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:: Volume 26, Issue 1 (3-2024) ::
J Gorgan Univ Med Sci 2024, 26(1): 25-36 Back to browse issues page
The Impacts of Neck Stabilization and Thoracic Mobility Exercises on Disability, Range of Motion, and Endurance of Females with Non-Specific Chronic Neck Pain: A Clinical Trial Study
Zahra Mahmoudabadi * 1, Malihe Hadadnezhad2 , Raghad Mimar3 , Majid Hamoongard4
1- M.Sc in Sports Injuries and Corrective Movements, Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran. , zahramahmoudabadi@gmail.com
2- Associate Professor, Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran.
3- Assistant Professor, Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran.
4- Ph.D Candidate in Sports Injuries and Corrective Movements, Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sports Sciences, kharazmi University, Tehran, Iran.
Abstract:   (640 Views)

Background and Objective: Neck pain is a prevalent problem negatively affecting individuals’ health and quality of life. Therefore, the present research was conducted to determine the impacts of neck stabilization and thoracic mobility exercises on disability, range of motion, and endurance of females with non-specific chronic neck pain.
Methods: This single-blinded clinical trial was conducted on 36 females with non-specific chronic neck pain in three 12-people groups in the city of Qom. The subjects of the first intervention group (those doing neck stabilization exercises) and the second intervention group (those doing neck stabilization exercises with thoracic mobility) performed the exercises as three 60-minute sessions per week for 8 weeks in the gym, and the control group received a set of corrective exercises. Disability, the neck range of motion, and muscular endurance were measured by the Neck Disability Index (NDI), goniometer and the Progressive Iso-inertial Lifting Evaluation (PILE) test, and biofeedback sphygmomanometer, respectively.
Results: Disability, range of motion, and muscular endurance of the subjects in both intervention groups significantly improved compared to the control group (P<0.05). Compared to the first intervention group, the range of motion and muscular endurance of subjects in the second intervention group showed a significant improvement (P<0.05).
Conclusion: Doing neck stabilization and thoracic mobilization exercises was found to be an influential intervention in the improvement of disability, range of motion, and muscular endurance of females with non-specific chronic neck pain.
Keywords: Neck Pain [MeSH], Exercise [MeSH], Women [MeSH]
Article ID: Vol26-03
Full-Text [PDF 788 kb]   (1723 Downloads)    
Type of Study: Original Articles | Subject: Sports pathology and corrective movements
References
1. Şekeröz S, Aslan Telci E, Akkaya N. Effect of chronic neck pain on balance, cervical proprioception, head posture, and deep neck flexor muscle endurance in the elderly. Turkish Journal of Geriatrics. 2019; 22(2): 163-71. doi: 10.31086/tjgeri.2019.89. [Link] [DOI]
2. de Koning CH, van den Heuvel SP, Staal JB, Smits-Engelsman BC, Hendriks EJ. Clinimetric evaluation of methods to measure muscle functioning in patients with non-specific neck pain: a systematic review. BMC Musculoskelet Disord. 2008 Oct 19;9:142. doi: 10.1186/1471-2474-9-142. [DOI] [PubMed]
3. Cho J, Lee E, Lee S. Upper thoracic spine mobilization and mobility exercise versus upper cervical spine mobilization and stabilization exercise in individuals with forward head posture: a randomized clinical trial. BMC Musculoskelet Disord. 2017 Dec 12;18(1):525. doi: 10.1186/s12891-017-1889-2. [DOI] [PubMed]
4. Javdaneh N, Ambroży T, Barati AH, Mozafaripour E, Rydzik Ł. Focus on the Scapular Region in the Rehabilitation of Chronic Neck Pain Is Effective in Improving the Symptoms: A Randomized Controlled Trial. J Clin Med. 2021 Aug 8;10(16):3495. doi: 10.3390/jcm10163495. [DOI] [PubMed]
5. 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 Feb;46(2):44-55. doi: 10.2519/jospt.2016.5979. [DOI] [PubMed]
