[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Registration::
Contact us::
Site Facilities::
Principles of Publication::
Indexing Sources::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Registered in

AWT IMAGE

AWT IMAGE

..
Open Access 
..
..
:: Volume 6, Issue 1 (Military Caring Sciences 2019) ::
MCS 2019, 6(1): 49-60 Back to browse issues page
Comparison of Stability Training with and without Positional Release Technique on the Pain, Neck Range of Motion in Men with Chronic Neck Pain
Norollah Javdaneh * 1, Amir Letafat kar.2 , Nazanin Kamrani Faraz3
1- (*Corresponding Author) Ph.D. Student of Corrective Exercise and Sport Injury, Faculty of Physical Education, University of Kharazmi, Tehran, Iran. Email: njavdaneh68@gmail.com
2- Ph.D. in Corrective Exercise and Sport Injury, Faculty of Physical Education, University of Kharazmi, Tehran, Iran.
3- MSC in Corrective Exercise and Sport Injury, Faculty of Physical Education, University of Kharazmi ,Tehran, Iran.
Abstract:   (3860 Views)
Introduction: Neck pain is the second common musculoskeletal disorder Clinical trial only by back pain. Despite the high prevalence of neck pain, its treatment is still a major challenge. Neck stabilizer training is a technique designed to improve the internal mechanisms of the spine which causes cervical spine stability and invulnerability. On the other hand, manual treatments are low-costly with the least side effects used to treat neck pain.
Objective: The aim of this study was to compare the effect of stability execrise with and without positional release technique on the pain and neck motion range in men with chronic neck pain.
Materials and Methods: This is a semi-experimental study. The statistical population consisted of the employees of the Mellat bank of Tehran province. Using convenience sampling method, 24 patients with chronic neck pain were randomly divided into two groups . The first group received stabilization exercises with positional release technique and the second group received only stabilization exercises. Each group received a five-week treatment. Pain was assessed on the basis of Visual Analogue Scale (VAS) and neck motion range by goniometer before and 48 hours after the treatment. ANOVA along with repeated measures was employed for data analyses and significant level was considered P<0.05.
Results: There was a significant difference between both groups in terms of pain severity and neck motion range after intervention (P <0.005). There was a significant difference between the severity of pain as well as the neck motion range (P<0.005). In the other words, more improvements were achieved in stabilization exercises with positional release technique.
Discussion and Conclusion: Stabilization exercises in combination with positional release technique had a dramatic effect on reducing pain and increasing the neck motion range compared to the positional release technique group. Thus, it is recommended to use this combination to relieve the neck pain.

IRCT No.: IRCT20180813040787N1
Keywords: Exercise Therapy, Pain, Manual Therapie, Neck Pain, Trigger Points, Trapezius Muscle.
Full-Text [PDF 491 kb]   (965 Downloads)    
Type of Study: Research | Subject: Special
Received: 2019/01/26 | Accepted: 2019/05/6 | Published: 2019/08/15
References
1. Yun S, Kim YL, Lee SM. The effect of neurac training in patients with chronic neck pain. J Phys Ther Sci. 2015;27(5):1303. DOI:10.1589/jpts.27.1303 PMID: 26157206 [DOI] [PubMed]
2. Andersen LL, Kjaer M, Sogaard K, Hansen L, Kryger AI, Sjogaard G. Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis Rheum. 2008;59(1):84-91. DOI: 10.1002/art.23256 PMID: 18163419 [DOI] [PubMed]
3. Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord.1992;5(4):383-9. PMID: 1490034 [PubMed]
4. Sjaastad O, Fredriksen TA, Stolt-Nielsen A, Salvesen R, Jansen J, Pareja JA, et al. Cervicogenic headache: a clinical review with special emphasis on therapy. Funct Neurol. 1997;12(6):305-17. PMID: 9503193 [PubMed]
5. Chiu TT, Lam TH, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine(Phila Pa 1976). 2005;30(1):E1-7. PMID: 15626966
6. Panjabi MM, Cholewicki J, Nibu K, Grauer J, Babat LB, Dvorak J. Critical load of the human cervical spine: an in vitro experimental study. Clin Biomech (Bristol, Avon). 1998;13(1):11-7. PMID: 11415766 [PubMed]
7. Cheng CH, Su HT, Yen LW, Liu WY, Cheng HY. Long-term effects of therapeutic exercise on nonspecific chronic neck pain:a literature review. J Phys Ther Sci. 2015;27(4):1271-6. DOI:10.1589/jpts.27.1271 PMID: 25995604 [DOI] [PubMed]
8. Sweeney T, Prentice C, Saal J, Saal J. Cervicothoracic muscular stabilization techniques. Physical medicine and rehabilitation: State of the Art Reviews. 1990;4(2):335-59.
