Effects of Telerehabilitation-Based Core and Scapular Stabilization Training in Young Adults With Chronic Neck Pain: A Randomized Controlled Trial.

IF 1.4 4区 心理学 Q4 PSYCHOLOGY, EXPERIMENTAL
Hatice Ayan, Bilge Kara, R Serhat Erbayraktar
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Abstract

Although chronic neck pain (CNP) is associated with impairments in balance, the effects of muscle stabilization training are unknown. In this study, we compared the effects of core stabilization (CS) and scapular stabilization (SS) training via telerehabilitation on balance, functionality, pain, and depression in young adults with CNP. In this two-armed, randomized controlled study, we assigned 41 participants with CNP to either a CS (n = 21) or SS (n = 20) group. Both groups underwent stabilization training via telerehabilitation for eight weeks. We evaluated postural stability (PS), limits of stability (LOS), functionality (Neck Disability Index), pain (Visual Analog Scale), and depression (Beck Depression Inventory). Time × Group interactions were significant on VAS, NDI, PS overall, LOS overall, LOS forward, LOS backward, and LOS right (p < .05). Both groups showed significant improvements over time. However, the SS group demonstrated significantly greater improvements than the CS group in VAS (p < .001) and NDI (p = .001). On the other hand, the CS group showed significantly greater improvements in PS overall, as well as in various measures of LOS, including overall, forward, backward, and right (p < .05). While both groups showed significant improvements, there were notable differences between them. These findings suggest that SS training is more effective in pain management and functional improvement, while CS training has a stronger impact on balance and stability in young adults with CNP.

基于远程康复的核心和肩胛骨稳定训练对慢性颈部疼痛的年轻人的影响:一项随机对照试验。
虽然慢性颈部疼痛(CNP)与平衡障碍有关,但肌肉稳定训练的效果尚不清楚。在这项研究中,我们比较了通过远程康复进行核心稳定(CS)和肩胛骨稳定(SS)训练对年轻CNP患者平衡、功能、疼痛和抑郁的影响。在这项双臂随机对照研究中,我们将41名CNP患者分为CS组(n = 21)和SS组(n = 20)。两组均进行了为期8周的远程康复稳定训练。我们评估了姿势稳定性(PS)、稳定性极限(LOS)、功能(颈部残疾指数)、疼痛(视觉模拟量表)和抑郁(贝克抑郁量表)。时间×组在VAS、NDI、PS总体、LOS总体、LOS向前、LOS向后和LOS右方面的相互作用显著(p < 0.05)。随着时间的推移,两组都有了显著的改善。然而,SS组在VAS (p < 0.001)和NDI (p = 0.001)方面的改善明显大于CS组。另一方面,CS组在PS总体上以及LOS的各种测量中(包括总体,向前,向后和右)均显示出更大的改善(p < 0.05)。虽然两组都有显著的改善,但他们之间也有显著的差异。这些发现表明,SS训练在疼痛管理和功能改善方面更有效,而CS训练对年轻CNP患者的平衡和稳定性有更强的影响。
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
Perceptual and Motor Skills
Perceptual and Motor Skills PSYCHOLOGY, EXPERIMENTAL-
CiteScore
2.90
自引率
6.20%
发文量
110
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