted of acupressure-like stimulation and meditation over a 5 min period. The other group was instructed to rest during this time. A visual analog scale (VAS) pain score and objective constant scores were measured before and after intervention to determine shoulder pain and range of motion (ROM), respectively. A two-way repeated measures analysis of variance with Bonferroni correction and a regression analysis were performed. VAS pain, objective constant score, flexion, abduction, and external rotation score showed significant interactions between time and group. The pain intensity was significantly reduced, while flexion and abduction were significantly improved, in the experimental group compared to the control group, after the intervention. In addition, the change of flexion negatively correlated with the change of pain intensity in the experimental group, but not in the control group. These results show that a short-term application of mind-body intervention significantly alleviates shoulder pain and improves shoulder movement, suggesting its potential use as a therapy for people with shoulder pain.
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Wnuk B, Ziaja D, Banyś M. Efficacy Assessment of Upper Limb Home-Based Exercises Using a Prototype Exercise Robot for Continuous Passive Movement Among Individuals with Paresis in the Long-Term Follow-Up: Preliminary Report. REHABILITACJA MEDYCZNA 2022. [DOI: 10.5604/01.3001.0015.7145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Introduction: Home exercises are a promising alternative to outpatient care or in-hospital exercise programmes. The forms of exercises with the use of robotic devices is constantly developing, and their positive effects have been well-documented.
Research objective: The aim of this study was to evaluate the effectiveness of upper limb home-based exercises with the use of the “Best Arm” robot following the onset of diseases causing spastic paresis in long-term observation.
Materials and methods: The study comprised 40 participants at an average age of 58.73 ±16.80. For a period of 8 months, training of the limb with paresis using the “Best Arm” device was carried out to test joint mobility, hand grip strength, and to measure the circumference of the forearm and upper arm.
Results: Statistical analysis shows a significant change in active and passive range of motion, as well as muscle strength after an 8-month intervention period in the group under study.
Conclusions: Home-based exercises using a prototype of the “Best Arm” device for exercising the upper limb with paresis have had a moderate effect on improving range of motion and muscle strength. However, these exercises did not significantly improve muscle tone or the functional capabilities of the upper limb.
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Affiliation(s)
- Bartosz Wnuk
- Department of Rehabilitation, Faculty of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland
| | - Damian Ziaja
- Department of General and Vascular Surgery, Angiology and Phlebology, Medical University of Silesia in Katowice, Poland; Department of Physiotherapy, School of Health Sciences, Medical University of Silesia, Katowice, Poland
| | - Marcin Banyś
- MIDMED Limited Liability Company Katowice, Poland
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The Effect of Active Release Technique® on Clinician and Patient-Reported Outcomes: A Systematic Review. J Sport Rehabil 2022; 31:331-336. [PMID: 34999574 DOI: 10.1123/jsr.2021-0106] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Revised: 08/06/2021] [Accepted: 09/07/2021] [Indexed: 11/18/2022]
Abstract
CONTEXT Active Release Technique® (ART®) is a manual therapy used for soft tissue-related issues, commonly used to lengthen structures in a shortened position and to restore motion of soft tissues. OBJECTIVE The purpose of this systematic review was to collect, appraise, and summarize the available literature, evaluating the effects of ART® on pain, range of motion (ROM), and disability. EVIDENCE ACQUISITION Electronic databases (PubMed, EBSCOhost, MEDLINE, SPORTDiscus, and CINAHL) were searched from 2000 to November 2020. The search was completed using a combination of key words related to ART®, rehabilitation, and outcomes. Search limits were full-text publications written in English. Inclusion criteria required that studies evaluated outcomes using ART® for rehabilitation, were peer reviewed, and included human participants without catastrophic conditions or injuries. The modified Downs and Black checklist for nonrandomized studies was used to assess methodological quality of identified studies by 2 independent reviewers, average scores were calculated. The level of evidence was assessed using the strength of recommendation taxonomy. EVIDENCE SYNTHESIS Nine studies were inculded in this review. The average methodological quality of the studies was 12/15 and ranged from 10 to 14, with the most common methodological quality item missed being the blinding of researchers collecting outcomes. Six studies that assessed pain found significant improvements in participants' pain levels. Six studies that assessed ROM found significant improvement in participants' ROM. Two studies that assessed disability found significant improvement in disability. CONCLUSION Evidence suggests that ART® may be beneficial in improving pain, ROM, and disability. This review found that ART® positively impacted patient outcomes and may be a viable treatment option for clinicians treating musculoskeletal conditions. However, further research is necessary to determine optimal dosage and long-term effects of ART® on these patient outcomes.
