Effects of an integrated neuromuscular inhibition technique program on neck muscle strength and endurance in individuals with chronic mechanical neck pain

Lytras, Dimitrios; Sykaras, Evaggelos; Christoulas, Kosmas; Myrogiannis, Ioannis; Kellis, Eleftherios

doi:10.1016/j.jbmt.2019.01.004

Cited by 7 publications

(4 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therapeutic exercises include neck muscles strengthening especially deep and superficial neck flexor muscles and stretching exercise around the neck and scapular area such as upper trapezius, scalene, levator scapulae, pectoralis major and pectoralis minor. These exercises are always suggested for the chronic neck pain treatment cases 29,30) . Moreover, respiratory dysfunction is developed in chronic neck pain people 12) .…”

Section: Discussionmentioning

confidence: 99%

The study of respiratory muscles activation during respiratory muscle strength effort in adult females with chronic neck pain

2021

View full text Add to dashboard Cite

This study aimed to compare maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP) values and muscle activity during MIP and MEP between chronic neck pain and healthy participants.[Participants and Methods] Twenty chronic neck pain and 20 non-symptomatic females participated in this study. Maximal airway pressure (MIP and MEP) and surface electromyography (sEMG) for both sides of the upper trapezius, anterior scalene, pectoralis major and 6th intercostal muscles were recorded simultaneously. [Results] Significant differences of MIP and MEP values were found between the groups. The muscle activities of both sides of upper trapezius and 6th intercostal muscles during MEP were significantly higher in the chronic neck pain group than the healthy group except both sides of anterior scalene and pectoralis major muscles. During MIP, the activities of upper trapezius, 6th intercostal muscles and anterior scalene were significantly different between the two studied groups. Higher activity of left pectoralis major was found in the chronic neck pain group. [Conclusion] Decreasing values of MEP and MIP as well as muscles activities elevation in chronic neck pain participants were clearly demonstrated. Besides the musculoskeletal treatment, we suggest breathing exercise training to be considered in treatment programs.

show abstract

Section: Discussionmentioning

confidence: 99%

The study of respiratory muscles activation during respiratory muscle strength effort in adult females with chronic neck pain

2021

View full text Add to dashboard Cite

show abstract

“…For the assessment of scapular stability, the investigators proceeded with determining how far the scapular inferior angle to the corresponding spinous process for both right and left scapula the lateral scapular slide test (LSST) is performed in three postures. The arms were in resting position with both arms at side, arms on his hip with shoulder abducted 45 degree and internally rotated, and shoulder abducted 90 and full internally rotated (figure 3) [22]. Before starting the exercises, the patient was given instructions on how to perform the three exercises, and visual aids with detailed exercise instructions were also supplied, along with a compliance log.…”

Section: (3) 108mentioning

confidence: 99%

“…Scapular dysfunction is one of the causes that might cause neck pain [8]. The shoulder complex and cervical spine are significantly impacted by a number of multi-jointed muscles, including the levator scapula, trapezius, pectorals major and minor, and rhomboids.…”

Section: Introductionmentioning

confidence: 99%

The effect of scapular muscles training using a suspension system in patients with non-specific chronic neck pain and scapular dyskinesia: a randomized clinical trial

Soliman,

Gamal,

Abdelmegeed

et al. 2023

HSR

View full text Add to dashboard Cite

Purpose: Non-specific chronic neck pain (NSCNP) is a major health problem. Scapular dyskinesia is one of the contributing factors to NSCNP. The suspension-type of exercise is a relatively new method used in rehabilitation of scapular dysfunction. The purpose of this pretest post- test randomized clinical trial was to study the effects of scapular muscles training using a prefabricated suspension system on improving pain, function, scapular muscle strength, and scapular position in subjects with non-specific chronic neck pain and scapular dyskinesia. Materials and methods: This was a quasi-experimental two groups pre-posttest clinical trial performed at an outpatient clinic. Fifty-two patients diagnosed with NSCNP, and scapular dyskinesia participated in this study. Their mean age was 24.46 5.32 years. They were randomized to receive either stretching exercises and manual scapular resistance (group A) or stretching exercises and scapular training using a prefabricated suspension system (group B). Researchers measured pain intensity using the numeric pain rating scale (NPRS), function using the neck disability index (NDI), scapular muscle strength using a handheld dynamometer, and scapular stability using the lateral scapular slide test (LSST). Twelve sessions were given to the individuals over a period of six weeks, and pre- and post-intervention outcome measures were evaluated. Results: Mann-Whitney test demonstrated no statistically significant difference between the two groups after the intervention in terms of pain relief, functional improvement, or scapular stability (p>0.05). On the other hand, there was a statistically significant difference between groups in favor of group B who received suspension- type exercise regarding improvement in scapular muscle strength (p<0.05). Conclusion: While superiority of one intervention cannot be concluded due to lack of a control group, using suspension type of exercise can be beneficial in improving the scapular muscle strength as compared to traditional exercise therapy, while both methods have similar effect on pain, function, and scapular stability in patients with NSCNP and scapular dyskinesia.

show abstract

“…The cervical syndrome is a set of symptoms, the cause of which is located mainly in the occipital, cervical and shoulder area. However, it can also be found in other areas of the body, such as the head, chest and spine [2,3] . Factors associated with the development or persistence of cervical syndrome are psychopathology, low job satisfaction, occupation or poor working environment, female gender, concomitant back pain or other rheumatic conditions, poor coping skills, trauma or previous neck injury, poor health, sedentary lifestyle, smoking and headache [4] .…”

Section: Introductionmentioning

confidence: 99%

The efficacy of transcutaneous electrical neuro stimulation (TENS) in reducing pain in patients with cervical syndrome

Theologou¹,

Lytras²,

Iakovidis³

et al. 2021

Nat. J. Clin. Orthop.

Self Cite

View full text Add to dashboard Cite

Background:The cervical syndrome is a set of different symptoms that are located in and around the neck area. Physiotherapy and specifically electrotherapy through can help relieve pain in patients with cervical syndrome. Aim: The aim of this review is to highlight, through recent articles, the efficacy of TENS in reducing pain in patients with cervical syndrome. Method: The Google Scholar and PubMed databases were searched in English and Greek with the following keywords: cervical syndrome, Transcutaneous Electrical Nerve Stimulation, TENS, physiotherapeutic rehabilitation. Clinical studies and systematic reviews were included in the review. Results: In total 10 sources were included in this review, of which seven were clinical trials and three were reviews. Discussion-Conclusions: Applying TENS, either low-frequency or high-frequency, for 30 minutes with three sessions per week and duration of treatment varying from three to six weeks can effectively help reduce pain in patients with acute or chronic cervical syndrome.

show abstract

Effects of an integrated neuromuscular inhibition technique program on neck muscle strength and endurance in individuals with chronic mechanical neck pain

Cited by 7 publications

References 39 publications

The study of respiratory muscles activation during respiratory muscle strength effort in adult females with chronic neck pain

The study of respiratory muscles activation during respiratory muscle strength effort in adult females with chronic neck pain

The effect of scapular muscles training using a suspension system in patients with non-specific chronic neck pain and scapular dyskinesia: a randomized clinical trial

The efficacy of transcutaneous electrical neuro stimulation (TENS) in reducing pain in patients with cervical syndrome

Contact Info

Product

Resources

About