Faculty of Physical Education and Sport sciences, Department of Biomechanics and Sport injuries, Kharazmi University, Tehran, Islamic Republic of Iran.
Biomechanics and Corrective Exercise Laboratory, Faculty of Physical Education and Sport sciences, Kharazmi University, Mirdamad Blvd., Hesari St, Tehran, 00982122258084, Iran.
BMC Musculoskelet Disord. 2019 Feb 18;20(1):86. doi: 10.1186/s12891-019-2438-y.
The purpose of this study is to evaluate the effect of a six-week combined manual therapy (MT) and stabilizing exercises (SEs), with a one-month follow-up on neck pain and improving function and posture in patients with forward head and rounded shoulder postures (FHRSP).
Sixty women with neck pain and FHRSP were randomized into three groups: Group 1 performed SE and received MT (n = 20), Group 2 performed SE (n = 20) and Group 3 performed home exercises (n = 20) for six weeks. The follow-up time was one month after the post test. The pain, function, and head and shoulder angles were measured before and after the six-week interventions, and during a one-month follow-up.
There were significant within-group improvements in pain, function, and head and shoulder posture in groups 1 and 2. There were significant between-group differences in groups 1 and 2 in head posture, pain, and function favoring group 1 with effect size 0.432(p = 0.041), 0.533 (P = 0.038), and 0.565(P = 0.018) respectively. There were significant between-group differences in both intervention groups versus the control group favoring the intervention groups.
These findings suggest that both interventions were significantly effective in reducing neck pain and improving function and posture in patients. However, the improvement in function and pain were more effective in Group 1 as compared to Group 2, suggesting that MT can be used as a supplementary method to the stabilizing intervention in the treatment of neck pain. More researches are needed to confirm the result of this study.
UMIN000030141 modified on 2018.03.08. This study is a randomized control trial registered at UMIN-CTR website, the trial was retrospectively registered and the unique trial number is UMIN000030141 .
本研究旨在评估为期六周的综合手法治疗（MT）和稳定运动（SE），以及一个月的随访对颈痛和改善前伸头和圆肩姿势（FHRSP）患者的功能和姿势的影响。
60 名患有颈痛和 FHRSP 的女性被随机分为三组：第 1 组进行 SE 并接受 MT（n=20），第 2 组进行 SE（n=20），第 3 组进行家庭运动（n=20）六周。随访时间为 post test 后一个月。在六周干预前后以及一个月随访期间，测量疼痛、功能和头肩角度。
第 1 组和第 2 组在疼痛、功能和头肩姿势方面均有显著的组内改善。第 1 组和第 2 组在头位、疼痛和功能方面存在显著的组间差异，第 1 组具有优势，其效应大小分别为 0.432（p=0.041）、0.533（P=0.038）和 0.565（P=0.018）。与对照组相比，两组干预组之间均存在显著差异，均有利于干预组。
这些发现表明，两种干预措施均能显著减轻颈痛，改善患者的功能和姿势。然而，与第 2 组相比，第 1 组在功能和疼痛方面的改善更为显著，这表明 MT 可作为稳定干预治疗颈痛的补充方法。需要进一步的研究来证实本研究的结果。
UMIN000030141 于 2018 年 3 月 8 日修订。本研究是一项随机对照试验，在 UMIN-CTR 网站注册，该试验是回顾性注册，唯一的试验编号为 UMIN000030141。