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Turkistani AN, Al-Romaih A, Alrayes MM, Al Ojan A, Al-Issawi W. Computer vision syndrome among Saudi population: An evaluation of prevalence and risk factors. J Family Med Prim Care 2021; 10:2313-2318. [PMID: 34322430 PMCID: PMC8284243 DOI: 10.4103/jfmpc.jfmpc_2466_20] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 02/28/2021] [Accepted: 03/16/2021] [Indexed: 11/04/2022] Open
Abstract
Introduction In the recent era of technological evolution, electronic devices have become an essential part of our lives, not merely in professional work settings, but also in daily leisure activities. Although these devices have simplified our lives, they are associated with a wide variety of health complaints. Thus, the so-called computer vision syndrome (CVS) has become a growing public health problem and has gained significant attention as it plays an important role in the quality of life of each individual, which in turn has put an increased burden on the health care system. Eye symptoms are among the most reported, yet extraocular symptoms were frequently described as adding an extra load. Method An electronic survey was distributed randomly through social media platforms among the general population in Saudi Arabia, between the period from July to December 2017, irrespective of their sociodemographic factors, aiming to determine the prevalence of CVS and to verify the most common associated risk factors. Results In total, 690 participants were involved in our study, with a mean age of 33.8 years. Of these, 77.6% suffer from CVS, with eye-burning being the most common ocular symptoms (71%), as well as itching (67.5%), blurred vision (65%), tearing (62.3%), and other eye symptoms being reported. Neck/shoulder pain was found to be the most prevalent extra ocular symptom (85.2%); also back pain and headache are frequently expressed (78% and 70% respectively). A significant positive correlation was observed between CVS symptoms and time spent using the devices (P-value: 0.002). Conclusion As technology advances, electronic devices have become a common tool that is used for different purposes on daily basis. We found in our study that the so-called computer vision syndrome is a growing public health problem. Thus, community education about the impact of such a lifestyle for proper handling of electronic devices must be addressed to avoid such health complaints.
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Affiliation(s)
- Alaa N Turkistani
- Department of Neurosurgery, King Fahad University Hospital, Imam Adulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Arwa Al-Romaih
- Department of Neurosurgery, King Fahad University Hospital, Imam Adulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Majd M Alrayes
- Department of Neurosurgery, King Fahad University Hospital, Imam Adulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Abdulrazaq Al Ojan
- Department of Neurosurgery, King Fahad University Hospital, Imam Adulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Wisam Al-Issawi
- Department of Neurosurgery, King Fahad University Hospital, Imam Adulrahman bin Faisal University, Dammam, Saudi Arabia
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Abd Elrazik Gad Elhak RK, Battesha HHM, Samir SM. Muscle energy technique versus active release technique on motor functions in patients with carpal tunnel syndrome. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2021. [DOI: 10.12968/ijtr.2020.0114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Introduction Carpal tunnel syndrome is the most common median nerve neuropathy, accounting for 90% of all neuropathies, with prevalence in the general UK adult population ranging from 7–16% and bilateral symptoms reported in more than 50% of all cases. The pathophysiological mechanisms involved in the median nerve compression and traction are thought to be complex. This study compared the effectiveness of muscle energy technique and active release technique in patients with carpal tunnel syndrome. Methods This study involved a total of 30 male and female patients with carpal tunnel syndrome, aged between 30 and 50 years. The patients were randomly assigned to two equal groups, group A and group B. Group A received muscle energy technique, and group B received active release technique. Results Independent one-tailed t-tests revealed that the intragroup comparisons showed statistically significant increases in pinch grip strength and motor nerve conduction velocity of the median nerve post-treatment in group A (P=0.001 and 0.0001 respectively), while in group B, there were statistically significant increases in pinch grip strength and motor nerve conduction velocity post-treatment (P=0.037 and 0.043 respectively). The intergroup comparisons showed statistically significant differences in favour of group A. Conclusions Because there was little significant difference between the two groups, this study concluded that both treatment techniques were effective in increasing median motor nerve conduction and hand grip strength. However, muscle energy technique increased motor nerve conduction velocity and pinch grip muscle strength more than active release technique.
