Park Gun-Woo, An Jungae, Kim Sang-Woo, Lee Byoung-Hee
Graduate School of Physical Therapy, Sahmyook University, Seoul 01795, Korea.
Virtual Rehabilitation Lab, Sahmyook University, Seoul 01795, Korea.
Healthcare (Basel). 2021 Nov 5;9(11):1514. doi: 10.3390/healthcare9111514.
This study aimed to investigate the effects of sling-based thoracic active exercise on pain, function, and quality of life in female patients with neck pain. A total of 27 female patients with neck pain were divided into the sling-based thoracic active exercise group ( = 14) and the control group ( = 13). The study group performed a sling-based thoracic active exercise with cervical manual therapy for 50 min a day, twice a week for 4 weeks, whereas the control group performed a placebo exercise with cervical manual therapy in the same manner as the study group. Evaluation of the degree of pain before and after treatment was based on the pressure pain threshold and numeric pain rating scale scores. The craniovertebral angle and neck disability index (NDI) were used to evaluate neck function, and quality of life was measured using the Short Form-36. Afterwards, the patients' pressure pain thresholds were significantly increased, and the numeric pain rating scale score was significantly decreased in both groups ( < 0.05). In terms of function, the craniovertebral angle was significantly increased in both groups ( < 0.05), and neck dysfunction significantly decreased ( < 0.05). The quality of life significantly increased in both groups ( < 0.05). The pressure pain threshold, craniovertebral angle, neck dysfunction index, and quality of life scores ( < 0.05) were significantly different between groups, except the numeric pain scale score. Our results showed that sling-based thoracic active exercise is effective in reducing pain and improving function and quality of life in female patients with neck pain, thus emphasizing the need for thoracic treatment for such patients.
本研究旨在探讨基于悬带的胸部主动运动对颈部疼痛女性患者的疼痛、功能及生活质量的影响。共有27例颈部疼痛女性患者被分为基于悬带的胸部主动运动组（ = 14）和对照组（ = 13）。研究组每天进行50分钟基于悬带的胸部主动运动并辅以颈椎手法治疗，每周两次，共4周，而对照组以与研究组相同的方式进行颈椎手法治疗并辅以安慰剂运动。基于压力痛阈和数字疼痛评分量表得分对治疗前后的疼痛程度进行评估。采用颅椎角和颈部功能障碍指数（NDI）评估颈部功能，使用简明健康状况调查量表（Short Form-36）测量生活质量。之后，两组患者的压力痛阈均显著升高，数字疼痛评分量表得分均显著降低（ < 0.05）。在功能方面，两组的颅椎角均显著增大（ < 0.05），颈部功能障碍显著减轻（ < 0.05）。两组的生活质量均显著提高（ < 0.05）。除数字疼痛量表得分外，两组间的压力痛阈、颅椎角、颈部功能障碍指数及生活质量得分（ < 0.05）均存在显著差异。我们的结果表明，基于悬带的胸部主动运动在减轻颈部疼痛女性患者的疼痛、改善功能及生活质量方面有效，从而强调了对此类患者进行胸部治疗的必要性。
