Hatice Ayhan1, Sevinc Tastan2, Emine Iyigün2, Erkan Oztürk3, Ramazan Yildiz4, Semih Görgülü5. 1. Faculty Member, Department of Surgical Nursing, School of Nursing, Gulhane Military Medical Academy, Turkey. 2. Associate Professor, Department of Surgical Nursing, School of Nursing, Gulhane Military Medical Academy, Turkey. 3. Associate Professor, Department of General Surgery, Gulhane Military Medical Academy, Turkey. 4. Assistant Professor, Department of General Surgery, Gulhane Military Medical Academy, Turkey. 5. Professor, Department of General Surgery, Gulhane Military Medical Academy, Turkey.
Abstract
BACKGROUND: Although there are a limited number of studies showing effects of neck stretching exercises following a thyroidectomy in reducing neck discomfort symptoms, no study has specifically dealt with and examined the effect of neck stretching exercises on neck pain and disability. OBJECTIVE: To analyze the effect of neck stretching exercises, following a total thyroidectomy, on reducing neck pain and disability. METHODS: A randomized controlled trial was conducted. The participants were randomly assigned either to the stretching exercise group (n = 40) or to the control group (n = 40). The stretching exercise group learned the neck stretching exercises immediately after total thyroidectomy. The effects of the stretching exercises on the participants' neck pain and disability, neck sensitivity, pain with neck movements as well as on wound healing, were evaluated at the end of the first week and at 1 month following surgery. RESULTS: When comparing neck pain and disability scale (NPDS) scores, neck sensitivity and pain with neck movement before thyroidectomy, after 1 week and after 1-month time-points, it was found that patients experienced significantly less pain and disability in the stretching exercise group than the control group (p < .001). At the end of the first week, the NPDS scores (mean [SD] = 8.82 [12.23] vs. 30.28 [12.09]), neck sensitivity scores (median [IR] = 0 [.75] vs. 2.00 [4.0]) and pain levels with neck movements (median [IR] = 0 [2.0] vs. 3.5 [5.75]) of the stretching exercise group were significantly lower than those of the control group. However, there was no significant difference between the groups with regard to the scores at the 1-month evaluation (p > .05). LINKING EVIDENCE TO ACTION: Neck stretching exercises done immediately after a total thyroidectomy reduce short-term neck pain and disability symptoms.
RCT Entities:
BACKGROUND: Although there are a limited number of studies showing effects of neck stretching exercises following a thyroidectomy in reducing neck discomfort symptoms, no study has specifically dealt with and examined the effect of neck stretching exercises on neck pain and disability. OBJECTIVE: To analyze the effect of neck stretching exercises, following a total thyroidectomy, on reducing neck pain and disability. METHODS: A randomized controlled trial was conducted. The participants were randomly assigned either to the stretching exercise group (n = 40) or to the control group (n = 40). The stretching exercise group learned the neck stretching exercises immediately after total thyroidectomy. The effects of the stretching exercises on the participants' neck pain and disability, neck sensitivity, pain with neck movements as well as on wound healing, were evaluated at the end of the first week and at 1 month following surgery. RESULTS: When comparing neck pain and disability scale (NPDS) scores, neck sensitivity and pain with neck movement before thyroidectomy, after 1 week and after 1-month time-points, it was found that patients experienced significantly less pain and disability in the stretching exercise group than the control group (p < .001). At the end of the first week, the NPDS scores (mean [SD] = 8.82 [12.23] vs. 30.28 [12.09]), neck sensitivity scores (median [IR] = 0 [.75] vs. 2.00 [4.0]) and pain levels with neck movements (median [IR] = 0 [2.0] vs. 3.5 [5.75]) of the stretching exercise group were significantly lower than those of the control group. However, there was no significant difference between the groups with regard to the scores at the 1-month evaluation (p > .05). LINKING EVIDENCE TO ACTION: Neck stretching exercises done immediately after a total thyroidectomy reduce short-term neck pain and disability symptoms.
Authors: Ali Ahiskalioglu; Ahmet Murat Yayik; Elif Oral Ahiskalioglu; Aysenur Dostbil; Omer Doymus; Erdem Karadeniz; Muhammet Ali Ari; Furkan Sengoz; Haci Ahmet Alici; Erkan Cem Celik Journal: J Anesth Date: 2018-02-21 Impact factor: 2.078
Authors: Chang Hwan Ryu; Seung Jin Lee; Jae-Gu Cho; Ik Joon Choi; Yoon Seok Choi; Yong Tae Hong; Soo Yeon Jung; Ji Won Kim; Doh Young Lee; Dong Kun Lee; GIljoon Lee; Sang Joon Lee; Young Chan Lee; Yong Sang Lee; Inn Chul Nam; Ki Nam Park; Young Min Park; Eui-Suk Sung; Hee Young Son; In Hyo Seo; Byung-Joo Lee; Jae-Yol Lim Journal: Clin Exp Otorhinolaryngol Date: 2021-06-01 Impact factor: 3.372