Seo Yong Gon, Park Won Hah, Lee Chong Suh, Kang Kyung Chung, Min Kyoung Bin, Lee Sang Min, Yoo Jae Chul
Division of Sports Medicine, Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Orthopedic Surgery, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.
Asian Spine J. 2020 Feb;14(1):122-129. doi: 10.31616/asj.2019.0055. Epub 2019 Nov 1.
Scapular stabilization is thought to have an important role in improving pain and dysfunction around the neck and shoulders, but evidence of this is lacking. We aim to systematically review the effect of a scapular stabilization exercise (SSE) on pain and dysfunction in patients with nonspecific chronic neck pain (NP). We searched the PubMed, EMBASE, CINAHL, and Cochrane Library databases using the terms (NP [MeSH] OR NP OR cervical pain OR neck ache OR cervicalgia) AND (scapular exercise OR periscapular exercise OR SSEs). We included suitable studies that met the study's inclusion criteria. Among the 227 studies identified by our search strategy, a total of four (three randomized controlled studies and one prospective study) met the inclusion criteria. The SSE was intense. It included three sets of 10 repetitions. In most of the studies, the exercises were conducted 3 times per week. Most studies reported that the SSE improved pain and dysfunction in patients with nonspecific chronic NP; however, the reviewed articles did not use the same variables for measurement. Additionally, the sample size was small. Although several studies show that SSE might improve NP and dysfunction, the effects of SSE on pain and dysfunction in the neck region remain unclear because the number of studies was small. Further high-quality studies are necessary to identify the detailed effects of SSE in patients with NP.
肩胛骨稳定被认为在改善颈部和肩部周围的疼痛及功能障碍方面具有重要作用，但缺乏相关证据。我们旨在系统评价肩胛骨稳定训练（SSE）对非特异性慢性颈部疼痛（NP）患者疼痛和功能障碍的影响。我们使用检索词（NP [医学主题词] 或NP或颈部疼痛或颈痛或颈椎病）和（肩胛骨训练或肩胛周围训练或SSE）检索了PubMed、EMBASE、CINAHL和Cochrane图书馆数据库。我们纳入了符合研究纳入标准的合适研究。在我们的检索策略所识别的227项研究中，共有四项（三项随机对照研究和一项前瞻性研究）符合纳入标准。SSE强度较大。包括三组，每组重复10次。在大多数研究中，训练每周进行3次。大多数研究报告称，SSE改善了非特异性慢性NP患者的疼痛和功能障碍；然而，综述文章并未使用相同的变量进行测量。此外，样本量较小。尽管有几项研究表明SSE可能改善NP和功能障碍，但由于研究数量较少，SSE对颈部区域疼痛和功能障碍的影响仍不明确。需要进一步开展高质量研究来确定SSE对NP患者的具体影响。
