Tag: ból szyi

Effect of myofascial release of cesarean scar on neck pain and range of motion in females with nonspecific neck pain

Asmaa K. Mohamed, Dalia M. Kamel, Hamed M. ELkhaozamy, Amel M. Yousef, Reham H Saad

 

Asmaa K. Mohamed, Dalia M. Kamel, Hamed M. ELkhaozamy, Amel M. Yousef, Reham H Saad – Effect of myofascial release of cesarean scar on neck pain and range of motion in females with nonspecific neck pain –  Fizjoterapia Polska 2025; 25(1); 389-394

DOI: https://doi.org/10.56984/8ZG007D4HBJ

Abstract
Purpose. To investigate the effect of myofascial release (MFR) of the cesarean scar on neck pain and range of motion (ROM) in women suffering from chronic nonspecific neck pain.
Methods. Thirty female patients with chronic nonspecific neck pain and a history of cesarean section (CS) were selected from the outpatient clinic of the orthopedic department at the faculty of physical therapy, Cairo University, to participate in this study. Their ages ranged from 20 to 35 years, and their body mass index was between 20 and 30 kg/m2. They had undergone CS at least two years prior. All participants received myofascial release sessions targeting the CS scar (30 minutes, two sessions per week for two weeks). Pain intensity, cervical ROM, and scar mobility were assessed before and after treatment using a numerical rating scale, an inclinometer, and an adheremeter, respectively.
Results. The study results demonstrated a significant post-treatment reduction in pain intensity (p < 0.05) as well as significant increases in cervical ROM and scar mobility (p < 0.05).
Conclusion. Myofascial release of the CS scar is an effective technique for reducing neck pain and improving ROM in patients with a history of CS.
Key words
cesarean section, cesarean scar, myofascial release, neck pain, neck dysfunction
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Wpływ mobilizacji szyjno-piersiowej dodanej do kompleksowych ćwiczeń korekcyjnych na ustawienie posturalne i funkcjonalność szyi w zespole górnego skrzyżowania: randomizowane badanie kontrolne

Reem Mohamed Atta, Abeer Abdelrahman Yamany, Hassan Hussein Ahmed, Rania Reffat Ali, Hebatallah Mohamed Said Zaghloul , Hanaa Kenawy Atta

 

Reem Mohamed Atta, Abeer Abdelrahman Yamany, Hassan Hussein Ahmed, Rania Reffat Ali, Hebatallah Mohamed Said Zaghloul , Hanaa Kenawy Atta – Effect of adding cervicothoracic mobilization to comprehensive corrective exercises on postural alignment and neck functional level in upper crossed syndrome: randomized controlled trial  –  Fizjoterapia Polska 2025; 25(1); 177-184

DOI: https://doi.org/10.56984/8ZG007D1KD8

Abstract
Introduction. Upper crossed syndrome (UCS) is a prevalent musculoskeletal ailment marked by shortening and weakness in the neck, shoulders, and upper back muscles. Poor posture, including forward head posture (FHP), rounded shoulders, and hyperkyphosis, often induces the syndrome, particularly when individuals engage with gadgets, read, or drive.
Objectives. To explore the efficacy of integrating cervicothoracic mobilization into comprehensive corrective exercises on FHP angle, rounded shoulder (RS), kyphosis, neck pain, and functional level among patients suffering from UCS.
Material and methods. Sixty patients of both sexes with UCS took part in this study. Patients were randomly assigned using computerized block randomization into two equal groups. Group A consisted of thirty patients who underwent cervicothoracic mobilization in addition to comprehensive corrective exercises, while Group B included thirty patients who received only comprehensive corrective exercises.
The assessment was performed before and after the treatment period. FHP and RS were assessed using the lateral view of the craniovertebral angle (CVA) and the sagittal shoulder angle (SSA). The kyphotic angle was assessed using a flexicurve, pain level was evaluated via the Visual Analogue Scale (VAS), and neck functional level was assessed using the Arabic version of the Neck Disability Index (NDI-Ar). The intervention was performed three times weekly for eight weeks for all patients.
Results. Group A exhibited a statistically significant increase in CVA and SSA, along with a reduction in thoracic kyphosis angle, VAS, and NDI, in comparison to Group B.
Conclusion. Cervicothoracic mobilization was effective in treating UCS by improving FHP, rounded shoulders, kyphotic angle, neck pain, and neck dysfunction when combined with comprehensive corrective exercises.
Keywords
cervicothoracic mobilization, postural alignment, neck pain, neck disability, upper crossed syndrome
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Effects of scapular function training versus plyometric training on pain and functional improvement in students with neck and shoulder pain – randomized controlled trial