9. O’Leary S, Falla D, Jull G, Vicenzino B. Muscle specificity in tests of cervical flexor muscle performance. J Electromyogr Kinesiol. 2007;17(1):35-40. DOI: 10.1016/j.jelekin.2005.10.006 PMID: 16423538 [DOI] [PubMed]
10. Dommerholt J, Bron C, Franssen J. Myofascial trigger points: An evidence-informed review. J Manual & Manipulative Therapy. 2006;14(4):203-21.
11. Shah JP, Danoff JV, Desai MJ, Parikh S, Nakamura LY, Phillips TM, et al. Biochemicals associated with pain and inflammation are elevated in sites near to and remote from active myofascial trigger points. Arch Phys Med Rehabil. 2008;89(1):16-23. DOI: 10.1016/j.apmr.2007.10.018 PMID: 18164325 [DOI] [PubMed]
12. Simons DG, Travell JG, Simons L. Myofascial pain and dysfunction: the trigger point manual. Upper half of body. 1999;1.
13. Lucas N, Macaskill P, Irwig L, Moran R, Bogduk N. Reliability of physical examination for diagnosis of myofascial trigger points: A systematic review of the literature. Clin J Pain. 2009;25(1):80-9. DOI: 10.1097/AJP.0b013e31817e13b6 PMID: 19158550 [DOI] [PubMed]
14. Fernandez-De-Las-Penas C, Fernández-Carnero J, Miangolarra- Page J. Musculoskeletal disorders in mechanical neck pain:Myofascial trigger points versus cervical joint dysfunction. J Musculoskeletal Pain. 2005;13(1):27-35.
15. Simons D, Travell J, Simons L. Myofascial Pain and Dysfunction The Trigger Point Manual: BMJ Publishing Group Ltd; 1999.
16. Alvarez DJ, Rockwell PG. Trigger points: diagnosis and management. Am Fam Physician. 2002;65(4):653-60. PMID: 11871683 [PubMed]
17. Chaitow L, Crenshaw K. Muscle energy techniques: Elsevier Health Sciences; 2006.
18. McPartland JM. Travell trigger points--molecular and osteopathic perspectives. J Am Osteopath Assoc. 2004;104(6):244-9. PMID:15233331 [PubMed]
19. Mense S, Simons DG, Russell IJ. Muscle pain: Understanding its nature, diagnosis, and treatment: Lippincott Williams & Wilkins; 2001.
20. Ghiasi F, Akbari A, Abed M. Comparison of muscle energy techniques with ultrasound therapy in myofascial trigger point treatment in upper trapezius. J Babol Univ Med Sci. 2008;10(5):7-14.
21. Moraska A, Chandler C. Changes in Clinical Parameters in Patients with Tension-type Headache Following Massage Therapy: A Pilot Study. J Man Manip Ther. 2008;16(2):106-12. DOI: 10.1179/106698108790818468 PMID: 19119396
22. Hsueh TC, Cheng PT, Kuan TS, Hong CZ. The immediate effectiveness of electrical nerve stimulation and electrical muscle stimulation on myofascial trigger points. Am J Phys Med Rehabil.1997;76(6):471-6. PMID: 9431265 [PubMed]
23. Prentice WE. Rehabilitation techniques in sports medicine: Mosby St. Louis, MO; 1994.
24. Saavedra FJ, Cordeiro MT, Alves JV, Fernandes HM, Reis VM, Mont’Alverne DGB. The influence of positional release therapyon the myofascial tension of the upper trapezius muscle. Revista Brasileira de Cineantropometria & Desempenho Humano. 2014;16(2):191-9.
25. Chaitow L. Muscle Energy Techniques, Churchill Livingstone. Elsevier, London, UK; 2006.
26. D’Sylva J, Miller J, Gross A, Burnie SJ, Goldsmith CH, Graham N, et al. Manual therapy with or without physical medicine modalities for neck pain: a systematic review. Manual Therapy. 2010;15(5):415-33.
27. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17(1):45-56.