6. Park GW, An J, Kim SW, Lee BH. Effects of Sling-Based Thoracic Active Exercise on Pain and Function and Quality of Life in Female Patients with Neck Pain: A Randomized Controlled Trial. Healthcare (Basel). 2021 Nov 5;9(11):1514. doi: 10.3390/healthcare9111514. [DOI] [PubMed]
7. Ganesh GS, Mohanty P, Pattnaik M, Mishra C. Effectiveness of mobilization therapy and exercises in mechanical neck pain. Physiother Theory Pract. 2015 Feb;31(2):99-106. doi: 10.3109/09593985.2014.963904. [DOI] [PubMed]
8. Ghaderi F, Jafarabadi MA, Javanshir K. The clinical and EMG assessment of the effects of stabilization exercise on nonspecific chronic neck pain: A randomized controlled trial. J Back Musculoskelet Rehabil. 2017;30(2):211-219. doi: 10.3233/BMR-160735. [DOI] [PubMed]
9. Kuo YL, Lee TH, Tsai YJ. Evaluation of a Cervical Stabilization Exercise Program for Pain, Disability, and Physical Impairments in University Violinists with Nonspecific Neck Pain. Int J Environ Res Public Health. 2020 Jul 28;17(15):5430. doi: 10.3390/ijerph17155430. [DOI] [PubMed]
10. Chung S, Jeong YG. Effects of the craniocervical flexion and isometric neck exercise compared in patients with chronic neck pain: A randomized controlled trial. Physiother Theory Pract. 2018 Dec;34(12):916-925. doi: 10.1080/09593985.2018.1430876. [DOI] [PubMed]
11. osrokiani Z, Letafatkar A, Hadadnezhad M, Sokhanguei Y. Comparison the Effect of Pain Neuroscience and Pain Biomechanics Education on Neck Pain and Fear of Movement in Patients with Chronic Nonspecific Neck Pain During the COVID-19 Pandemic. Pain Ther. 2022 Jun;11(2):601-611. doi: 10.1007/s40122-022-00371-3. [DOI] [PubMed]
12. Dareh-Deh HR, Hadadnezhad M, Letafatkar A, Peolsson A. Therapeutic routine with respiratory exercises improves posture, muscle activity, and respiratory pattern of patients with neck pain: a randomized controlled trial. Sci Rep. 2022 Mar 9;12(1):4149. doi: 10.1038/s41598-022-08128-w. [DOI] [PubMed]
13. Wu B, Yuan H, Geng D, Zhang L, Zhang C. The Impact of a Stabilization Exercise on Neck Pain: A Systematic Review and Meta-analysis. J Neurol Surg A Cent Eur Neurosurg. 2020 Jul;81(4):342-347. doi: 10.1055/s-0039-3400953. [DOI] [PubMed]
14. 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 Jul;41(8):626-31. doi: 10.2340/16501977-0392. [DOI] [PubMed]
15. Kaka B, Ogwumike OO. Effect of neck stabilization and dynamic exercises on pain, disability and fear avoidance beliefs in patients with non-specific neck pain. Physiotherapy. 2015 May; 101(1): E704. doi: 10.1016/j.physio.2015.03.3555. [Link] [DOI]
16. Griffiths C, Dziedzic K, Waterfield J, Sim J. Effectiveness of specific neck stabilization exercises or a general neck exercise program for chronic neck disorders: a randomized controlled trial. J Rheumatol. 2009 Feb;36(2):390-7. doi: 10.3899/jrheum.080376. [DOI] [PubMed]
17. Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskelet Disord. 2019 Feb 18;20(1):86. doi: 10.1186/s12891-019-2438-y. [DOI] [PubMed]
18. Lee HJ, Kim SY. Effects of Thoracic Mobility Exercise on Cervicothoracic Function, Posture and Pain in Individuals With Mechanical Neck Pain. Phys Ther Korea. 2019; 26(3): 42-56. doi: 10.12674/ptk.2019.26.3.042. [Link] [DOI]
19. Ylinen J, Takala EP, Kautiainen H, Nykänen M, Häkkinen A, Pohjolainen T, et al. Association of neck pain, disability and neck pain during maximal effort with neck muscle strength and range of movement in women with chronic non-specific neck pain. Eur J Pain. 2004 Oct;8(5):473-8. doi: 10.1016/j.ejpain.2003.11.005. [DOI] [PubMed]
20. Mazidi M, sakinepoor A, Letafatkar A. [Effect of sensorimotor training on proprioception and pain and posture in subjects with chronic non specific neck pain]. IJRN. 2021;7(4):61-71. doi: 10.22034/IJRN.7.4.61. [Article in Persian] [Link] [DOI]
21. Tohidi S, Hadadnezhad M, Shojaedin S. [The effect of adding gaze direction recognition to stabilizing exercises on pain, muscular endurance and proprioception women with chronic non-specific neck pain]. Journal of Anesthesiology and Pain. 2020; 11(4): 55-67. [Article in Persian] [Link]
