Javdaneh Norollah, Barati AmirHossein, Shojaedin Sadredin, Mirzaei Roohollah Mohammadi
Department of Biomechanics and Sport Injuries, Kharazmi University, Tehran, Iran.
Department of Health and Exercise Rehabilitation, Shahid Beheshti University of Tehran, Tehran, Iran.
BMC Musculoskelet Disord. 2025 Jul 2;26(1):585. doi: 10.1186/s12891-025-08916-1.
research indicates that individuals with chronic neck pain often exhibit scapular dyskinesia, leading to negative effects on pain intensity, posture, and muscle activation pattern, However, the role of scapular dyskinesia in mechanical neck pain remains enigmatic. The purpose of this study was to investigate the relevance between chronic neck pain and scapular dyskinesia.
A systematic review of the literature was conducted using the adapted Newcastle-Ottawa scale (NOS). Web of Science, PubMed, Scopus and Google Scholar, and the grey literature were searched from inception to June 2024. GRADE criteria were used to evaluate the overall quality and strength of evidence.
19 articles (3 case control; 16 cross-sectional studies, total sample = 1365) were included. Based on the NOS, of the 19 studies examined, 14 (73%) were found to have a moderate risk of bias, 3 study (15%) had a low risk and 2 study (10%) had a high risk of bias. Studies have shown that there is a relationship between chronic neck pain and scapular dyskinesia, indicating that individuals with chronic neck pain exhibit a higher prevalence of scapular dyskinesis compared to those without such symptoms. However, the quality and strength of the evidence was very low according to the GRADE criteria.
The study implies that physical therapy practices should consider assessing and addressing scapular kinematics in patients with neck pain, as scapular dysfunction may contribute to their symptoms. Understanding the relationship between neck pain and scapular mechanics may inform more effective treatment strategies and individualized care plans. However, the overall quality of the evidence was low. More longitudinal cohort studies are needed. Future studies should investigate the causal relationship between chronic neck pain and scapular dyskinesia.
CRD42024554365.
研究表明，患有慢性颈部疼痛的个体常表现出肩胛骨运动障碍，对疼痛强度、姿势和肌肉激活模式产生负面影响。然而，肩胛骨运动障碍在机械性颈部疼痛中的作用仍不明确。本研究的目的是调查慢性颈部疼痛与肩胛骨运动障碍之间的相关性。
使用改编后的纽卡斯尔-渥太华量表（NOS）对文献进行系统回顾。检索了Web of Science、PubMed、Scopus和谷歌学术数据库以及灰色文献，检索时间从数据库建立至2024年6月。采用GRADE标准评估证据的总体质量和强度。
纳入19篇文章（3篇病例对照研究；16篇横断面研究，总样本量=1365）。根据NOS，在审查的19项研究中，14项（73%）存在中度偏倚风险，3项研究（15%）存在低偏倚风险，2项研究（10%）存在高偏倚风险。研究表明，慢性颈部疼痛与肩胛骨运动障碍之间存在关联，表明与没有此类症状的个体相比，患有慢性颈部疼痛的个体肩胛骨运动障碍的患病率更高。然而，根据GRADE标准，证据的质量和强度非常低。
该研究表明，物理治疗实践应考虑评估和处理颈部疼痛患者的肩胛骨运动学，因为肩胛骨功能障碍可能导致他们的症状。了解颈部疼痛与肩胛骨力学之间的关系可能有助于制定更有效的治疗策略和个性化护理计划。然而，证据的总体质量较低。需要更多的纵向队列研究。未来的研究应调查慢性颈部疼痛与肩胛骨运动障碍之间的因果关系。
PROSPERO注册号：CRD42024554365。
