Effects of scapular stabilization program on pain, range of motion, and disability in patients with chronic non-specific neck pain

Moeen A. Khan, Z. A. Syed, Hamza Zahid, Saman Shams, Shakil-u- Rehman, Rubab Nadeem, Urooj Manzoor, Rida Ejaz
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Abstract

The objective of this study was to analyze the impacts of the scapular stabilization program (SSP) on pain, range of motion (ROM), and disability in chronic non-specific neck pain (NNP). It was a randomized clinical trial. The study was conducted at University Medical Centre, Lahore. According to eligibility criteria, 28 participants were randomly allocated to the experimental and control groups through the lottery method. While the control group received only relaxation exercises, the experimental group received SSP exercises along with the relaxation exercises on the cervicoscapular region. Three sessions of 45 min each, three times/week, on alternating days for three weeks were given. The outcome measures for pain, ROM, and disability were the numeric pain rating scale (NPRS), goniometer, and neck disability index (NDI), respectively. These were assessed before the intervention and at the end of the third week. The mean age of Groups A and B was 24.76 ± 4.53 and 27.76 ± 4.62, respectively. Within-group analysis of NPRS, NDI, and cervical flexion and extension ROM showed significant improvement in both groups. Between-group analysis showed post-treatment NPRS (P = 0.000), NDI (P = 0.000), cervical flexion (P = 0.004), and extension (P = 0.000). A significant improvement (P < 0.05) in pain, disability, and flexion and extension was observed in the experimental group. Both groups showed improved outcomes, but a significant difference was found in the control and experiment groups. The trial concluded that in treating NNP, the SSP effectively alleviates pain and improves disability and mobility.
肩胛骨稳定计划对慢性非特异性颈痛患者的疼痛、活动范围和残疾的影响
本研究旨在分析肩胛骨稳定计划(SSP)对慢性非特异性颈痛(NNP)患者的疼痛、活动范围(ROM)和残疾的影响。该研究在拉合尔大学医疗中心进行。根据资格标准,28 名参与者通过抽签法被随机分配到实验组和对照组。对照组只接受放松训练,而实验组则在接受颈肩胛区放松训练的同时接受 SSP 训练。实验组共进行了三次训练,每次 45 分钟,每周三次,三天交替进行,持续三周。疼痛评分量表(NPRS)、动态关节角度计(Goniometer)和颈部残疾指数(NDI)分别用来衡量疼痛、活动度和残疾程度。A组和B组的平均年龄分别为(24.76±4.53)岁和(27.76±4.62)岁。对 NPRS、NDI 和颈椎屈伸 ROM 的组内分析表明,两组的情况均有显著改善。组间分析显示,治疗后的 NPRS(P = 0.000)、NDI(P = 0.000)、颈椎屈伸(P = 0.004)和伸展(P = 0.000)均有改善。实验组在疼痛、残疾、屈伸方面均有明显改善(P < 0.05)。两组的治疗效果均有改善,但对照组和实验组之间存在明显差异。试验得出结论,在治疗非跛行时,SSP 能有效缓解疼痛,改善残疾和活动能力。
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