The Relevance of Scapular Dysfunction in Neck Pain: A Brief Commentary

Cagnie, Barbara; Struyf, Filip; Cools, Ann; Castelein, Birgit; Danneels, Lieven; O’Leary, Shaun

doi:10.2519/jospt.2014.5038

Cited by 47 publications

(37 citation statements)

References 52 publications

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“…This alteration is related to abnormal muscle function of the scapula stabilizer during arm movement, resulting in lower activity of the lower trapezius and a delayed onset and duration of serratus anterior activity [11,28,30,31]. To ensure normal muscle function during scapular motion, the main intervention goal is to inhibit over-activation of the upper trapezius and to enhance the weakened lower trapezius and serratus anterior muscles [9,27]. In the reviewed articles, the exercises focused on enhancing the periscapular muscles, such as the serratus anterior and the middle and lower trapezius muscles.…”

Section: Clinical Outcomementioning

confidence: 99%

“…Among them, the working conditions of office workers cause postural malalignment in the neck and shoulder regions [6]. Patients with nonspecific NP display altered dynamic scapular stability during scapular orientation [7][8][9]. There is increasing interest in scapular stabilization for patients with NP because of the close relationship between the neck and scapula [10].…”

Section: Introductionmentioning

confidence: 99%

“…A previous study reported that patients who suffer from NP have malfunctions, such as decreased clavicular retraction and upward rotation [8]. The axioscapular muscles, including the trapezius, serratus anterior, rhomboid major and minor, and levator scapulae, are attached to the scapular bone and can attribute to movement of the neck and shoulder complex [9]. Several studies demonstrated that tightness and weakness of the axioscapular muscles could induce scapular dyskinesis, which refers to abnormal scapular position or movement [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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Is Scapular Stabilization Exercise Effective for Managing Nonspecific Chronic Neck Pain?: A Systematic Review

et al. 2020

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Scapular stabilization is thought to have an important role in improving pain and dysfunction around the neck and shoulders, but evidence of this is lacking. We aim to systematically review the effect of a scapular stabilization exercise (SSE) on pain and dysfunction in patients with nonspecific chronic neck pain (NP). We searched the PubMed, EMBASE, CINAHL, and Cochrane Library databases using the terms (NP [MeSH] OR NP OR cervical pain OR neck ache OR cervicalgia) AND (scapular exercise OR periscapular exercise OR SSEs). We included suitable studies that met the study's inclusion criteria. Among the 227 studies identified by our search strategy, a total of four (three randomized controlled studies and one prospective study) met the inclusion criteria. The SSE was intense. It included three sets of 10 repetitions. In most of the studies, the exercises were conducted 3 times per week. Most studies reported that the SSE improved pain and dysfunction in patients with nonspecific chronic NP; however, the reviewed articles did not use the same variables for measurement. Additionally, the sample size was small. Although several studies show that SSE might improve NP and dysfunction, the effects of SSE on pain and dysfunction in the neck region remain unclear because the number of studies was small. Further high-quality studies are necessary to identify the detailed effects of SSE in patients with NP.

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Section: Clinical Outcomementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Is Scapular Stabilization Exercise Effective for Managing Nonspecific Chronic Neck Pain?: A Systematic Review

et al. 2020

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“…The evaluation of patients with neck pain should include assessments of impairments of body function such as mobility de cits in the cervical and thoracic spine, neural involvement, and movement coordination impairments [3]. Scapular dysfunction has been associated with neck pain [4]. Scapular dysfunction refers to an altered resting position and/or movement of the scapula, which has been termed 'scapular dyskinesis' [5].…”

Section: Introductionmentioning

confidence: 99%

“…Scapular dysfunction refers to an altered resting position and/or movement of the scapula, which has been termed 'scapular dyskinesis' [5]. The relevance of scapular dyskinesis in pain is mostly dependent on clinical observation rather than on scienti c evidence [4]. Although several studies have investigated scapular dyskinesis in patients with shoulder conditions [5][6][7][8][9], few studies have explored the relationship between scapular dyskinesis and neck pain [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Scapulothoracic Mobilization in Patients with Neck Pain and Scapular Dyskinesis: A Single-Blind, Randomized, Clinical Trial

