Colak Gamze Yalcinkaya, Kirmizi Muge, Sengul Yesim Salik, Kalemci Orhan, Angin Salih
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Yozgat Bozok University, Yozgat, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.
Pain Manag Nurs. 2025 Feb;26(1):e82-e87. doi: 10.1016/j.pmn.2024.08.002. Epub 2024 Sep 7.
To compare trunk flexor, extensor, and lateral flexor muscle endurance between women with moderate to severe disability due to chronic neck pain (CNP) and asymptomatic women.
Observational case-control study.
Thirty women with CNP and Neck Disability Index scores ranging from 30% to 70% and 28 asymptomatic women were included. The visual analog scale was used to assess neck pain intensity at rest and during activity. To assess trunk muscles endurance, trunk flexor endurance test, Sorensen test, and side bridge endurance test were performed.
Analysis of covariance indicated that neck pain group had lower body mass index-adjusted endurance times of trunk flexor, extensor, and lateral flexor muscles with large effect sizes (p < .001, η = 0.378-0.696). Trunk flexor endurance time showed a moderately negative correlation with neck pain intensity at rest and a weakly negative correlation with neck disability score (r = -460 and -365, p < .05).
Women with moderate to severe disability due to CNP exhibited decreased trunk muscle endurance, which may be a predisposing factor for low back pain. Also, trunk flexor endurance was related to neck pain complaints. A holistic approach, addressing the entire spine rather than focusing solely on the cervical region, might be useful for managing CNP.
The findings of reduced endurance in trunk muscles should be considered when incorporating interventions in the management of CNP to effectively address pain and disability.
比较因慢性颈部疼痛（CNP）导致中度至重度残疾的女性与无症状女性之间的躯干屈肌、伸肌和侧屈肌耐力。
观察性病例对照研究。
纳入30名CNP且颈部残疾指数评分在30%至70%之间的女性以及28名无症状女性。采用视觉模拟量表评估静息和活动时的颈部疼痛强度。为评估躯干肌肉耐力，进行了躯干屈肌耐力测试、索伦森测试和侧桥耐力测试。
协方差分析表明，颈部疼痛组在调整体重指数后的躯干屈肌、伸肌和侧屈肌耐力时间较低，效应量较大（p <.001，η = 0.378 - 0.696）。躯干屈肌耐力时间与静息时的颈部疼痛强度呈中度负相关，与颈部残疾评分呈弱负相关（r = -460和-365，p <.05）。
因CNP导致中度至重度残疾的女性表现出躯干肌肉耐力下降，这可能是腰痛的一个诱发因素。此外，躯干屈肌耐力与颈部疼痛主诉有关。采用整体方法，针对整个脊柱而非仅关注颈椎区域，可能对管理CNP有用。
在将干预措施纳入CNP管理以有效解决疼痛和残疾问题时，应考虑躯干肌肉耐力降低的发现。
