Effects of neural mobilization on respiratory parameters, pain, range of motion, and neck awareness in patients with chronic neck pain: A randomized controlled trial.

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Elif Tunç, Emine Atıcı
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引用次数: 0

Abstract

Background: Chronic neck pain (CNP) does not have a direct effect on breathing, but movements are restricted due to pain, and kyphotic posture may make movement of the diaphragm difficult.

Objective: This study aimed to determine the effects of neural mobilization (NM) on respiratory functionss in patients with chronic neck pain.

Methods: Overall, 26 patients with CNP were randomly assigned to two groups: NM (10 sessions) or control. In these participants, pain intensity was first assessed using a Visual Analog Scale (VAS). Next, the active range of motion (ROM) of the cervical joint was measured. Following this, respiratory function was evaluated using spirometry, which included parameters such as Forced Expiratory Volume in 1 s (FEV1), Forced Vital Capacity (FVC), and the FEV1/FVC ratio. Finally, neck awareness was assessed using the Fremantle Neck Awareness Questionnaire (FreNAQ).

Results: There was a significant difference in terms of pain intensity (p < 0.05) and range of motion of the neck joint in both groups after treatment (p < 0.05). In addition, there was a significant difference between the two groups in terms of respiratory function tests (p = 0.001) and neck awareness (p = 0.001).

Conclusion: The results of our study suggest that the use of NM treatment in addition to conventional physiotherapy in patients with chronic neck pain has beneficial effects on respiratory functions, joint range of motion, pain, and neck awareness.

神经活动对慢性颈部疼痛患者呼吸参数、疼痛、活动范围和颈部意识的影响:一项随机对照试验。
背景:慢性颈部疼痛(CNP)对呼吸没有直接影响,但由于疼痛而限制运动,并且后凸姿势可能使膈肌运动困难。目的:探讨神经活动(NM)对慢性颈痛患者呼吸功能的影响。方法:总的来说,26例CNP患者被随机分为两组:NM组(10个疗程)和对照组。在这些参与者中,首先使用视觉模拟量表(VAS)评估疼痛强度。接下来,测量颈椎关节的活动范围(ROM)。随后,使用肺活量测定法评估呼吸功能,包括1秒内用力呼气量(FEV1)、用力肺活量(FVC)和FEV1/FVC比值等参数。最后,使用Fremantle颈部意识问卷(FreNAQ)评估颈部意识。结论:我们的研究结果表明,慢性颈部疼痛患者在常规物理治疗的基础上使用NM治疗对呼吸功能、关节活动度、疼痛和颈部意识都有有益的影响。
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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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
194
审稿时长
6 months
期刊介绍: The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.
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