{"title":"麦肯锡运动加稳定运动与单纯麦肯锡运动对非特异性慢性颈痛患者的残疾、疼痛和活动范围的疗效对比:随机临床试验。","authors":"Doaa I Amin, Ghada I Mohamed, Mohamed M ElMeligie","doi":"10.3233/BMR-230352","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Chronic nonspecific neck pain is a common disorder that causes disability and reduced quality of life. Effective conservative treatment options are needed to manage this condition.</p><p><strong>Objective: </strong>This randomized trial compared the efficacy of McKenzie exercises alone versus McKenzie plus cervical and scapulothoracic stabilization training for patients with chronic nonspecific neck pain.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted in an outpatient physical therapy clinic. 76 patients with chronic (> 3 months) neck pain were randomized to 6 weeks of either McKenzie exercises alone (n= 38) or McKenzie plus stabilization exercise (n= 38). The McKenzie protocol included posture correction, range of motion exercises, and lateral neck stretches. The stabilization program added targeted exercises for the neck and scapula.</p><p><strong>Results: </strong>The combination of McKenzie plus stabilization exercises resulted in significantly greater reduction in current neck pain intensity compared to McKenzie alone at 6 weeks (mean difference: -1.2 points on 0-10 scale, 95% CI -1.8 to -0.6; p< 0.001). Neck disability improved in both groups. Cervical range of motion also improved more with the addition of stabilization, except for extension.</p><p><strong>Conclusion: </strong>Adding specific cervical and scapulothoracic stabilization exercises to a standard McKenzie protocol led to clinically meaningful reductions in neck pain compared to McKenzie therapy alone in patients with chronic nonspecific neck pain. This combined approach can improve outcomes.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of McKenzie exercises plus stabilization exercises versus McKenzie exercises alone on disability, pain, and range of motion in patients with nonspecific chronic neck pain: A randomized clinical trial.\",\"authors\":\"Doaa I Amin, Ghada I Mohamed, Mohamed M ElMeligie\",\"doi\":\"10.3233/BMR-230352\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Chronic nonspecific neck pain is a common disorder that causes disability and reduced quality of life. Effective conservative treatment options are needed to manage this condition.</p><p><strong>Objective: </strong>This randomized trial compared the efficacy of McKenzie exercises alone versus McKenzie plus cervical and scapulothoracic stabilization training for patients with chronic nonspecific neck pain.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted in an outpatient physical therapy clinic. 76 patients with chronic (> 3 months) neck pain were randomized to 6 weeks of either McKenzie exercises alone (n= 38) or McKenzie plus stabilization exercise (n= 38). The McKenzie protocol included posture correction, range of motion exercises, and lateral neck stretches. The stabilization program added targeted exercises for the neck and scapula.</p><p><strong>Results: </strong>The combination of McKenzie plus stabilization exercises resulted in significantly greater reduction in current neck pain intensity compared to McKenzie alone at 6 weeks (mean difference: -1.2 points on 0-10 scale, 95% CI -1.8 to -0.6; p< 0.001). Neck disability improved in both groups. Cervical range of motion also improved more with the addition of stabilization, except for extension.</p><p><strong>Conclusion: </strong>Adding specific cervical and scapulothoracic stabilization exercises to a standard McKenzie protocol led to clinically meaningful reductions in neck pain compared to McKenzie therapy alone in patients with chronic nonspecific neck pain. 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引用次数: 0
摘要
背景:慢性非特异性颈部疼痛是一种常见疾病,会导致残疾并降低生活质量。我们需要有效的保守治疗方案来控制这种病症:本随机试验比较了单纯麦肯锡运动与麦肯锡加颈椎和肩胛胸稳定训练对慢性非特异性颈痛患者的疗效:方法: 在物理治疗门诊进行了一项随机对照试验。76名慢性(超过3个月)颈部疼痛患者被随机分配到为期6周的单独麦肯锡运动(38人)或麦肯锡加稳定运动(38人)中。麦肯锡方案包括姿势矫正、活动范围练习和颈部侧向拉伸。稳定计划则增加了针对颈部和肩胛骨的针对性练习:结果:与单独使用麦肯锡疗法相比,结合使用麦肯锡疗法和稳定运动疗法在 6 周后可明显减轻当前颈部疼痛的强度(平均差异:0-10 级-1.2 分,95% CI -1.8 至-0.6;P< 0.001)。两组患者的颈部残疾情况均有所改善。除伸展外,颈椎活动范围在增加稳定后也得到了改善:结论:在标准麦肯锡方案中加入特定的颈椎和肩胛胸稳定训练,与单独使用麦肯锡疗法相比,对慢性非特异性颈痛患者的颈部疼痛有临床意义的缓解作用。这种综合方法可提高疗效。
Effectiveness of McKenzie exercises plus stabilization exercises versus McKenzie exercises alone on disability, pain, and range of motion in patients with nonspecific chronic neck pain: A randomized clinical trial.
Background: Chronic nonspecific neck pain is a common disorder that causes disability and reduced quality of life. Effective conservative treatment options are needed to manage this condition.
Objective: This randomized trial compared the efficacy of McKenzie exercises alone versus McKenzie plus cervical and scapulothoracic stabilization training for patients with chronic nonspecific neck pain.
Methods: A randomized controlled trial was conducted in an outpatient physical therapy clinic. 76 patients with chronic (> 3 months) neck pain were randomized to 6 weeks of either McKenzie exercises alone (n= 38) or McKenzie plus stabilization exercise (n= 38). The McKenzie protocol included posture correction, range of motion exercises, and lateral neck stretches. The stabilization program added targeted exercises for the neck and scapula.
Results: The combination of McKenzie plus stabilization exercises resulted in significantly greater reduction in current neck pain intensity compared to McKenzie alone at 6 weeks (mean difference: -1.2 points on 0-10 scale, 95% CI -1.8 to -0.6; p< 0.001). Neck disability improved in both groups. Cervical range of motion also improved more with the addition of stabilization, except for extension.
Conclusion: Adding specific cervical and scapulothoracic stabilization exercises to a standard McKenzie protocol led to clinically meaningful reductions in neck pain compared to McKenzie therapy alone in patients with chronic nonspecific neck pain. This combined approach can improve outcomes.
期刊介绍:
The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day.