Orthopaedic and Rehabilitation Department, Medical University of Warsaw, Poland.
Oleksy Medical & Sports Sciences, Poland.
Biomed Res Int. 2021 Oct 7;2021:6886373. doi: 10.1155/2021/6886373. eCollection 2021.
The aim of this study was to assess the effectiveness of a 3-week rehabilitation programme focusing only on the cervical region, pain intensity, range of motion in the cervical spine, head posture, and temporomandibular joint (TMJ) functioning in subjects with idiopathic neck pain who did not report TMJ pain.
A parallel group trial with follow-up.
The study included 60 participants divided into 2 groups: experimental: = 25, 27-57 years old, experiencing idiopathic neck pain and who underwent a 3-week rehabilitation programme, and the control, = 35, 27-47 years, who were cervical pain-free. At baseline and after 3 weeks of treatment in the experimental group and with a 3-week time interval in the control group, pain intensity, head posture in the sagittal plane, range of motion in the cervical spine, and TMJ functioning were evaluated.
After 3 weeks of rehabilitation, there was a significant decrease in pain intensity, improved range of motion of the cervical spine and head posture, and improved clinical condition of TMJ in participants with idiopathic neck pain who did not report TMJ pain.
The study suggested that idiopathic neck pain is associated with limited range of motion in the cervical spine, incorrect head posture, and TMJ dysfunction. Our data suggests that therapy focusing only on the cervical region may improve the clinical condition of the TMJ in subjects with idiopathic neck pain who do not report TMJ pain. These observations could be helpful in physiotherapeutic treatment of neck and craniofacial area dysfunctions. This trial is registered with ISRCTN Registry ISRCTN14511735.
本研究旨在评估仅针对颈部区域、疼痛强度、颈椎活动范围、头部姿势和颞下颌关节（TMJ）功能的 3 周康复计划对无 TMJ 疼痛的特发性颈痛患者的有效性。
一项具有随访的平行组试验。
该研究纳入了 60 名参与者，分为两组：实验组（n=25，27-57 岁，患有特发性颈痛并接受了 3 周的康复计划）和对照组（n=35，27-47 岁，无颈椎疼痛）。在基线时和实验组治疗 3 周后以及对照组 3 周间隔后，评估疼痛强度、矢状面头部姿势、颈椎活动范围和 TMJ 功能。
经过 3 周的康复治疗，无 TMJ 疼痛的特发性颈痛患者的疼痛强度显著降低，颈椎活动范围和头部姿势得到改善，TMJ 的临床状况得到改善。
本研究表明特发性颈痛与颈椎活动范围受限、头部姿势不正确和 TMJ 功能障碍有关。我们的数据表明，仅针对颈部区域的治疗可能会改善无 TMJ 疼痛的特发性颈痛患者的 TMJ 临床状况。这些观察结果可能有助于治疗颈部和颅面区域功能障碍的物理治疗。该试验在 ISRCTN 注册处注册，注册号为 ISRCTN84107725。
