Mekanik Boyun Ağrısı Olan Bireylerde, Skapular Retraksiyon Egzersizlerinin Ağrı, Yaşam Kalitesi ve Skapular Kinematiğe Etkisi

Abstract

The aim of the study was to compare two different physiotherapy programs on mechanical neck disorders and evaluate the effect of combine exercise program including scapular region. 23 subjects diagnosed with mechanical neck pain included to the study. Before treatments patient's pain intensity was measured with Visual Analog Scale, life quality was evaluated with Neck Disability Index and scapular kinematics were assessed by using electromagnetic system at 30-60-90-120 humerothoracic elevation degrees. The patients were randomly allocated into two groups. Both groups were followed up during 6 weeks. Group 1 received cervical mobilization and cervical exercises and Group 2 received cervical mobilization, cervical and scapular stabilization exercises. Patient's neck pain intensity was recorded weekly. After the treatment, Neck Disability Index score and scapular kinematics were measured. Non-parametric tests were performed for statistical analysis. Both groups showed significant decrease on pain intensity level and Neck Disability Index score when compared to pre and post treatment results (p<0.05). However; there was no difference between two groups in pain intensity and Neck Disability Index score (p>0.05). For scapular posterior tilt, there was significant increase in Group 2 compared to Group 1 (p<0.05). Scapular upward rotation at 600 and 900 of humerothoracic elevation and scapular posterior tilt at 1200 in Group 2 were increased after treatment (p<0.05). However; in Group 1, scapular upward rotation increased only at 900 humerothoracic elevation (p<0.05). In conclusion both groups showed similar improvements in neck pain intensity and quality of life. However; the scapular kinematics closed to the normal values in group 2. It is though that this improvement may reduce the risk of neck pain relapse. Therefore scapular stabilization exercise should include to the neck pain exercise. Future studies are needed for evaluating long term results of scapular exercise.