Uluğ Naime, Yılmaz Öznur Tunca, Kara Murat, Özçakar Levent
Department of Physical Medicine and Rehabilitation, Hacettepe University Medical School, 06000 Ankara, Turkey.
J Rehabil Med. 2018 Jan 10;50(1):80-85. doi: 10.2340/16501977-2288.
Various studies have shown the efficacy of conventional isometric, Pilates and yoga exercises. However, data on the effects and comparison of these specific exercises on the cervical muscle morphology are insufficient or lacking.
To investigate the effects of different exercise treatments on neck muscles in patients with chronic neck pain.
A randomized study.
Fifty-six patients with chronic neck pain were randomized into 3 groups as follows: Pilates group (n = 20), yoga group (n = 18) and isometric group (n = 18). Demographics and background information were recorded. The thickness and cross-sectional area of neck muscles were evaluated by ultrasound imaging. Cervical motions were measured with a goniometer. Pain severity was evaluated with the McGill Pain Scale, disability with the Neck Disability Index, quality of life with the Nottingham Health Profile, and emotional status with the Beck Depression Inventory. In addition to a conventional physio-therapy programme, 15 sessions of physical therapy, including hot pack, ultrasound, and transcutaneous electrical nerve stimulation (TENS), were provided to all patients. All groups performed the exercises for 6 weeks. The aforementioned assessments were performed before and 6 weeks after the treatment.
Although pain, disability, depression and quality of life improved similarly within all groups (all p < 0.05), muscle thickness values as regards the semispinalis capitis were increased only in the Pilates group (p = 0.022).
The lack of complex (progressive resistive) exercise treatment protocols, short treatment duration and partial supervision.
All 3 types of exercise had favourable effects on pain and functional scores, but no differences were found among the groups, except for the Pilates group, in which the semispinalis capitis muscle increased in thickness.
多项研究已表明传统等长运动、普拉提运动和瑜伽运动的功效。然而，关于这些特定运动对颈部肌肉形态的影响及比较的数据不足或缺乏。
探讨不同运动疗法对慢性颈部疼痛患者颈部肌肉的影响。
一项随机研究。
56例慢性颈部疼痛患者被随机分为3组，如下：普拉提组（n = 20）、瑜伽组（n = 18）和等长运动组（n = 18）。记录人口统计学和背景信息。通过超声成像评估颈部肌肉的厚度和横截面积。用角度计测量颈椎活动度。用麦吉尔疼痛量表评估疼痛严重程度，用颈部功能障碍指数评估功能障碍，用诺丁汉健康量表评估生活质量，用贝克抑郁量表评估情绪状态。除了常规物理治疗方案外，所有患者均接受15次物理治疗，包括热敷、超声和经皮电刺激神经疗法（TENS）。所有组均进行6周的运动。在治疗前和治疗6周后进行上述评估。
尽管所有组内疼痛、功能障碍、抑郁和生活质量均有相似改善（所有p < 0.05），但仅普拉提组头半棘肌的肌肉厚度值增加（p = 0.022）。
缺乏复杂（渐进性抗阻）运动治疗方案、治疗持续时间短和部分监督。
所有3种运动对疼痛和功能评分均有有益影响，但除普拉提组头半棘肌厚度增加外，各治疗组之间未发现差异。
