在印度进行的一项随机对照试验中,姿势矫正贴贴对前倾头姿和机械性颈痛患者疼痛、颈椎活动度和肩胸肌活动的直接影响。

IF 2.7 Q2 ORTHOPEDICS
Ganesh Balthillaya M, Shyamasunder N Bhat, Shalini H, Bhamini Krishna Rao
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引用次数: 0

摘要

研究设计:随机对照研究。目的:探讨体位矫正贴贴对前头姿势(FHP)和机械性颈痛(MNP)患者颈部疼痛、颈部活动度(ROM)和肩胸肌活动的直接影响。文献概述:MNP是FHP患者的常见抱怨。不良姿势是导致MNP的主要因素。胶布是一种用MNP矫正FHP的治疗技术,但其在减轻颈部疼痛、改善ROM和改变肌肉活动方面的有效性有待进一步研究。方法:将42例FHP和MNP患者随机分为贴片组和对照组。两组患者均接受常规治疗,包括活动颈胸椎低活动关节和胸腔关节,伸展上背部和颈部缩短的肌肉,以及颈部和肩胛骨肌肉的稳定训练。贴片组接受额外的姿势矫正贴片。在基线和第一次治疗后48小时评估疼痛强度和颈部ROM。记录贴敷前后肩胸肌肌电图(EMG)活动。结果:两组患者在干预48小时后疼痛强度均有所降低,其中贴膜组疼痛强度明显降低。与基线相比,胶带组在扩展ROM方面也有显着改善。干预后48小时,其他颈部ROM无显著变化,组间ROM无显著差异。肌电图显示,上斜方肌活动减少,中斜方肌和前锯肌活动增加。结论:姿势矫正胶带可能有助于减轻MNP和FHP患者的疼痛强度,改善ROM,并改变肩胸肌活动。这些结果可能对这一人群的姿势矫正干预措施的发展感兴趣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Immediate effects of posture correction taping on pain, cervical range of motion, and scapulothoracic muscle activity in individuals with forward head posture and mechanical neck pain: a randomized controlled trial in India.

Study design: Randomized controlled study.

Purpose: To investigate the immediate effect of posture correction taping on neck pain, neck range of motion (ROM), and scapulothoracic muscle activity in individuals with forward head posture (FHP) and mechanical neck pain (MNP).

Overview of literature: MNP is a common complaint among individuals with FHP. Poor posture is a major contributing factor to MNP. Taping is a treatment technique used to correct FHP with MNP, but its effectiveness in reducing neck pain, improving ROM, and altering muscle activity requires further investigation.

Methods: Forty-two patients with FHP and MNP were randomly assigned to either a taping group or a control group. Both groups received common treatments including mobilization of the hypomobile joints of cervicothoracic spine and ribcage joints, stretching of shortened muscles of the upper back and neck, and stabilization exercises for neck and scapular muscles. The taping group received additional posture correction taping. Pain intensity and neck ROM were assessed at baseline and 48 hours after the first treatment session. Electromyogram (EMG) activity of the scapulothoracic muscles was recorded before and immediately after taping.

Results: Both groups reported reduced pain intensity after 48 hours of intervention, with significantly lower pain intensity in the taping group. The taping group also demonstrated significant improvement in extension ROM compared with the baseline. There was no significant change in other neck ROM and no between-group difference in ROM 48 hours after intervention. EMG activity revealed reduced upper trapezius activity and increased middle trapezius and serratus anterior activity immediately after taping.

Conclusions: Posture correction taping may help reduce pain intensity, improve ROM, and alter scapulothoracic muscle activity in individuals with MNP and FHP. These results may be of interest for the development of posture correction interventions for this population.

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来源期刊
Asian Spine Journal
Asian Spine Journal ORTHOPEDICS-
CiteScore
5.10
自引率
4.30%
发文量
108
审稿时长
24 weeks
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