Post Isometric Relaxation Versus Passive Neck Retraction Mobilization: A Comparative Pilot Study in Patients with Non-Specific Neck Pain

Akshata Mehta, Dr. Richa Kashyap, Dr. Puja Sharma, Dr. Madhusudan Tiwari, Mpt Student
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Abstract

Generalised neck discomfort is a prevalent musculoskeletal condition. This disorder can be brought on by irregularities in the posture of the neck or in the innervated neck tissues like the common roots, muscles, ligaments, zygapophyseal joints, and intervertebral discs. This study investigates the impact of passive neck retraction mobilization and post-isometric relaxation on the range of motion, discomfort, and functional impairment in individuals experiencing nonspecific neck pain. A single-blinded clinical trial was conducted involving 12 patients, divided into two groups: Group A and Group B. Group A received post-isometric relaxation, while Group B received passive neck retraction mobilization. The intervention was applied 5 times in the first week and alternate days in the 2nd week and 3rd weeks. NPRS, NDI and ROM were measured prior to the experiment and on 8th, 15th and 22nd day after the experiment. Although both groups' total improvement in NPRS, functional impairment, and cervical ROM improved statistically significantly. In this study, post isometric relaxation has been shown to be clinically more meaningful than passive neck retraction mobilisation. Furthermore, this study suggests that post-isometric relaxation may be a useful intervention in clinical practice and supports its use by clinical physiotherapists in the treatment of nonspecific neck discomfort.
等长放松后与被动颈部回缩运动:非特异性颈痛患者的试点对比研究
全身性颈部不适是一种常见的肌肉骨骼疾病。这种疾病可能是由于颈部姿势不正确或颈部神经支配组织(如总根、肌肉、韧带、颧骨关节和椎间盘)不正常引起的。本研究调查了颈部被动牵拉活动和等长后放松对非特异性颈部疼痛患者的活动范围、不适感和功能障碍的影响。该研究进行了一项单盲临床试验,将 12 名患者分为两组,A 组和 B 组:A 组接受负重后放松,B 组接受颈部被动回缩活动。第一周进行 5 次干预,第二周和第三周隔天进行干预。实验前、实验后第 8 天、第 15 天和第 22 天分别测量了 NPRS、NDI 和 ROM。尽管两组在 NPRS、功能障碍和颈椎 ROM 方面均有明显改善,但在统计学上仍有显著差异。在这项研究中,实验后等长放松比被动颈部牵拉活动更有临床意义。此外,本研究还表明,等长后放松法在临床实践中可能是一种有用的干预方法,并支持临床物理治疗师在治疗非特异性颈部不适时使用这种方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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