Department of Physiotherapy, Sindh Institute of Physical Medicine & Rehabilitation, Chand Bibi Road, Karachi 74200, Pakistan.
University Institute of Physical Therapy, The University of Lahore, Lahore 54400, Pakistan.
Medicina (Kaunas). 2024 Sep 3;60(9):1437. doi: 10.3390/medicina60091437.
: It has been seen that jaw opening is associated with neck extension and jaw closing is associated with neck flexion. This natural association between the jaw and neck can be used as a novel approach to treat chronic non-specific neck pain, although the effects of this concept have never been previously evaluated as a treatment strategy. This article intends to study the effects of integrating jaw opening and closing movements along with active neck exercises versus active neck exercises alone in the management of chronic non-specific neck pain. : A total of 80 patients, aged 20 to 50, with chronic non-specific neck pain were included in a double-blind randomized controlled trial, conducted at the Sindh Institute of Physical Medicine and Rehabilitation, Karachi, Pakistan from 2018 to 2022. The patients were divided into two groups: Group A patients were assigned jaw movements with active neck exercises, while Group B patients were assigned only active neck exercises. Both groups were assigned isometric strengthening exercises and self-resisted strengthening exercises for cervical spine muscles as a home plan. The study used various outcome measures, including the numerical pain rating scale (NPRS), neck disability index (NDI), neck flexion endurance (NFE), neck extension endurance (NEE), the neck proprioception error (NPE): neck flexion proprioception error (NFPE), neck extension proprioception error (NEPE), neck right rotation proprioception error (NRRPE), and neck left rotation proprioception error (NLRPE), with measurements taken at week 1 and week 6, respectively; the mean differences between the groups were measured using a two-way repeated ANOVA. : The experimental group showed better improvements compared to the control group, NPRS (73%), NDI (57%), NFE (152%), NEE (83%), NFPE (58%), NEPE (65%), NRRPE (65%), and NLRPE (62%), with a significant difference ( < 0.05). : Active neck extension and flexion movements combined with jaw opening and closing are more effective in reducing pain and disability, improving neck muscles endurance and normalizing neck proprioception in patients with chronic neck pain.
已经观察到，张口与颈部伸展有关，而闭口与颈部屈曲有关。这种下颌与颈部之间的自然关联可以作为一种新的方法来治疗慢性非特异性颈部疼痛，尽管这一概念的效果以前从未作为一种治疗策略进行过评估。本文旨在研究在慢性非特异性颈部疼痛的管理中，将张口和闭口运动与主动颈部运动相结合与仅进行主动颈部运动相比的效果。
2018 年至 2022 年，在巴基斯坦卡拉奇的信德物理医学与康复研究所进行了一项双盲随机对照试验，共纳入 80 名年龄在 20 至 50 岁之间的慢性非特异性颈部疼痛患者。患者被分为两组：A 组患者被分配进行张口和主动颈部运动，而 B 组患者仅被分配进行主动颈部运动。两组患者均被分配进行等长强化运动和自我抵抗强化运动以锻炼颈部肌肉，并作为家庭计划。该研究使用了各种结果测量指标，包括数字疼痛评分量表（NPRS）、颈部残疾指数（NDI）、颈部前屈耐力（NFE）、颈部后伸耐力（NEE）、颈部本体感受误差（NPE）：颈部前屈本体感受误差（NFPE）、颈部后伸本体感受误差（NEPE）、颈部右侧旋转本体感受误差（NRRPE）和颈部左侧旋转本体感受误差（NLRPE），分别在第 1 周和第 6 周进行测量；使用双向重复方差分析测量两组之间的平均差异。
实验组的改善优于对照组，NPRS（73%）、NDI（57%）、NFE（152%）、NEE（83%）、NFPE（58%）、NEPE（65%）、NRRPE（65%）和 NLRPE（62%），差异具有统计学意义（<0.05）。
主动颈部伸展和屈曲运动与张口和闭口运动相结合，在减轻疼痛和残疾、改善颈部肌肉耐力以及使慢性颈部疼痛患者的颈部本体感受正常化方面更为有效。