Hajira Husna, Kamalakannan M, Hariharan J, Priyanga Seemathan, Praveenkumar R

Hajira Husna, Kamalakannan M, Hariharan J, Priyanga Seemathan, Praveenkumar R
– Effects of scapular function training versus plyometric training on pain and functional improvement in students with neck and shoulder pain – randomized controlled trial –  Fizjoterapia Polska 2025; 25(1); 108-113

DOI: https://doi.org/10.56984/8ZG007DOV14

Abstract
Introduction. Neck and shoulder pain is a common issue among students, often resulting from prolonged poor posture, academic workload, and inadequate ergonomic conditions. Implementing effective intervention strategies is crucial to managing this problem.
Aim. This study aimed to compare the effectiveness of scapular function training and plyometric training in reducing pain and improving functionality among students experiencing neck and shoulder pain.
Materials and methods. This study randomly selected 60 individuals who reported neck and shoulder pain. The participants, aged 18–25 years and of both genders, were confirmed to be experiencing neck and shoulder discomfort. Exclusion criteria included a history of severe neck or shoulder injuries, such as cervical disc prolapse or whiplash injury, and uncooperative behavior. A total of 30 individuals were assigned to two equal groups: group A (scapular function training) and group B (plyometric training). Pain and disability outcomes were assessed using the Northwick Park Questionnaire (NPQ), the Shoulder Pain and Disability Index (SPADI), and the Numerical Pain Rating Scale (NPRS). The intervention consisted of a four-week exercise program, including three sets per session, 10 repetitions per set, 20 minutes of training per session, and five sessions per week.
Results. Group A had a post-treatment mean NPRS score of 4.2, while group B had a mean score of 4.5. The post-treatment mean NPQ score for group A was 59.6, compared to 58.9 for group B. The average post-treatment SPADI score for group A was 60.24, while for group B, it was slightly lower. The findings suggest that scapular function training was effective in reducing pain and improving functional performance in individuals with neck and shoulder pain.
Conclusion. The study indicates that scapular function training is more effective than plyometric training in reducing pain and enhancing functionality among students experiencing neck and shoulder pain.
Key words
neck pain, plyometric training, scapular function training, shoulder pain
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Does cervical radiculopathy affect eye hand coordination?

Basma Saaed Ibrahim, Salah Abd El Moneim Sawan, Sandra Mohamed Ahmed, Abdelaziz Abdelaziz Elsherif

Basma Saaed Ibrahim, Salah Abd El Moneim Sawan, Sandra Mohamed Ahmed, Abdelaziz Abdelaziz Elsherif –Does cervical radiculopathy affect eye hand coordination? –  Fizjoterapia Polska 2024; 24(5); 360-367

DOI: https://doi.org/10.56984/8ZG020CJ9B2

Abstract Purposes. This study was conducted to investigate the relationship between cervical radiculopathy and eye-hand coordination in patients with chronic unilateral cervical radiculopathy due to a discogenic lesion in the lower cervical spine. Methods. Sixty participants of both sexes participated in this study. Their age ranged from 30 to 50 years old. Patients were selected from governmental hospitals in Zagazig city, Egypt. Participants were divided into two groups: Group I (study group) included 30 patients with chronic unilateral cervical radiculopathy due to a discogenic lesion in the lower cervical spine. Group II (control group) included 30 healthy participants with no complaints. Neck pain intensity was assessed by the numeric pain rating scale. Weight and height were assessed by body mass index (BMI). All participants underwent eye-hand coordination assessment using the Purdue Pegboard Test, the Talking Pen by Wayne Engineering, the wall catch test, and the standardized finger-to-nose test. Results. There was a significant relationship between cervical radiculopathy and eye-hand coordination. There was a statistically significant difference between both groups (p = 0.001) in all eye-hand coordination tests as there was a significant decrease in Purdue Pegboard Test scores, dominant, non-dominant, bilateral, and assembly of the study group compared with that of the control group. There was a significant increase in Talking Pen test time and the number of errors of dominant and non-dominant hands in all tests of the study group compared with that of the control group. There was a significant decrease in standardized finger-to-nose scores and the wall catch test of the study group compared with that of the control group. There was a negative significant correlation between the numeric pain rating scale and Purdue Pegboard Test scores, standardized finger-to-nose test, and wall catch test. There was a positive significant correlation between the numeric pain rating scale and Talking Pen test time and the number of errors while using dominant and non-dominant hands. Conclusions. Patients with cervical radiculopathy have significant impairment in eye-hand coordination. This may give attention to physical therapists during the management of patients with cervical radiculopathy.
Key words cervical radiculopathy, neck pain, eye-hand coordination, Purdue Pegboard test, the Talking Pen, wall catch test, standardized finger-to-nose test
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Effectiveness of biopsychosocial approach for subacute neck pain among geriatrics