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Affiliation(s)
- Reda Kotb Abd Elrazik Gad Elhak
- Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Benha University, Benha, Egypt
| | - Hanan Hosny M Battesha
- Department of Physical Therapy for Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, Modern University for Technology and Information, Cairo, Egypt
| | - Sara Mohamed Samir
- Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
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Pignatelli Vilajeliu A, Mestre Farràs N, Escalada Recto F, Coll Molinos M. [Effectiveness of invasive and non-invasive tecniques for neck myofascial pain syndrome: a systematic review]. Rehabilitacion (Madr) 2020; 54:181-190. [PMID: 32620325 DOI: 10.1016/j.rh.2020.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Revised: 12/23/2019] [Accepted: 01/29/2020] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Myofascial pain is a muscular alteration caused by one or more myofascial trigger points and is considered one of the most frequent musculoskeletal disorders. This study compared the effectiveness of invasive and non-invasive techniques in the treatment of neck myofascial pain syndrome. MATERIALS AND METHODS A literature search were performed in PubMed with a combination of key words related to myofascial pain syndrome and invasive and non-invasive therapies. Articles were included according to whether they were published less than 10 years previously and other inclusion criteria. Pain intensity, pressure pain threshold, range of movement, disability and quality of life were evaluated in the 26 articles finally selected. RESULTS There are multiple publications on pain intensity reduction and range of movement. Reports of invasive techniques are more important than those of non-invasive techniques. However, there are only a few publications on threshold pressure pain, functionality and quality of life irrespective of the type of technique. CONCLUSION Invasive and non-invasive techniques are effective in the treatment of neck myofascial pain syndrome, but it is difficult to conclude the superiority of one type of technique over the other due to multiple methodological differences among the evaluated studies.
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Affiliation(s)
| | - N Mestre Farràs
- Universidad Autónoma de Barcelona (UAB), Bellaterra, Barcelona, España.
| | - F Escalada Recto
- Universidad Autónoma de Barcelona (UAB), Bellaterra, Barcelona, España; Servei de Medicina Física i Rehabilitació, Hospital de l'Esperança, Barcelona, España; Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Barcelona, España
| | - M Coll Molinos
- Universidad Autónoma de Barcelona (UAB), Bellaterra, Barcelona, España; Servei de Medicina Física i Rehabilitació, Hospital de l'Esperança, Barcelona, España; Instituto Hospital del Mar de Investigaciones Médicas (IMIM), Barcelona, España
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Maissan F, Pool J, de Raaij E, Mollema J, Ostelo R, Wittink H. The clinical reasoning process in randomized clinical trials with patients with non-specific neck pain is incomplete: A systematic review. Musculoskelet Sci Pract 2018; 35:8-17. [PMID: 29413949 DOI: 10.1016/j.msksp.2018.01.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/02/2017] [Revised: 01/25/2018] [Accepted: 01/31/2018] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Primarily to evaluate the completeness of the description of the clinical reasoning process in RCTs with patients with non-specific neck pain with an argued or diagnosed cause i.e. an impairment or activity limitation. Secondly, to determine the association between the completeness of the clinical reasoning process and the degree of risk of bias. DATA SOURCES Pubmed, Cinahl and PEDro were systematically searched from inception to July 2016. STUDY SELECTION RCTs (n = 122) with patients with non-specific neck pain receiving physiotherapy treatment published in English were included. DATA EXTRACTION Data extraction included study characteristics and important features of the clinical reasoning process based on the Hypothesis-Oriented Algorithm for Clinicians II (HOAC II)]. DATA SYNTHESIS Thirty-seven studies (30%) had a complete clinical reasoning process of which 8 (6%) had a 'diagnosed cause' and 29 (24%) had an 'argued cause'. The Spearmans rho association between the extent of the clinical reasoning process and the risk of bias was -0.2. CONCLUSIONS In the majority of studies (70%) the described clinical reasoning process was incomplete. A very small proportion (6%) had a 'diagnosed cause'. Therefore, a better methodological quality does not necessarily imply a better described clinical reasoning process.
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Affiliation(s)
- Francois Maissan
- Research Group Lifestyle and Health, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands; Department of Health Sciences, VU University, Amsterdam, The Netherlands; Amsterdam Movement Sciences, The Netherlands.
