Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study

Abstract

Objectives This study aims to investigate the effectiveness of scapular stabilization exercises in patients with chronic neck pain and scapular dyskinesis. Patients and methods This single-center, prospective study included a total of 36 patients (17 males, 19 females; mean age: 41±12.8 years; range, 25 to 57 years) with chronic neck pain and scapular dyskinesis between April 2018 and September 2018. The patients were randomly assigned to three treatment groups. Group 1 (n=13) consisted of those receiving scapular stabilization exercises by a physiotherapy specialist control in addition to the routine physiotherapy and rehabilitation program; Group 2 (n=12) consisted of those receiving the routine physiotherapy and rehabilitation program in addition to scapular stabilization exercises in-home training program; and Group 3 (n=11) consisted of those receiving the routine physiotherapy and rehabilitation program alone. The assessments were made using the Visual Analog Scale (VAS) and Northwick Park Neck Pain Questionnaire (NPQ). Results Significant differences were found in the pre- and post-treatment VAS scores, and Group 1 and Group 2 created this significant difference (p<0.05). A significant difference was also observed in the pre- and post-treatment NPQ scores among the groups (p<0.05). Group 1 showed the most significant improvement of the NPQ scores (p<0.05). Conclusion Our study results suggest that addition of scapular stabilization exercises to the routine physiotherapy components may be an effective method for improving pain and functional results.

Effect of Scapular Stabilization Exercise Program on Neck Disability and Forward Head Posture among Computer Operators

“…Although a significant improvement was observed in Neck Disability Index scores after six weeks of training in both groups, there was no significant difference in scapula kinematics between the intervention and control groups. 41 Jordan et al suggested that the gain in strength in these subjects was likely a result of increased confidence. Ylinen et al28 explained that the strength increase in the control group was probably due to biologic variation and learning effect due to repeated testing.…”

Efficacy of Scapular Treatment on Chronic Neck Pain - A Systemic Review and Meta- Analysis of Randomized Trials

“…duplicate options, nonpaper articles such as reviews and conference articles and irrelevant studies were removed rst. Finally, 8 studies [21][22][23][24][25][26][27][28] were selected for further evaluation and data analysis after excluding articles that did not meet the criteria of our purpose.…”

“…All 8 RCTs [21][22][23][24][25][26][27][28] published in English between 2016 and 2023 were included in the meta-analysis, which was conducted in Asia (Kingdom of Saudi Arabia [21] , Korea [22] and Iran [23,25−27] ) and Europe (Turkey [24,28] ). A total of 313 participants were enrolled, and the sample sizes of these studies ranged from 15 to 87 studies [21][22][23][24][25][26][27][28] recruited patients with CNP that persisted for 3-6 months in the neck region. Some of the neck pain patients in these included studies also had problems with abnormal shoulder and neck posture [22,25,27] or scapular movement [21,24,26,28] .…”

“…A total of 313 participants were enrolled, and the sample sizes of these studies ranged from 15 to 87 studies [21][22][23][24][25][26][27][28] recruited patients with CNP that persisted for 3-6 months in the neck region. Some of the neck pain patients in these included studies also had problems with abnormal shoulder and neck posture [22,25,27] or scapular movement [21,24,26,28] . The included patients were younger than 50 years old, considering the need to minimize the impact of degenerative changes on neck function.…”

Effects of Cervical Stabilization and Scapular Stabilization Exercise on the Proprioception and Craniovertebral Angle and Upper Trapezius Muscle Tone of People with Forward Head Posture

“…Scapular stabilization exercise (SSE) is a method designed to secure the scapula in the neutral position of the thoracic cage through the interaction of the muscle that makes up the shoulder [17]. SSE is an exercise to position the scapula between the 2 nd and 7 th ribs, which is the neutral point of the chest, through the interaction of the muscles around the shoulder joint that connects the upper limbs and trunk [18][19][20]. It has recently been viewed 1 shows the characteristics of the subjects.…”