22. Salahzadeh Z, Maroufi N, Ahmadi A, Behtash H, Razmjoo A, Gohari M, et al. Assessment of forward head posture in females: observational and photogrammetry methods. J Back Musculoskelet Rehabil. 2014;27(2):131-9. doi: 10.3233/BMR-130426. [DOI] [PubMed]
23. Hudswell S, Von Mengersen M, Lucas N. The cranio-cervical flexion test using pressure biofeedback: A useful measure of cervical dysfunction in the clinical setting? International Journal of Osteopathic Medicine. 2005 Sep; 8(3): 98-105. doi: 10.1016/j.ijosm.2005.07.003. [Link] [DOI]
24. Mayer TG, Barnes D, Kishino ND, Nichols G, Gatchel RJ, Mayer H, et al. Progressive isoinertial lifting evaluation. I. A standardized protocol and normative database. Spine (Phila Pa 1976). 1988 Sep;13(9):993-7. doi: 10.1097/00007632-198809000-00005. [DOI] [PubMed]
25. Kamble A, Naik S, Phadke S, Tilak P. Analysis of Working Posture using Kinovea Software to Identify the Incidence of Forward Head among Bank Employees: A Cross-sectional Study. IJFMR. 2022; 4(6): 1-8. doi: 10.36948/ijfmr.2022.v04i06.1116. [Link] [DOI]
26. Collins SL, Moore RA, McQuay HJ. The visual analogue pain intensity scale: what is moderate pain in millimetres? Pain. 1997 Aug;72(1-2):95-7. doi: 10.1016/s0304-3959(97)00005-5. [DOI] [PubMed]
27. Youdas JW, Carey JR, Garrett TR. Reliability of measurements of cervical spine range of motion--comparison of three methods. Phys Ther. 1991 Feb;71(2):98-104; discussion 105-6. doi: 10.1093/ptj/71.2.98. [DOI] [PubMed]
28. Norkin CC, White DJ. Measurement of Joint Motion: A Guide to Goniometry. 5th ed. Philadelphia: Davis FA. 2017; pp: 411-68.
29. Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther. 2008 Sep;31(7):491-502. doi: 10.1016/j.jmpt.2008.08.006. [DOI] [PubMed]
30. Park D, Cynn HS, Yi C, Choi WJ, Shim JH, Oh DW. Four-week training involving self-ankle mobilization with movement versus calf muscle stretching in patients with chronic stroke: a randomized controlled study. Top Stroke Rehabil. 2020 May;27(4):296-304. doi: 10.1080/10749357.2019.1690831. [DOI] [PubMed]
31. Boyle KL, Olinick J, Lewis C. The value of blowing up a balloon. N Am J Sports Phys Ther. 2010 Sep;5(3):179-88. [PubMed]
32. Joshi S, Balthillaya G, Neelapala YVR. Thoracic Posture and Mobility in Mechanical Neck Pain Population: A Review of the Literature. Asian Spine J. 2019 Jun 3;13(5):849-860. doi: 10.31616/asj.2018.0302. [DOI] [PubMed]
33. Scholten-Peeters GG, Bekkering GE, Verhagen AP, van Der Windt DA, Lanser K, Hendriks EJ, et al. Clinical practice guideline for the physiotherapy of patients with whiplash-associated disorders. Spine (Phila Pa 1976). 2002 Feb 15;27(4):412-22. doi: 10.1097/00007632-200202150-00018. [DOI] [PubMed]
34. Di Fabio RP. Manipulation of the cervical spine: risks and benefits. Phys Ther. 1999 Jan;79(1):50-65. [PubMed]
35. Jull G, Sterling M, Kenardy J, Beller E. Does the presence of sensory hypersensitivity influence outcomes of physical rehabilitation for chronic whiplash?--A preliminary RCT. Pain. 2007 May;129(1-2):28-34. doi: 10.1016/j.pain.2006.09.030. [DOI] [PubMed]
36. Tahir R, Sohail MAA, Ain NU, Aine QU, Mannan H, Maqbool A. Comparative effect of upper thoracic spine mobilization with mobility exercises and upper cervical spine mobilization with stabilization exercises in mechanical neck pain: a randomized clinical trial. Anaesth Pain Intensive Care. 2022; 26(4): 488-95. doi: 10.35975/apic.v26i4.1952. [Link] [DOI]
37. Jang HJ, Hughes LC, Oh DW, Kim SY. Effects of Corrective Exercise for Thoracic Hyperkyphosis on Posture, Balance, and Well-Being in Older Women: A Double-Blind, Group-Matched Design. J Geriatr Phys Ther. 2019 Jul/Sep;42(3):E17-E27. doi: 10.1519/JPT.0000000000000146. [DOI] [PubMed]
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Mahmoudabadi Z, Hadadnezhad M, Mimar R, Hamoongard M. The Impacts of Neck Stabilization and Thoracic Mobility Exercises on Disability, Range of Motion, and Endurance of Females with Non-Specific Chronic Neck Pain: A Clinical Trial Study. J Gorgan Univ Med Sci 2024; 26 (1) :25-36
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Volume 26, Issue 1 (3-2024) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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