Enrique Lluch1, Maria Dolores Arguisuelas2, Otilia Calvente Quesada3, Estibaliz Martínez Noguera2, Marta Peiró Puchades2, José A Pérez Rodríguez2, Deborah Falla4. 1. PhD student, Department of Physiotherapy, University of Valencia, Valencia, Spain. 2. Lecturer/Researcher, Department of Physiotherapy, University CEU Cardenal Herrera, Valencia, Spain. 3. Professor, Pain Clinic, Center for Anesthesiology, Emergency and Intensive Care Medicine University Hospital Göttingen, Göttingen, Germany. 4. Professor, Pain Clinic, Center for Anesthesiology, Emergency and Intensive Care Medicine University Hospital Göttingen, Göttingen, Germany. Electronic address: deborah.falla@bccn.uni-goettingen.de.
Abstract
OBJECTIVE: The purpose of this study was to investigate the effect of active vs passive scapular correction on pain and pressure pain threshold at the most symptomatic cervical segment in patients with chronic neck pain. METHODS:Twenty-three volunteers with chronic, idiopathic neck pain were recruited (age, 38.9 ± 14.4 years; sex [man/woman], 3/20; Neck Disability Index, 28.1% ± 9.9%). Subjects were randomly allocated to 2 groups: active scapular correction or passive scapular correction. Pressure pain threshold and pain intensity rated on a numerical rating scale during a posteroanterior glide over the most symptomatic cervical segment were measured before and immediately after the active or passive scapular intervention. RESULTS: Only the active scapular correction produced a reduction in pain (pre, 6.3 ± 1.2; post, 3.7 ± 2.4; P < .05) and increase in pressure pain threshold (pre, 8.7 ± 4.2 kg/cm(2); post, 10.1 ± 3.8 kg/cm(2); P < .05) at the most painful cervical segment. CONCLUSIONS: An active scapular correction exercise resulted in an immediate reduction of pain and pressure pain sensitivity in patients with chronic neck pain and scapular dysfunction.
RCT Entities:
OBJECTIVE: The purpose of this study was to investigate the effect of active vs passive scapular correction on pain and pressure pain threshold at the most symptomatic cervical segment in patients with chronic neck pain. METHODS: Twenty-three volunteers with chronic, idiopathic neck pain were recruited (age, 38.9 ± 14.4 years; sex [man/woman], 3/20; Neck Disability Index, 28.1% ± 9.9%). Subjects were randomly allocated to 2 groups: active scapular correction or passive scapular correction. Pressure pain threshold and pain intensity rated on a numerical rating scale during a posteroanterior glide over the most symptomatic cervical segment were measured before and immediately after the active or passive scapular intervention. RESULTS: Only the active scapular correction produced a reduction in pain (pre, 6.3 ± 1.2; post, 3.7 ± 2.4; P < .05) and increase in pressure pain threshold (pre, 8.7 ± 4.2 kg/cm(2); post, 10.1 ± 3.8 kg/cm(2); P < .05) at the most painful cervical segment. CONCLUSIONS: An active scapular correction exercise resulted in an immediate reduction of pain and pressure pain sensitivity in patients with chronic neck pain and scapular dysfunction.
Authors: Jacobo Rodríguez-Sanz; Miguel Malo-Urriés; María Orosia Lucha-López; Albert Pérez-Bellmunt; Andoni Carrasco-Uribarren; Pablo Fanlo-Mazas; Jaime Corral-de-Toro; César Hidalgo-García Journal: Int J Environ Res Public Health Date: 2021-01-17 Impact factor: 3.390