Sasun Anam R, Jawade Swapna, Chitale Neha
Department of Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Oct 2;14(10):e29831. doi: 10.7759/cureus.29831. eCollection 2022 Oct.
In today's world, the upper cross syndrome is growing more common and becoming very prevalent among dental undergraduate practitioners. One of the most important conditions for which dentists seek physiotherapy treatment is neck pain. It is characterized by overactive pectoralis and trapezius muscles. It is frequently linked to poor posture in dental students' daily life, causing them to miss their work.
The first objective of our study was to find the efficacy of myofascial rollers and post-isometric relaxation technique along with conventional therapy for pain relief and correction of postural deviation in undergraduate dental students. And, the second objective of the study was to compare the effect of myofascial rollers and post-isometric relaxation techniques in upper cross syndrome.
The study was conducted with pre-test and post-test methods. The study consisted of 80 participants who were included based on our inclusion and exclusion criteria. The study sample was randomly assigned into two groups. Each group consisted of a total of 40 participants. Group A was treated using myofascial rollers and hot packs, and Group B was treated using the post-isometric relaxation technique and hot packs. Patients were asked to mark their intensity of pain on the Numerical Pain Rating Scale and an assessment of postural deviations (in mm) was noted through a plumb line in the posture grid. Posture assessment was done in lateral view. The protocol covered four weeks of treatment based on the defined protocol. Finally, the t-square test and Chi-square test were used to compare the difference in the result. Also, the level of significance was kept at <0.05.
Statistical analysis was done using descriptive and inferential statistics using student paired, unpaired, and chi-square test. IBM SPSS Statistics for Windows, Version 27.0 (Released 2020; IBM Corp., Armonk, New York, United States) was used. The Numerical Pain Rating Scale showed mean deviations of (4.15±1.29) for Group A and (3.30±1.01) for Group B. Plumb line assessment showed mean deviations of (9.09±4.31) for Group A and (6.33±2.36) for Group B. Also, Numerical Pain Rating Scale showed (t=3.26, p=0.002) and Plumb line deviation showed (t=3.57, p=0.001).
Through our study, we conclude that statistically no significant differences were found in pre-intervention and post-intervention, but myofascial rollers gave better results as compared to the post-isometric relaxation technique in alleviating pain and correcting postural deviation.
在当今世界，上交叉综合征在牙科本科从业者中越来越普遍。牙医寻求物理治疗的最重要病症之一是颈部疼痛。其特征是胸肌和斜方肌过度活跃。它经常与牙科学生日常生活中的不良姿势有关，导致他们无法工作。
我们研究的首要目的是找出肌筋膜滚轴和等长收缩后放松技术与传统疗法相结合对缓解本科牙科学生的疼痛和纠正姿势偏差的疗效。并且，该研究的第二个目的是比较肌筋膜滚轴和等长收缩后放松技术在上交叉综合征中的效果。
该研究采用前测和后测方法进行。该研究包括80名根据我们的纳入和排除标准纳入的参与者。研究样本被随机分为两组。每组共有40名参与者。A组使用肌筋膜滚轴和热敷袋进行治疗，B组使用等长收缩后放松技术和热敷袋进行治疗。要求患者在数字疼痛评分量表上标记他们的疼痛强度，并通过姿势网格中的铅垂线记录姿势偏差（以毫米为单位）。姿势评估在侧视图中进行。该方案基于定义的方案涵盖四周的治疗。最后，使用t检验和卡方检验来比较结果的差异。此外，显著性水平保持在<0.05。
使用学生配对、非配对和卡方检验的描述性和推断性统计进行统计分析。使用的是适用于Windows的IBM SPSS Statistics 27.0版（2020年发布；IBM公司，美国纽约州阿蒙克）。数字疼痛评分量表显示A组的平均偏差为(4.15±1.29)，B组为(3.30±1.01)。铅垂线评估显示A组的平均偏差为(9.09±4.31)，B组为(6.33±2.36)。此外，数字疼痛评分量表显示(t=3.26, p=0.002)，铅垂线偏差显示(t=3.57, p=0.001)。
通过我们的研究，我们得出结论，在干预前和干预后在统计学上未发现显著差异，但与等长收缩后放松技术相比，肌筋膜滚轴在减轻疼痛和纠正姿势偏差方面效果更好。