Alshami¹,

AlSadiq²

2020

Preprint

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Background: No studies are available on the effects of scapulothoracic mobilization with neck movement (MWM) on patients with neck pain and scapular dyskinesis. Objective: To investigate the effects of scapulothoracic MWM on neck pain, range of motion (ROM), and function in patients with neck pain who demonstrated scapular dyskinesis.Methods: This was a single-blind, randomized, clinical trial. Forty participants with neck pain and scapular dyskinesis were randomly assigned to one of two 2-week regimens: experimental (scapulothoracic MWM + corrective exercises + tape) or comparison (corrective exercises + tape). The visual analog scale (VAS), pressure pain threshold (PPT), cervical and scapular ROM, and Neck Disability Index (NDI) were measured at baseline, after the third session, and after the sixth session.Results: Pain decreased after the sixth session in both the experimental [mean difference: 3.1; 95% confidence interval (CI): 2.1-4.1] and comparison groups (1.8; 95%CI: 0.81-2.8). PPT and scapular ROM did not change in either group at any session. After the sixth session, the ROM of neck extension, right rotation, and right and left side bending improved significantly (p£ 0.031) in both groups, but did not reach the minimal detectable change. The NDI improved in both the experimental (7.2-10.6; 95%CI: 2.5-15.7) and comparison groups (5.9-10.3; 95%CI: 1.2-15.4). There were no significant differences between the groups in any outcome measure at any session. Conclusions: Adding scapulothoracic MWM to corrective exercises and tape over a 2-week period did not seem to add benefit for pain and function in patients with neck pain with scapular dyskinesis.Trial registration: ClinicalTrials.gov, NCT03046160. Registered 8 February 2017 - Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT0304616

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Dry needling in the management of chronic tension‐type headache associated with levator scapulae syndrome: A case report

Gagnon,

Dunning,

Bliton

et al. 2024

Clinical Case Reports

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Key Clinical MessageThe use of DN to the muscular trigger points and distal periosteal enthesis of the levator scapulae may be a useful adjunct intervention within a multi‐modal plan of care for the management of work‐related chronic tension‐type headaches associated with LSS.AbstractChronic tension‐type headaches (CTTH) have a lifetime prevalence of 42% and account for more lost workdays than migraine headaches. Dry needling (DN) is being increasingly used by physical therapists in the management of CTTH; however, to date, the supporting evidence is limited. The purpose of this case report was to describe how three sessions of DN targeting myofascial trigger points in the levator scapulae (LS) muscle and its distal enthesis was used to treat a 63‐year‐old male patient who presented with work‐related CTTH associated with levator scapulae syndrome (LSS). The patient was treated for five visits over the course of 2 months. At discharge and 6‐month follow‐up, the patient reported full resolution of symptoms. Self‐report outcomes included the numeric pain rating scale and the Neck Disability Index. The use of DN to the LS muscle and its distal enthesis may be a valuable addition to a multi‐modal plan of care in the treatment of work‐related CTTH associated with LSS.

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The Relevance of Scapular Dysfunction in Neck Pain: A Brief Commentary

Cited by 47 publications

References 52 publications

Is Scapular Stabilization Exercise Effective for Managing Nonspecific Chronic Neck Pain?: A Systematic Review

Is Scapular Stabilization Exercise Effective for Managing Nonspecific Chronic Neck Pain?: A Systematic Review

The Effects of Scapulothoracic Mobilization in Patients with Neck Pain and Scapular Dyskinesis: A Single-Blind, Randomized, Clinical Trial

Dry needling in the management of chronic tension‐type headache associated with levator scapulae syndrome: A case report

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