İstanbul Gelisim University, Vocational School of Health Services, İstanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Kırıkkale University Faculty of Health Sciences, Kırıkkale, Turkey.
J Bodyw Mov Ther. 2023 Jul;35:261-267. doi: 10.1016/j.jbmt.2023.04.008. Epub 2023 Apr 19.
This study is aimed to evaluate pain, muscle strength, scapular muscular endurance and scapular kinesis in individuals with Nonspecific Chronic Neck Pain and to compare them with asymptomatic individuals. In addition, to investigate the effect of mechanical changes in the scapular region on neck pain.
40 individuals who applied to Kırıkkale University Faculty of Medicine Hospital Physical Therapy and Rehabilitation Center and diagnosed with NSCNP and 40 asymptomatic individuals for the control group were included the study. Pain was evaluated with Visual Analogue Scale, pain threshold and pain tolerance with algometer, cervical deep flexor group muscle strength with Stabilizer Pressure Biofeedback device, and neck and scapulothoracic muscle strength with Hand Held Dynamometer. Scapular Dyskinesia Test, Scapular Depression Test and Lateral Scapular Slide Test were used to evaluate scapular kinesis. A timer was used to evaluate scapular muscular endurance.
Pain threshold and pain tolerance values of the NSCNP group were lower (p < 0.05). Muscle strength around neck and scapulothoracic region of the NSCNP group were lower than the asymptomatic individuals (p < 0.05). NSCNP group had more scapular dyskinesia (p < 0.05). Scapular muscular endurance values of the NSCNP group were lower (p < 0.05).
As a result, pain threshold and pain tolerance decreased, muscle strength of the neck region and the scapular region decreased, scapular endurance values decreased and the incidence of scapular dyskinesia increased in the individuals with NSCNP compared to the asymptomatic individuals. It is thought that our study will provide a different perspective in the evaluation of neck pain and including the scapular region to the evaluations.
本研究旨在评估患有非特异性慢性颈痛（Nonspecific Chronic Neck Pain，NSCNP）的个体的疼痛、肌肉力量、肩胛肌肉耐力和肩胛运动，并将其与无症状个体进行比较。此外，还研究了肩胛区域机械变化对颈痛的影响。
本研究纳入了 40 名向基里卡莱大学医学院物理治疗和康复中心就诊并被诊断为 NSCNP 的患者和 40 名无症状个体作为对照组。使用视觉模拟评分法（Visual Analogue Scale）评估疼痛，用触诊仪评估疼痛阈值和疼痛耐受力，用稳定器压力生物反馈装置评估颈椎深层屈肌群肌肉力量，用手持测力计评估颈肩部和肩胛胸肌群肌肉力量。使用肩胛运动测试、肩胛下降测试和肩胛侧滑测试来评估肩胛运动。使用定时器评估肩胛肌肉耐力。
NSCNP 组的疼痛阈值和疼痛耐受力值较低（p<0.05）。NSCNP 组的颈肩部和肩胛胸肌群的肌肉力量均低于无症状个体（p<0.05）。NSCNP 组的肩胛运动异常发生率较高（p<0.05）。NSCNP 组的肩胛肌肉耐力值较低（p<0.05）。
与无症状个体相比，NSCNP 个体的疼痛阈值和疼痛耐受力降低，颈肩部和肩胛区域的肌肉力量降低，肩胛耐力值降低，肩胛运动异常的发生率增加。我们的研究结果为评估颈痛提供了一个新的视角，即包括肩胛区域的评估。