N.Sathiyaseelan, Shenbaga Sundaram Subramanian, Kumaresan A, Surya Vishnuram, K.C.Gayathri, Madhanraj Sekar, A.K.Keerthana

N.Sathiyaseelan et al. – Effectiveness of biopsychosocial approach for subacute neck pain among geriatrics –  Fizjoterapia Polska 2024; 24(4); 147-152

 

DOI: https://doi.org/10.56984/8ZG01A8N3P5

Abstract
Background: The geriatric Population faces common health challenges such as Frailty and neck Pain, which increases the risk for adverse ADL. It leads to a greater level of disability & Headache risk, lower physical functioning and reduced quality of life. A Biopsychosocial Approach centred on activities, emphasizing the enhancement of Biological factors, Psychological factors and Social functional performance to achieve the goals of the Biopsychosocial Approach. This involves intensifying exercise training by leveraging the environment, conducting thorough task analysis, providing feedback and consistently repeating training sessions. Objective: To determine the effects of the Biopsychosocial Approach on Subacute Neck Pain in the geriatric population, focusing on pain, neck-specific disability and work status. Methods: 64 samples were randomly allocated into two groups. The experimental group received the Biopsychosocial Approach, which integrated biological, psychological and social aspects activity-centred, emphasizing repeated training sessions over 8 weeks. The control group underwent Conservative Management 3 days/week for the same duration. Pre and post-test assessments were conducted using the PCS, NDI and AQoL-8D. Results: The significant improvements in the experimental group compared to the control group were demonstrated by the Wilcoxon Signed Rank Test and Mann-Whitney Rank scores (p < 0.001). Specifically, participants in the experimental group experienced reduced neck pain, enhanced neck function, and improved quality outcomes. The results suggest that the Biopsychosocial Approach effectively addressed the multifaceted nature of pain. Conclusion: The study provides compelling evidence supporting Biopsychosocial in reducing neck pain and improving overall quality of life among geriatric populations.
Keywords
biopsychosocial approach, cervical pain, posterior cervical pains, youngest old adults
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Effect of cervical stability exercises on neck pain and disability in patients with cervical spondylosis: A randomized controlled study

Amir Mohamed Saleh, Wael Osama Aly Abd El-khalek, Shaimaa Mohamed Metawee, Amr Saadeldeen Mohamed Shalaby

Amir Mohamed Saleh, Wael Osama Aly Abd El-khalek, Shaimaa Mohamed Metawee, Amr Saadeldeen Mohamed Shalaby – Effect of cervical stability exercises on neck pain and disability in patients with cervical spondylosis: A randomized controlled study. Fizjoterapia Polska 2021; 21(5); 104-111

DOI: https://doi.org/10.56984/8ZG2091C4

Abstract
Purpose. To investigate the effect of cervical stability exercises (CSE) on neck pain and neck functional disability in patients with cervical spondylosis.
Methods. Randomized controlled trial. Overall, 40 patients of both genders with age ranged from 40-65 years with mild to moderate cervical spondylosis were recruited randomly and divided into two equal groups; Group (A) (control group), received traditional treatment of cervical spondylosis for 4 weeks, Group (B) (experimental group), received the same traditional treatment plus CSE for 4 weeks. Pre- and post-treatment assessment using Visual analogue scale (VAS) and neck disability index (NDI) were done for all patients.
Results. The comparison between both groups post-treatment revealed statistically significant reductions in VAS, as well as NDI total score and NDI subscores (p < 0.05) in favour of experimental group (B).
Conclusion. Cervical stability exercises have a significant effect on reducing pain and improving function in patients with cervical spondylosis.
Key words:
Cervical spondylosis, Cervical stability exercises, Neck pain, Neck disability index
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Effect of different therapeutic modalities on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis: A randomized controlled trial

Nagwa Ibrahim Rehab, Marwa Shafiek Mustafa Saleh, Shaima M. Abdelmageed, Noura Elkafrawy

Nagwa Ibrahim Rehab, Marwa Shafiek Mustafa Saleh, Shaima M. Abdelmageed, Noura Elkafrawy – Effect of different therapeutic modalities on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis: A randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 170-177

