Yildiz Taha Ibrahim, Cools Ann, Duzgun Irem
Department of Physiotherapy and Rehabilitation, Hacettepe University, Turkey.
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University Hospital, Ghent, Belgium.
Clin Biomech (Bristol). 2019 Dec;70:97-106. doi: 10.1016/j.clinbiomech.2019.08.007. Epub 2019 Aug 16.
Although it is thought that there is a relationship between neck pain and scapular dysfunction, there are controversial results and no clear information in the literature regarding this issue. This study aimed to investigate the alterations in the 3-Dimensional scapular orientation on patients with non-specific neck pain.
Thirty-four patients with chronic non-specific neck pain [age, 29.1 (5) years; height, 165.3 (6.1) centimeters; weight, 62.1 (9.6) kilogram] and 29 healthy controls [age, 28.2 (3.3) years; height, 166.8 (8.1) centimeters; weight, 60.9 (8.5) kilogram] were included in the study. 3-Dimensional scapular kinematics were obtained during arm elevation and lowering trials in the sagittal, scapular, and frontal planes.
Compared to healthy controls, the patients with neck pain demonstrated significantly reduced upward scapular rotation on both the dominant and non-dominant sides in all three planes. Patients with neck pain had increased internal rotation in the sagittal and frontal planes on the dominant side and increased external rotation in the frontal plane on the non-dominant side. No difference was observed between groups considering posterior scapular tilt.
There are alterations in the 3-Dimensional scapular orientations in patients with chronic non-specific neck pain compared to healthy controls. Therefore, the scapular control may also be examined in patients with neck pain and it can be included in the rehabilitation program if needed.
尽管人们认为颈部疼痛与肩胛骨功能障碍之间存在关联，但关于这一问题的研究结果存在争议，且文献中尚无明确信息。本研究旨在调查非特异性颈部疼痛患者的三维肩胛骨方向变化。
本研究纳入了34例慢性非特异性颈部疼痛患者[年龄，29.1（5）岁；身高，165.3（6.1）厘米；体重，62.1（9.6）千克]和29例健康对照者[年龄，28.2（3.3）岁；身高，166.8（8.1）厘米；体重，60.9（8.5）千克]。在矢状面、肩胛面和额状面的手臂抬高和放下试验中获取三维肩胛骨运动学数据。
与健康对照者相比，颈部疼痛患者在所有三个平面上的优势侧和非优势侧肩胛骨向上旋转均显著减少。颈部疼痛患者优势侧在矢状面和额状面的内旋增加，非优势侧在额状面的外旋增加。在考虑肩胛骨后倾时，两组之间未观察到差异。
与健康对照者相比，慢性非特异性颈部疼痛患者的三维肩胛骨方向存在变化。因此，对于颈部疼痛患者也可检查肩胛骨控制情况，如有需要可将其纳入康复计划。
