Foundation University Institute of Rehabilitation Sciences FUIRS, Islamabad, Pakistan.
Riphah College Of Rehabilitation Sciences, Riphah International University, Islamabad, Pakistan.
J Pak Med Assoc. 2020 May;70(5):786-790. doi: 10.5455/JPMA.9596.
To compare the effects of static stretching with autogenic inhibition and reciprocal inhibition muscle energy techniques on pain, disability and range of motion in patients with mechanical neck pain.
A parallel design randomised controlled trial was conducted at Fauji Foundation Hospital and Railway-General Hospital, Rawalpindi, Pakistan, from April to November, 2017, and comprised of patients aged 18-70 years with neck pain of moderate intensity scoring 4-8 on numeric pain rating scale with limited or painful range of motion. The patients were randomly allocated via lottery method into static stretching group, autogenic inhibition muscle energy technique group and reciprocal inhibition muscle energy technique group. All the subjects received five consecutive treatments sessions. Outcome measurements included numeric pain rating scale score, neck disability index score and goniometry for cervical range of motion. Data was collected at baseline and after first and fifth sessions, and was analysed using SPSS 21.
Of the 78 subjects, there were 26(33.3%) in each of the three groups. Of them 7 were lost to follow-up and the study was completed by 71(91%) subjects. The overall mean age was 41.55±11.89 years (p>0.05). There was no significant difference between the groups at baseline (p>0.05). However, at first and second follow-up, there was a significant difference (p<0.05) between the groups in terms of immediate and short-term relief, except for immediate effects related to range of motion (p=0.056).
Significant difference existed among static stretching, autogenic inhibition and reciprocal inhibition groups in terms of pain, disability and range of motion in patients with mechanical neck pain.
比较静态拉伸、自生抑制和交互抑制肌肉能量技术对机械性颈痛患者疼痛、残疾和运动范围的影响。
本平行设计随机对照试验于 2017 年 4 月至 11 月在巴基斯坦拉瓦尔品第的 Fauji 基金会医院和铁路总医院进行，纳入年龄在 18-70 岁之间、数字疼痛评分量表（numeric pain rating scale）评分 4-8 分、中度颈痛、运动范围受限或疼痛的患者。患者通过抽签法随机分配至静态拉伸组、自生抑制肌肉能量技术组和交互抑制肌肉能量技术组。所有受试者均接受 5 次连续治疗。结局测量包括数字疼痛评分量表评分、颈痛残疾指数评分和颈椎运动范围的量角器测量。数据在基线、第一次和第五次治疗后采集，并使用 SPSS 21 进行分析。
在 78 名受试者中，每组各有 26 名（33.3%）。其中 7 名失访，71 名（91%）完成研究。总体平均年龄为 41.55±11.89 岁（p＞0.05）。各组在基线时无显著差异（p＞0.05）。然而，在第一次和第二次随访时，各组之间在即时和短期缓解方面存在显著差异（p＜0.05），除了与运动范围相关的即时效果（p=0.056）外。
在机械性颈痛患者的疼痛、残疾和运动范围方面，静态拉伸、自生抑制和交互抑制组之间存在显著差异。
