Chronic neck pain with depressed scapula patients Exercise Neck pain Scapula
Conditions
Interventions
Participants were asked to sit on an adjustable height chair in a standard position with both hands placed over their laps. They were instructed to assume a neutral spine. Five circular color tape mar
Experimental Other,Experimental Other
Active scapular correction,Standard sitting position
Sponsors
Chulalongkorn University
Eligibility
Sex/Gender
All
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: Participants were included into the study if they had conditions of the following criteria: Aged between 18 and 50 years , Had chronic neck pain which was defined as pain perceived anywhere in the posterior region of the cervical spine from the superior nuchal line to the first thoracic spinous process for the duration of greater than three months , Had neck pain intensity on numeric pain rating scale (NPRS) at end range of cervical rotation of at least 2/10 , Had active cervical rotation ROM equal to or less than 70 degrees , Had unilateral or bilateral depressed scapular alignment which was defined as a vertical position of the superior angle and acromion process of scapula were below the second thoracic spinous process (in participants who had unilateral neck pain, the depressed scapula had to be on the same side as the neck pain symptom) , Had power of the upper trapezius and levator scapulae muscles of at least 3/5 which were graded with a standard manual muscle testing, i.e. they could actively perform full range of scapular elevation against gravity , Had Neck Disability Index score of greater than or equal to 5/50 (the minimal score to indicate the presence of a mild disability from neck pain)
Exclusion criteria
Exclusion criteria: Participants were excluded if they had any conditions of the following criteria: Had cervical radiculopathy , Had inflammatory signs in the neck and shoulder areas , Had medical diagnosis of fibromyalgia , Were unable to perform active scapular correction through the study protocol , Had a history of congenital scapular abnormalities, cerebrovascular diseases, or peripheral nerve injury , Had any red flags including pathologic fractures, neoplasm, systemic inflammatory diseases, infections, cervical myelopathy, and previous cervical spine or shoulder surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cervical rotation range of motion (ROM) immediate Cervical range of motion (CROM) device was used to assess both sides rotation ROM. Two measurements were taken for each movement and the mean was used for data analysis.,Neck pain intensity immediate Numeric pain rating scale was asked at end range of cervical rotation.,Pressure pain threshold (PPT) Immediate PPT over the upper trapezius muscle region was assessed by an electronic pressure algometer. Two trial measurements were taken with a 30-second rest between each trial. | — |
Countries
Thailand
Contacts
Public ContactSiwaluk Srikrajang
Chulalongkorn University
Outcome results
None listed