Abstract
Background. Dizziness is a common symptom following cervical spondylosis which is due to disturbed sensory input from the neck proprioceptors. Both manual therapy and deep neck flexors training improve cervical joint position sense but yet there is no evidence about the most effective method for improving cervical joint position sense and dizziness in patients with cervical spondylosis. Purpose. To investigate and compare the effect of Mulligan sustained natural apophyseal glides (SNAGs), Maitland mobilization and deep cervical flexors (DCFs) training on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis. Methods. 56 patients with cervical spondylosis of both sexes aging from 40 to 55 years contributed in this study. Patients were chosen from Out-Patient Clinic, Faculty of Physical Therapy, Cairo University. They were randomly assigned to four groups (one control group and three study groups). Study group I received Mulligan SNAGs mobilization plus conventional physical therapy (Moist hot pack, Transcutaneous nerve stimulation (TENS), deep neck flexors exercises), study group II received Maitland passive mobilization plus conventional physical therapy, study group III received DCFs training plus conventional physical therapy and control group IV received conventional physical therapy only. Primary outcome was cervical joint position sense assessed by Head Repositioning Accuracy (HRA) measurement and secondary measures include assessment of dizziness intensity by dizziness- visual analogue scale (VAS), disability caused by dizziness using dizziness handicap inventory (DHI) and neck pain intensity using Numeric Pain Rating Scale (NPRS), all outcomes measures were assessed for each patient pre and post 6 weeks of treatment program in the four groups (3 sessions ∕week). Results. There was no significant difference in all measured variables (RT HRA, LT HRA, NPRS, Dizziness-VAS and DHI) between group I and II post six weeks of the treatment (p > 0.05). While there was a significant decrease in all measured variables in both group I and II in comparison with that of group III and group IV post treatment (p < 0.05) and in group III in comparison with that of group IV post treatment (p < 0.05).Conclusions. The results showed that both Mulligan SNAGs and Maitland passive mobilization have similar effect on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis. Each of them was more effective than DCFs in improving these problems.
Key words:
Cervicogenic dizziness; Neck proprioception; Neck pain; Maitland mobilization, Mulligan mobilization; Deep cervical flexors training; Cervical spondylosis
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Text neck vs. neck pain

Wojciech Błachnio

W. Błachnio – Text neck vs. neck pain. Fizjoterapia Polska 2020; 20(5); 114-121

Abstract

Neck pain is one of the main causes of disability for modern men. Text neck results from abnormalities in the posture of the upper body. It arises as a result of non-ergonomic positions in which man uses modern information technology devices. The most severe consequence of this poor posture is pain in the neck and upper back. The widespread use of these in particular mobile multimedia devices poses a risk of neck pain, especially among younger generations. This article tries to answer two questions: 1. What factors contribute to the appearance of pain in “text neck syndrome”? 2. How to measure postural distortion in “text neck syndrome”?

Key words:
text neck, neck pain
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Text Neck – a contemporary problem

Wojciech Błachnio

W. Błachnio – Text Neck – a contemporary problem. Fizjoterapia Polska 2020; 20(4); 160-166

Abstract

It is difficult to imagine the modern world without information technology, and people without computers, laptops or smartphones. The threats posed by modern technologies are largely related to posture disorders. In the article, on the basis of the collected English-language literature, I consider the most typical of these threats, which is “text neck”, a disease little-known in Poland – text neck syndrome. This article tries to answer the question what “text neck” is.

 

Key words:

text neck, neck pain

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Influence of selected designed paradigm in cervical radiculopathy: A randomized controlled trial

Ali Essawy Ali Mostafa, Abdul Aleem A. Atteya, Hoda Zakaria, Moataz Mohamed Talaat El Semary, Sherief Al Shazly

Ali Essawy Ali Mostafa, Abdul Aleem A. Atteya, Hoda Zakaria, Moataz Mohamed Talaat El Semary, Sherief Al Shazly – Influence of selected designed paradigm in cervical radiculopathy: A randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 138-142

Abstract

Purpose. To evaluate the effect of neural mobilization with or without mechanical intermittent traction on neck and arm pain, as well as functional disability in patients with unilateral cervical radiculopathy. Materials and methods. Thirty patients suffering from unilateral cervical radiculopathy were randomly assigned into two equal groups. Group (A) received only neural mobilization for 4 weeks (n = 15), while group (B) received neural mobilization plus mechanical intermittent traction for 4 weeks (n = 15). All patients in both groups were evaluated pre- and post-treatment with visual analogue scale (VAS) to assess neck and arm pain intensities, and neck disability index to assess functional disability. Results. Comparing both groups post-treatment showed that there was a_statistically significant reduction in neck and arm pain intensities, as well as functional disability (p < 0.05) in favor of group (B). Conclusions. Neural mobilization plus mechanical intermittent traction yield greater reduction in neck and arm pain intensities, as well as functional disability than neural mobilization alone in cervical radiculopathy patients.

 

Key words:

cervical radiculopathy, neural mobilization, intermittent cervical traction, neck pain, arm pain, functional disability

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