Yıl: 2021 Cilt: 67 Sayı: 1 Sayfa Aralığı: 77 - 83 Metin Dili: İngilizce DOI: 10.5606/tftrd.2021.6775 İndeks Tarihi: 01-06-2022

Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study

Öz:
Objectives: This study aims to investigate the effectiveness of scapular stabilization exercises in patients with chronic neck pain and scapular dyskinesis. Patients and methods: This single-center, prospective study included a total of 36 patients (17 males, 19 females; mean age: 41±12.8 years; range, 25 to 57 years) with chronic neck pain and scapular dyskinesis between April 2018 and September 2018. The patients were randomly assigned to three treatment groups. Group 1 (n=13) consisted of those receiving scapular stabilization exercises by a physiotherapy specialist control in addition to the routine physiotherapy and rehabilitation program; Group 2 (n=12) consisted of those receiving the routine physiotherapy and rehabilitation program in addition to scapular stabilization exercises in-home training program; and Group 3 (n=11) consisted of those receiving the routine physiotherapy and rehabilitation program alone. The assessments were made using the Visual Analog Scale (VAS) and Northwick Park Neck Pain Questionnaire (NPQ). Results: Significant differences were found in the pre- and post-treatment VAS scores, and Group 1 and Group 2 created this significant difference (p<0.05). A significant difference was also observed in the pre- and post-treatment NPQ scores among the groups (p<0.05). Group 1 showed the most significant improvement of the NPQ scores (p<0.05). Conclusion: Our study results suggest that addition of scapular stabilization exercises to the routine physiotherapy components may be an effective method for improving pain and functional results.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Coşkun ME. Neck pain and treatment. Turkiye Klinikleri J Surg Med Sci 2006;2:43-7.
  • 2. Genebra CVDS, Maciel NM, Bento TPF, Simeão SFAP, Vitta A. Prevalence and factors associated with neck pain: a population-based study. Braz J Phys Ther 2017;21:274-80.
  • 3. Taş S, Erden Z. Kronik boyun ağrılı bireylerde postüral kontrol ve dengenin incelenmesi. JETR 2017;4:97-104.
  • 4. Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg 2003;11:142-51.
  • 5. Yildiz TI, Turgut E, Duzgun I. Neck and scapula-focused exercise training on patients with nonspecific neck pain: A randomized controlled trial. J Sport Rehabil 2018;27:403-12.
  • 6. Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med 1998;26:325-37.
  • 7. Phadke V, Camargo P, Ludewig P. Scapular and rotator cuff muscle activity during arm elevation: A review of normal function and alterations with shoulder impingement. Rev Bras Fisioter 2009;13:1-9.
  • 8. Castelein B, Cools A, Parlevliet T, Cagnie B. Are chronic neck pain, scapular dyskinesis and altered scapulothoracic muscle activity interrelated?: A case-control study with surface and fine-wire EMG. J Electromyogr Kinesiol 2016;31:136-43.
  • 9. Lee ST, Moon J, Lee SH, Cho KH, Im SH, Kim M, et al. Changes in activation of serratus anterior, trapezius and latissimus dorsi with slouched posture. Ann Rehabil Med 2016;40:318-25.
  • 10. McClure P, Tate AR, Kareha S, Irwin D, Zlupko E. A clinical method for identifying scapular dyskinesis, part 1: reliability. J Athl Train 2009;44:160-4.
  • 11. Ozünlü Pekyavaş N, Kunduracılar Z, Ersin A, Ergüneş C, Tonga E, Karataş M. The relationship between scapular dyskinesia, pain, range of motion, and f lexibility in patients with neck and shoulder problems. Agri 2014;26:119-25.
  • 12. Zakharova-Luneva E, Jull G, Johnston V, O’Leary S. Altered trapezius muscle behavior in individuals with neck pain and clinical signs of scapular dysfunction. J Manipulative Physiol Ther 2012;35:346-53.
  • 13. 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;44:435-9.
  • 14. O'Riordan C, Clifford A, Van De Ven P, Nelson J. Chronic neck pain and exercise interventions: frequency, intensity, time, and type principle. Arch Phys Med Rehabil 2014;95:770-83.
  • 15. Leak AM, Cooper J, Dyer S, Williams KA, Turner-Stokes L, Frank AO. The Northwick Park Neck Pain Questionnaire, devised to measure neck pain and disability. Br J Rheumatol 1994;33:469-74.
  • 16. Kose G, Hepguler S, Atamaz F, Oder G. A comparison of four disability scales for Turkish patients with neck pain. J Rehabil Med 2007;39:358-62.
  • 17. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken) 2011;63 Suppl 11:S240-52.
  • 18. Arslan AK, Yaşar Ş, Çolak C, Yoloğlu S. WSSPAS: An interactive web application for sample size and power analysis with r using shiny. Turkiye Klinikleri Journal of Biostatistics 2018;10:224-46.
