Tag: Mechaniczny ból szyi

Deep cervical flexor pressure biofeedback exercise versus integrated neuromuscular inhibition technique in chronic mechanical neck pain: a randomized controlled trial

Eman Mohamed Fahmy, Ghada Ismail Mohamed, Ragia Mohamed Kamel, Amira Hussin Draz

Eman Mohamed Fahmy, Ghada Ismail Mohamed, Ragia Mohamed Kamel, Amira Hussin Draz – Deep cervical flexor pressure biofeedback exercise versus integrated neuromuscular inhibition technique in chronic mechanical neck pain: a randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 186-192

Abstract
Purpose. This study conducted to compare between the effect of deep cervical flexor pressure biofeedback exercise and Integrated neuromuscular inhibition technique on treatment of chronic mechanical neck pain. Materials and methods. Forty-five patients (34 females, 11 males), with age (27.47 ± 3.29) years with Chronic mechanical neck pain randomly assigned into three equal groups, Group (A): received Deep cervical flexor pressure biofeedback exercise plus traditional program, Group (B): Integrated neuromuscular inhibition technique plus traditional program and Group (C) only traditional program (Infrared, Ultrasonic, and massage) for three weeks, three sessions per week. The outcomes measured by inclinometer for cervical range of motion assessment in six directions, visual analogue scale for pain and neck pain disability index for functional disability, before and after treatment. Results. within group analysis revealed significant difference in range of motion, pain and neck pain disability index before and after the treatment in the three groups as p ˂ 0.05, and between group analysis revealed significant difference of range of motion, pain after treatment in favor to group A, as p ˂ 0.05 while no significant difference between group A, B in NDI as P > 0.05. Conclusions. Deep cervical flexor biofeedback exercise and Integrated neuromuscular inhibition technique are effective modalities for treating chronic mechanical neck pain with superior effect of Deep cervical flexor biofeedback exercise.
Key words:
Deep cervical flexor, pressure biofeedback exercise, Integrated neuromuscular inhibition technique, Mechanical neck pain, Neck pain disability index
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Ischemic Compression Technique Versus Myofascial Release of Upper Trapezius Muscle in Mechanical Neck Pain in Females of Jouf University

Zeinab A. Ali, Amera Bekhatroh Rashed, Nevin Adel Amer Ismael, Hanaa Elsayed Ahmed Shahin, Anwar Abdullah Alshara-ri, Eman Elsayed Bauomey Mohamed, Radwa T ELshor-bagy, Nesma M Allam

Zeinab A. Ali, Amera Bekhatroh Rashed, Nevin Adel Amer Ismael, Hanaa Elsayed Ahmed Shahin, Anwar Abdullah Alshara-ri, Eman Elsayed Bauomey Mohamed, Radwa T ELshor-bagy, Nesma M Allam – Ischemic Compression Technique Versus Myofascial Release of Upper Trapezius Muscle in Mechanical Neck Pain in Females of Jouf University . Fizjoterapia Polska 2021; 21(3); 156-162

Abstract
Background. Neck pain can have an insidious [mechanical] or traumatic onset. Mechanical neck pain is defined as pain in the cervical spine and shoulder area with symptoms of neck position, movements or contact with cervical muscles. Aim. is to compare the effect of ischaemic compres-sion (IC) and myoficial release of the trapezius muscle in patients with mechanical neck pain. Mate-rials and methods. A two-week randomized experimental study. Thirty female patients who had mechanical neck pain, aged from 18 to 55 years old, were randomized into 2 equal groups. Group A received myofascial release technique plus cryotherapy for two weeks, 3 sessions per week., while Group B received ischemic compression plus cryotherapy for two weeks, 3 sessions per week. All participants in both groups were evaluated before and after training for Visual Analog scale (VAS), Neck disability index (NDI) and cervical range of motion by Universal Goniometer. Re-sults. There was a significant decrease in VAS and NDI post treatment in the group A and B com-pared with that pretreatment (p > 0.05). There was a significant increase in neck ROM post treat-ment in the group B and A compared with that pretreatment (p > 0.001). Comparison between the group A and B post treatment revealed a significant decrease in VAS and NDI of the group B com-pared with that of the group A (p > 0.05). Also, there was a significant increase in flexion, exten-sion, side bending, and rotation of the group B compared with that of the group A (p > 0.001). Con-clusions. It was concluded that application of ischemic compression 3 times / weeks for 2 weeks is an effective short-term method to reduce pain, increasing cervical ROM, and functional abilities of patients with mechanical neck pain.
Key words:
Ischemic Compression, Mechanical neck pain, Myofascial Trigger Point
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