Immediate effects of active versus passive scapular correction on pain and pressure pain threshold in patients with chronic neck pain.

6533b853fe1ef96bd12ace2e

RESEARCH PRODUCT

Immediate effects of active versus passive scapular correction on pain and pressure pain threshold in patients with chronic neck pain.

Estibaliz Martínez Noguera Marta Peiró Puchades Maria Dolores Arguisuelas José A. Pérez Rodríguez Deborah Falla Enrique Lluch Otilia Calvente Quesada

subject

Male Pressure pain Severity of Illness Index law.invention Magnetic Resonance Imaging/methods Randomized controlled trial Scapula law Manipulation Spinal/methods Young adult Pain Measurement Neck pain Brain Mapping Neck Pain Pain Perception/physiology Manipulation Chiropractic Neck Pain/diagnosis Pain Perception Motion Therapy Continuous Passive/methods musculoskeletal system Magnetic Resonance Imaging Manipulation Chiropractic/methods Scapula Treatment Outcome Patient Satisfaction Manipulation Orthopedic Female medicine.symptom Chronic Pain Chronic Pain/diagnosis musculoskeletal diseases Adult Manipulation Spinal Pain Threshold medicine.medical_specialty Adolescent Young Adult Severity of illness medicine Pressure Humans In patient Manipulation Orthopedic/methods Pain Threshold/physiology Referred pain business.industry Motion Therapy Continuous Passive Surgery Patient Satisfaction/statistics & numerical data Chiropractics business Follow-Up Studies

description

OBJECTIVE: The purpose of this study was to investigate the effect of active vs passive scapular correction on pain and pressure pain threshold at the most symptomatic cervical segment in patients with chronic neck pain. METHODS: Twenty-three volunteers with chronic, idiopathic neck pain were recruited (age, 38.9 ± 14.4 years; sex [man/woman], 3/20; Neck Disability Index, 28.1% ± 9.9%). Subjects were randomly allocated to 2 groups: active scapular correction or passive scapular correction. Pressure pain threshold and pain intensity rated on a numerical rating scale during a posteroanterior glide over the most symptomatic cervical segment were measured before and immediately after the active or passive scapular intervention. RESULTS: Only the active scapular correction produced a reduction in pain (pre, 6.3 ± 1.2; post, 3.7 ± 2.4; P < .05) and increase in pressure pain threshold (pre, 8.7 ± 4.2 kg/cm(2); post, 10.1 ± 3.8 kg/cm(2); P < .05) at the most painful cervical segment. CONCLUSIONS: An active scapular correction exercise resulted in an immediate reduction of pain and pressure pain sensitivity in patients with chronic neck pain and scapular dysfunction.

year	journal	country	edition	language
2012-12-04	Journal of manipulative and physiological therapeutics

10.1016/j.jmpt.2014.08.007 https://pubmed.ncbi.nlm.nih.gov/25282679