Immediate Effects of Mobilization With Movement Technique on Cervical Muscle Stiffness, Pain, and Range of Motion in Individuals With Mechanical Neck Pain: A Double-Blind Randomized Controlled Trial.
Yıldız Analay Akbaba, Ayşem Ecem Özdemir, Kübra Bali, Ecem Yalçın
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引用次数: 0
Abstract
Background: Mulligan sustained natural apophyseal glide (SNAG) is a mobilization technique that aims to reduce pain and improve function by correcting positional errors in the facet joint.
Purpose: To investigate the immediate effects of the Mulligan SNAG application on muscle stiffness, pain, pressure pain threshold (PPT) and range of motion (RoM) in patients with chronic mechanical neck pain.
Methods: A randomized, double-blind trial was conducted. Forty individuals with chronic mechanical neck pain (mean age = 39.35 ± 6.68 years) were randomized into two groups: Mobilization with movement group (MWMG), and sham group (SG). Muscle stiffness was measured with MyotonPro, pain intensity with Numerical Pain Rating Scale, cervical RoM with a digital inclinometer, and PPT with an algometer. Measurements were performed pre-and 5 minutes post-intervention in a single session.
Results: Muscle stiffness significantly changed in the MWMG for the left trapezius and right cervical extensors (p = .003, effect size (ES) = 0.42; p = .031, ES = 0.49, respectively), whereas no significant changes were observed in the SG (p = .097, ES = 0.12; p = .270, ES = 0.22, respectively). The MWMG showed improvements in pain (p = .001, ES = 0.70) and RoM (right: p = .0001, ES = 0.89; left: p = .0001, ES = 0.99). The SG also showed improvements in pain (p = .0001, ES = 0.76) and RoM (right: p = .0001, ES = 0.49; left: p = .0001, ES = 0.35). PPT improvements were observed in the MWMG for right and left trapezius (p = .0001, ES = 1.21; p = .040, ES = 0.43, respectively), whereas no significant changes occurred in the SG (p = .713, ES = 0.03; p = .839, ES = 0.01, respectively).
Conclusion: The mobilization with movement technique leads to significant immediate improvements in muscle stiffness and pain-related parameters in individuals with chronic neck pain.
背景：Mulligan持续自然椎体滑动（SNAG）是一种活动技术，旨在通过纠正小关节的位置错误来减轻疼痛和改善功能。目的：探讨Mulligan SNAG应用对慢性机械性颈痛患者肌肉僵硬度、疼痛、压痛阈值（PPT）和活动范围（RoM）的直接影响。方法：采用随机、双盲试验。将40例慢性机械性颈痛患者（平均年龄39.35±6.68岁）随机分为两组：活动配合组（MWMG）和假手术组（SG）。肌肉僵硬度用MyotonPro测量，疼痛强度用数值疼痛评定量表测量，颈椎RoM用数字测斜仪测量，PPT用测斜仪测量。测量分别在干预前和干预后5分钟进行。结果：左斜方肌和右颈伸肌的肌肉僵硬度在MWMG中有显著变化(p =。003，效应量(ES) = 0.42；p =。031, ES = 0.49)，而SG无显著变化（p = 0.49）。097, es = 0.12；p =。270, ES = 0.22)。MWMG组疼痛有所改善(p =。0.001, ES = 0.70)和RoM(右：p =。0001, es = 0.89；左：p =。0001, es = 0.99)。SG也显示疼痛有所改善(p =。0001, ES = 0.76)和RoM(右：p =。0001, es = 0.49；左：p =。0001, es = 0.35)。左斜方肌和右斜方肌的MWMG均有PPT改善(p =。0001, es = 1.21；p =。0.040, ES = 0.43)，而SG无显著变化（p = 0.43）。713, es = 0.03；p =。839, ES = 0.01)。结论：在慢性颈部疼痛患者中，运动技术能显著改善肌肉僵硬度和疼痛相关参数。
期刊介绍：
The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
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