28. Reese NB, Bandy WD. Joint range of motion and muscle length testing-E-book: Elsevier Health Sciences; 2016.
29. Celenay ST, Akbayrak T, Kaya DO. A Comparison of the Effects of Stabilization Exercises Plus Manual Therapy to Those of Stabilization Exercises Alone in Patients With Nonspecific Mechanical Neck Pain: A Randomized Clinical Trial. J Orthop Sports Phys Ther. 2016;46(2):44-55. DOI: 10.2519/jospt.2016.5979 PMID: 26755405 [DOI] [PubMed]
30. Okhovatian F, Mehdikhani R, Sadat Naimi S. RETRACTED: Comparison between the immediate effect of manual pressure release and strain/counterstrain techniques on latent trigger point of upper trapezius muscle. Elsevier; 2012.
31. Ghanbari A, Rahimijaberi A, Mohamadi M, Abbasi L, Sarvestani FK. The effect of trigger point management by positional release therapy on tension type headache. NeuroRehabilitation. 2012;30(4):333-9. DOI: 10.3233/NRE-2012-0764 PMID: 22672949 [DOI] [PubMed]
32. AM H, Kage Vijay B, Basavaraj C. Comparison of Myofascial Release and Positional Release Therapy in Plantar Fasciitis–A Clinical Trial. Physiotherapy and Occupational Therapy. 2010;4(4):8.
33. Kelencz CA, Tarini VA, Amorim CF. Trapezius upper portion trigger points treatment purpose in positional release therapy with electromyographic analysis. N Am J Med Sci. 2011;3(10):451-5. DOI: 10.4297/najms.2011.3451 PMID: 22363082 [DOI] [PubMed]
34. Alagesan J, Shah US. Effect of positional release therapy and taping on unilateral upper trapezius tender points. Inter J Health & Pharmaceutical Sci. 2012;1(2):13-7.
35. Trampas A, Kitsios A, Sykaras E, Symeonidis S, Lazarou L. Clinical massage and modified Proprioceptive Neuromuscular Facilitation stretching in males with latent myofascial trigger points. Phys Ther Sport. 2010;11(3):91-8. DOI: 10.1016/j. ptsp.2010.02.003 PMID: 20673857 [DOI] [PubMed]
36. Akbari A, Ghiasi F, Barahoie M, Arab-Kangan M. The comparison of effectiveness of muscles specific stabilization training and dynamic exercises on the chronic neck pain and disability. J Gorgan Univ Med Sci. 2010;11(4):29-112.
37. Ziaeifar M, Arab AM, Karimi N, Mosallanejad Z. The Effect of Dry Needling on Range of Motion of Neck Lateral Flexion in Subjects With Active Trigger Point in Upper Trapezius Muscle. Jentashapir J Health Rese. 2014;5(6).
38. Taheri H, Mahdavinejad R, Minasian V, Karimi A. The effect of 8 weeks selected exercise therapy and self treatment by pamphlet programs on the strength and range of motion of the neck in patients with chronic neck pain. J Rese Rehabilit Sci. 2011;7(1).
39. Falla D. Unravelling the complexity of muscle impairment in chronic neck pain. Man Ther. 2004;9(3):125-33. DOI: 10.1016/j. math.2004.05.003 PMID: [DOI] [PubMed]
40. Richardson C, Hodges P, Hides J. Therapeutic exercise for liumbopelvic stabilization. Churchill Livingstone. Harcourt Publishers; 2005.
41. Jull GA, Falla D, Vicenzino B, Hodges PW. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009;14(6):696-701. DOI: 10.1016/j.math.2009.05.004 PMID: 19632880 [DOI] [PubMed]
42. Ziemann U, Muellbacher W, Hallett M, Cohen LG. Modulation of practice-dependent plasticity in human motor cortex. Brain.2001;124(Pt 6):1171-81. DOI: 10.1093/brain/124.6.1171 PMID:11353733 [DOI] [PubMed]
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Javdaneh N, Letafat kar. A, Kamrani Faraz N. Comparison of Stability Training with and without Positional Release Technique on the Pain, Neck Range of Motion in Men with Chronic Neck Pain. MCS 2019; 6 (1) :49-60
URL: http://mcs.ajaums.ac.ir/article-1-243-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 6, Issue 1 (Military Caring Sciences 2019) Back to browse issues page
علوم مراقبتی نظامی Military Caring Sciences
Persian site map - English site map - Created in 0.05 seconds with 43 queries by YEKTAWEB 4645