| | - Jan Pool
- Research Group Lifestyle and Health, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands
| | - Edwin de Raaij
- Research Group Lifestyle and Health, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands; Department of Health Sciences, VU University, Amsterdam, The Netherlands; Amsterdam Movement Sciences, The Netherlands
| | - Jürgen Mollema
- Research Group Lifestyle and Health, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands
| | - Raymond Ostelo
- Department of Health Sciences, VU University, Amsterdam, The Netherlands; Amsterdam Movement Sciences, The Netherlands; Department of Epidemiology and Biostatistics, VU University Medical Centre, Amsterdam, The Netherlands
| | - Harriet Wittink
- Research Group Lifestyle and Health, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands
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Kang JI, Jeong DK, Choi H. The effect of feedback respiratory exercise on muscle activity, craniovertebral angle, and neck disability index of the neck flexors of patients with forward head posture. J Phys Ther Sci 2016; 28:2477-2481. [PMID: 27799674 PMCID: PMC5080156 DOI: 10.1589/jpts.28.2477] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2016] [Accepted: 05/23/2016] [Indexed: 01/16/2023] Open
Abstract
[Purpose] This study aimed to simultaneously investigate the activities of the
sternocleidomastoid muscle and scalenus anterior muscle, which are agonists of neck and
breathing accessory muscles, by implementing breathing exercises. [Subjects and Methods]
Thirteen subjects were selected for the experimental group, which performed feedback
respiratory exercises with McKenzie exercises, and 12 subjects were selected for the
control group, which performed McKenzie exercises alone. The intervention program was
performed for 30 minutes a session, once a day, four times a week, and for 2 weeks before
conducting the experiment. Before intervention, muscle activity was measured using surface
electromyogram, and the neck disability index was evaluated. [Results] There were
meaningful differences in activities of the sternocleidomastoid muscle and the scalenus
anterior muscle, craniovertebral angle, and neck disability index within both the
experimental group and control group after intervention. There also were meaningful
differences in sternocleidomastoid muscle and neck disability index changes between
groups. [Conclusion] Neck flexors as accessory respiratory muscle can affect inefficient
respiratory imbalance of forward head posture patients. Multimodal intervention method
should be studied continually and not be exposed to upper chest breathing patterns by
preventing such phenomenon.
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Affiliation(s)
- Jeong-Il Kang
- Department of Physical Therapy, Sehan University, Republic of Korea
| | - Dae-Keun Jeong
- Department of Physical Therapy, Sehan University, Republic of Korea
| | - Hyun Choi
- Department of Physical Therapy, Mokpo Mirae Hospital, Republic of Korea
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Kim SD. Effects of yoga on chronic neck pain: a systematic review of randomized controlled trials. J Phys Ther Sci 2016; 28:2171-4. [PMID: 27512290 PMCID: PMC4971133 DOI: 10.1589/jpts.28.2171] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2016] [Accepted: 04/07/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to investigate the effectiveness of yoga in the management of chronic neck pain. [Subjects and Methods] Five electronic databases were searched to identify randomized controlled trials (RCTs) of yoga intervention on chronic neck pain. The trials were published in the English language between January 1966 and December 2015. The Cochrane Risk of Bias Tool was used to assess the quality of the trials. [Results] Three trials were identified and included in this review. A critical appraisal was performed on the trials, and the result indicated a high risk of bias. A narrative description was processed because of the small number of RCTs. Neck pain intensity and functional disability were significantly lower in the yoga groups than in the control groups. [Conclusion] Evidence from the 3 randomly controlled trials shows that yoga may be beneficial for chronic neck pain. The low-quality result of the critical appraisal and the small number of trials suggest that high-quality RCTs are required to examine further the effects of yoga intervention on chronic neck pain relief.
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Affiliation(s)
- Sang-Dol Kim
- Department of Nursing, College of Health Science, Kangwon
National University, Republic
of Korea
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Choi JH, Jung MH, Yoo KT. An analysis of the activity and muscle fatigue of the muscles around the neck under the three most frequent postures while using a smartphone. J Phys Ther Sci 2016; 28:1660-4. [PMID: 27313393 PMCID: PMC4905932 DOI: 10.1589/jpts.28.1660] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Accepted: 02/06/2016] [Indexed: 01/16/2023] Open
Abstract
[Purpose] The purpose of this study was to identify changes in the activity and fatigue
of the splenius capitis and upper trapezius muscles, which are agonists to the muscles
supporting the head, under the three postures most frequently adopted while using a
smartphone. [Subjects and Methods] The subjects were 15 college students in their 20s.
They formed a single group and had to adopt three different postures (maximum bending,
middle bending, and neutral). While the 15 subjects maintained the postures, muscle
activity and fatigue were measured using surface electromyography. [Results] Comparison of
the muscle fatigue caused by each posture showed statistically significant differences for
the right splenius capitis, left splenius capitis, and left upper trapezius muscles. In
addition, maintaining the maximum bending posture while using a smartphone resulted in
higher levels of fatigue in the right splenius capitis, left splenius capitis, and left
upper trapezius muscles compared with those for the middle bending posture. [Conclusion]
Therefore, this study suggests that individuals should bend their neck slightly when using
a smartphone, rather than bending it too much, or keep their neck straight to reduce
fatigue of the cervical erector muscles.
