Joshi Reema, Poojary Nishita
Dr. D.Y. Patil College of Physiotherapy College, Pune, India.
Int J Ther Massage Bodywork. 2022 Jun 1;15(2):14-21. doi: 10.3822/ijtmb.v15i2.673. eCollection 2022 Jun.
Neck pain is a common problem in individuals despite different types of working patterns. Forward head posture is a common identified cause of chronic neck pain in patients. The effect of long-term forward head posture can be loss of function which can limit individuals' capacity to work or do activities of daily living; hence it becomes necessary to intervene with muscle strengthening to improve neck stability, as well as mobility.
To assess effectiveness of muscle energy technique (MET) and posture correction exercises on pain and function in patients with non-specific chronic neck pain having forward head posture.
Outpatient department of Dr. D. Y. Patil College of Physiotherapy, Pune, India.
Both males and females between the ages of 21-60 years with a cranio-vertebral angle of less than 48° were included in study.
A randomized clinical trial.
MET group received muscle energy treatment + posture correction exercises, and control group receiving neck range of motion treatment. Outcomes measures were pain (Numerical Pain Rating Scale), function (Neck Disability Index), and cranio-vertebral angle (MB ruler).
Forty-eight subjects were included in the analysis, with 23 participants in Group A (MET) and 25 in Group B (Control). While both groups showed within-group improvements, Group A had significantly greater decreases in neck pain ( < .001), Neck Disability Index scores ( < .001), and significantly greater improvements in cranio-vertebral angles ( < .025) compared to group B.
The combined effect of MET and posture correction exercises provides significantly greater results than neck range of motion treatment, and muscle energy technique should be included in the treatment of non-specific chronic neck pain in individuals with forward head posture.
尽管工作模式不同，但颈部疼痛在人群中是一个常见问题。头部前倾姿势是患者慢性颈部疼痛的常见病因。长期头部前倾姿势的影响可能是功能丧失，这会限制个人的工作能力或进行日常生活活动的能力；因此，有必要通过加强肌肉力量来干预，以改善颈部稳定性和活动能力。
评估肌肉能量技术（MET）和姿势矫正练习对有头部前倾姿势的非特异性慢性颈部疼痛患者的疼痛和功能的有效性。
印度浦那D.Y.帕蒂尔物理治疗学院门诊部。
年龄在21 - 60岁之间、颅椎角小于48°的男性和女性均纳入研究。
一项随机临床试验。
MET组接受肌肉能量治疗 + 姿势矫正练习，对照组接受颈部活动范围治疗。结果测量指标为疼痛（数字疼痛评分量表）、功能（颈部残疾指数）和颅椎角（MB尺）。
48名受试者纳入分析，A组（MET组）23名参与者，B组（对照组）25名参与者。虽然两组组内均有改善，但与B组相比，A组颈部疼痛（<.001）、颈部残疾指数评分（<.001）显著降低，颅椎角显著改善（<.025）。
MET和姿势矫正练习的联合效果比颈部活动范围治疗的效果显著更好，肌肉能量技术应纳入有头部前倾姿势的非特异性慢性颈部疼痛患者的治疗中。
