Scapular Stabilization Exercise on Neck Pain

Overview

Neck pain is a very common problem in the population. Most of the patients suffer from neck pain for long time and the problem becomes chronic. The investigators studied the effects of scapular stabilization exercise on mechanical neck pain.

Full Title of Study: “Scapular Stabilization Exercise on Mechanical Neck Pain: A Randomized Control”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: Single (Participant)
  • Study Primary Completion Date: December 15, 2016

Detailed Description

Neck is one of the most common musculoskeletal problem in the world. Yet the problem still haven't been understood and solved completely. Its incidence is also becoming higher and most people who have neck pain suffer from it for long time. Several problems have been related to neck pain. Hence, the investigators designed a study to see the effects of scapular stabilization exercise on neck pain.

Interventions

  • Other: classical approach for neck pain
    • Patients with mechanical neck pain were instructed to do cervical exercise
  • Other: scapular exercise on neck pain
    • Patients with mechanical neck pain were instructed to do scapular stabilization and cervical exercise

Arms, Groups and Cohorts

  • Experimental: classical approach for neck pain
    • patients in this arm received classical approaches for neck pain. Cervical manual therapy was performed on patients in this arm and they were also instructed to to perform cervical endurance, strength and stretching exercises. Rehabilitation period was lasted for 6 weeks. Pain, quality of life and scapular kinematics were assessed before and after rehabilitation program.
  • Experimental: scapular exercise on neck pain
    • patients in this arm received cervical manual therapy and cervical exercises too. Apart from cervical manual therapy and cervical exercises,patients also performed scapular stabilization exercise targeting trapezius, serratus anterior and rhomboid muscles. Rehabilitation period was lasted for 6 weeks. The same assessment parameters was conducted on this arm too.

Clinical Trial Outcome Measures

Primary Measures

  • Neck pain measured with Visual Analog Scale
    • Time Frame: 6 weeks
    • Patient’s neck was measured with Visual Analog Scale

Secondary Measures

  • Quality of Life measured with Neck Disability Index
    • Time Frame: 6 weeks
    • Patient’s quality of life was measured with Neck Disability Index
  • Scapular Kinematics measured with 3-D motion monitor device
    • Time Frame: 6 weeks
    • Patient’s scapular kinematics was measured with 3-D motion monitor device

Participating in This Clinical Trial

Inclusion Criteria

  • having neck pain at least 6 months
  • having score of at least 10 points from Neck Disability Index
  • having type-1, type-2 or type-3 scapula from Kibler's four types rating system
  • no previous shoulder or neck surgery
  • no accompanying shoulder problem

Exclusion Criteria

  • no complying to the rehabilitation
  • if patient wants to finished and don't want to complete study, they were excluded

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 45 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Hacettepe University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Taha İbrahim Yıldız, Research Asistant – Hacettepe University
  • Overall Official(s)
    • İrem Düzgün, Study Director, supervisor of the study

Citations Reporting on Results

Helgadottir H, Kristjansson E, Mottram S, Karduna AR, Jonsson H Jr. Altered scapular orientation during arm elevation in patients with insidious onset neck pain and whiplash-associated disorder. J Orthop Sports Phys Ther. 2010 Dec;40(12):784-91. doi: 10.2519/jospt.2010.3405. Epub 2010 Oct 22.

Helgadottir H, Kristjansson E, Einarsson E, Karduna A, Jonsson H Jr. Altered activity of the serratus anterior during unilateral arm elevation in patients with cervical disorders. J Electromyogr Kinesiol. 2011 Dec;21(6):947-53. doi: 10.1016/j.jelekin.2011.07.007. Epub 2011 Sep 1.

Cagnie B, Struyf F, Cools A, Castelein B, Danneels L, O'leary S. The relevance of scapular dysfunction in neck pain: a brief commentary. J Orthop Sports Phys Ther. 2014 Jun;44(6):435-9. doi: 10.2519/jospt.2014.5038. Epub 2014 May 10.

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