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Affiliation(s)
- Jung-Hyun Choi
- Department of Physical Therapy, Institute for Elderly Health and Welfare, Namseoul University, Republic of Korea
| | - Min-Ho Jung
- Department of Physical Therapy, Institute for Elderly Health and Welfare, Namseoul University, Republic of Korea
| | - Kyung-Tae Yoo
- Department of Physical Therapy, Institute for Elderly Health and Welfare, Namseoul University, Republic of Korea
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15
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Choi SY, Choi JH. The effects of cervical traction, cranial rhythmic impulse, and Mckenzie exercise on headache and cervical muscle stiffness in episodic tension-type headache patients. J Phys Ther Sci 2016; 28:837-43. [PMID: 27134368 PMCID: PMC4842449 DOI: 10.1589/jpts.28.837] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Accepted: 12/02/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to examine the effects of cervical traction
treatment, cranial rhythmic impulse treatment, a manual therapy, and McKenzie exercise, a
dynamic strengthening exercise, on patients who have the neck muscle stiffness of the
infrequent episodic tension-type (IETTH) headache and frequent episodic tension-type
headache(FETTH), as well as to provide the basic materials for clinical interventions.
[Subjects] Twenty-seven subjects (males: 15, females: 12) who were diagnosed with IETTH
and FETTH after treatment by a neurologist were divided into three groups: (a cervical
traction group (CTG, n=9), a cranial rhythmic contractiongroup (CRIG, n=9), and a McKenzie
exercise group (MEG, n=9). An intervention was conducted for each group and the
differences in their degrees of neck pain and changes in muscle tone were observed.
[Results] In the within-group comparison of each group, headache significantly decreased
in CTG. According to the results of the analysis of the muscle tone of the upper
trapezius, there was a statistically significant difference in MEG on the right side and
in CRIG on the left side. According to the results of the analysis of the muscle tone of
the sternocleidomastoid muscle, there was a statistically significant difference in MEG on
the right side and in CRIG on the left side. [Conclusion] In the comparison of the
splenius capitis muscle between the groups, there was a statistically significant
difference on the right side. Hence, compared to the other methods, cervical traction is
concluded to be more effective at reducing headaches in IETTH and FETTH patients.
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Affiliation(s)
- Sung-Yong Choi
- Department of Physical Therapy, Namseoul University: 21 Maeju-ri, Sungwan-eup, Seobuk-Gu, Chonan-Si 331-707, Republic of Korea
| | - Jung-Hyun Choi
- Department of Physical Therapy, Namseoul University: 21 Maeju-ri, Sungwan-eup, Seobuk-Gu, Chonan-Si 331-707, Republic of Korea
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16
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Lee KW, Kim WH. Effect of thoracic manipulation and deep craniocervical flexor training on pain, mobility, strength, and disability of the neck of patients with chronic nonspecific neck pain: a randomized clinical trial. J Phys Ther Sci 2016; 28:175-80. [PMID: 26957752 PMCID: PMC4755998 DOI: 10.1589/jpts.28.175] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2015] [Accepted: 10/14/2015] [Indexed: 11/28/2022] Open
Abstract
[Purpose] To investigate the effects of thoracic manipulation and deep craniocervical
flexor training on the muscle strength and endurance, range of motion, and the disability
index of the neck of patients with chronic nonspecific neck pain. [Subjects and Methods]
Forty-six patients with chronic neck pain participated. They received an intervention for
35 minutes a day, three times a week for 10 weeks. Subjects were randomly assigned to one
control and two experimental groups: group A (thoracic manipulation combined with deep
craniocervical flexor training, n=16), group B (deep craniocervical flexor training,
n=15), and group C (active self-exercise as a control group, n=15). Muscle strength and
endurance, pain, neck disability index, and range of motion of the cervical and thoracic
spine were measured before and after the intervention. [Results] Group A showed
significant increases in muscle strength, endurance, and cervical and thoracic range of
motion, and significant decreases in the pain and neck disability index, compared with
groups B and C. [Conclusion] Although deep craniocervical flexor training is effective at
improving neck function, thoracic manipulation combined with deep craniocervical flexor
training was a more effective intervention for pain relief and improving the range of
motion, muscle function, and neck disability of patients with nonspecific chronic neck
pain.
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Affiliation(s)
- Kwan-Woo Lee
- Department of Physical Therapy, College of Health and Therapy, Daegu Haany University, Republic of Korea
| | - Won-Ho Kim
- Department of Physical Therapy, Ulsan College: 101 Bongsuro, Don-gu, Ulsan 682-715, Republic of Korea
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