  • 19. Ay S, Koldaş Doğan Ş, Evcik D. Is there an effective way to prescribe a home-based exercise program in patients with knee osteoarthritis? A randomized controlled study. Turk J Phys Med Rehab 2013;59:1-6.
  • 20. Anar SÖ. The effectiveness of home-based exercise programs for low back pain patients. J Phys Ther Sci 2016;28:2727-30.
  • 21. 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. JOSPT 2016;46:44-55.
  • 22. Dusunceli Y, Ozturk C, Atamaz F, Hepguler S, Durmaz B. Efficacy of neck stabilization exercises for neck pain: a randomized controlled study. J Rehabil Med 2009;41:626-31.
  • 23. Jull G, Falla D, Treleaven J, Hodges P, Vicenzino B. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res 2007;25:404-12.
  • 24. Andersen CH, Andersen LL, Zebis MK, Sjøgaard G. Effect of scapular function training on chronic pain in the neck/ shoulder region: a randomized controlled trial. J Occup Rehabil 2014;24:316-24.
  • 25. Zhang M, Zhou JJ, Zhang YM, Wang JH, Zhang QY, Chen W. Clinical effectiveness of scapulothoracic joint control training exercises on shoulder joint dysfunction. Cell Biochem Biophys 2015;72:83-7.
  • 26. Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol 2003;13:361-70.
APA Ozdemir F, toy ş, KIZILAY F, Avcı Z, ALTAY Z, ÇOLAK C (2021). Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. , 77 - 83. 10.5606/tftrd.2021.6775
Chicago Ozdemir Filiz,toy şeyma,KIZILAY FATMA,Avcı Zeynep Tuğçe,ALTAY ZUHAL,ÇOLAK Cemil Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. (2021): 77 - 83. 10.5606/tftrd.2021.6775
MLA Ozdemir Filiz,toy şeyma,KIZILAY FATMA,Avcı Zeynep Tuğçe,ALTAY ZUHAL,ÇOLAK Cemil Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. , 2021, ss.77 - 83. 10.5606/tftrd.2021.6775
AMA Ozdemir F,toy ş,KIZILAY F,Avcı Z,ALTAY Z,ÇOLAK C Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. . 2021; 77 - 83. 10.5606/tftrd.2021.6775
Vancouver Ozdemir F,toy ş,KIZILAY F,Avcı Z,ALTAY Z,ÇOLAK C Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. . 2021; 77 - 83. 10.5606/tftrd.2021.6775
IEEE Ozdemir F,toy ş,KIZILAY F,Avcı Z,ALTAY Z,ÇOLAK C "Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study." , ss.77 - 83, 2021. 10.5606/tftrd.2021.6775
ISNAD Ozdemir, Filiz vd. "Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study". (2021), 77-83. https://doi.org/10.5606/tftrd.2021.6775
APA Ozdemir F, toy ş, KIZILAY F, Avcı Z, ALTAY Z, ÇOLAK C (2021). Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. Turkish Journal of Physical Medicine and Rehabilitation, 67(1), 77 - 83. 10.5606/tftrd.2021.6775
Chicago Ozdemir Filiz,toy şeyma,KIZILAY FATMA,Avcı Zeynep Tuğçe,ALTAY ZUHAL,ÇOLAK Cemil Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. Turkish Journal of Physical Medicine and Rehabilitation 67, no.1 (2021): 77 - 83. 10.5606/tftrd.2021.6775
MLA Ozdemir Filiz,toy şeyma,KIZILAY FATMA,Avcı Zeynep Tuğçe,ALTAY ZUHAL,ÇOLAK Cemil Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. Turkish Journal of Physical Medicine and Rehabilitation, vol.67, no.1, 2021, ss.77 - 83. 10.5606/tftrd.2021.6775
AMA Ozdemir F,toy ş,KIZILAY F,Avcı Z,ALTAY Z,ÇOLAK C Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. Turkish Journal of Physical Medicine and Rehabilitation. 2021; 67(1): 77 - 83. 10.5606/tftrd.2021.6775
Vancouver Ozdemir F,toy ş,KIZILAY F,Avcı Z,ALTAY Z,ÇOLAK C Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study. Turkish Journal of Physical Medicine and Rehabilitation. 2021; 67(1): 77 - 83. 10.5606/tftrd.2021.6775
IEEE Ozdemir F,toy ş,KIZILAY F,Avcı Z,ALTAY Z,ÇOLAK C "Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study." Turkish Journal of Physical Medicine and Rehabilitation, 67, ss.77 - 83, 2021. 10.5606/tftrd.2021.6775
ISNAD Ozdemir, Filiz vd. "Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: A quasi-experimental study". Turkish Journal of Physical Medicine and Rehabilitation 67/1 (2021), 77-83. https://doi.org/10.5606/tftrd.2021.6775