Efektivitas penambahan mobilisasi sendi dan pelatihan stabilisasi pada non-specific neck pain
Abstract
Background: Neck pain is a common complaint that often occurs in the community with a total prevalence of 86%. Non-specific neck pain cause problems such as: range of motion limitation, increased neck disability, and increased in the angle of forward head posture.
Objective: The purpose of this study was to determine the effectiveness of adding joint mobilization and stabilization exercise to ultrasound therapy (UST) intervention and stretching exercise in reducing neck pain and disability in non-specific neck pain.
Methods: This study is an experimental study with a randomized controlled trial group design. Study participants were randomly divided into two groups. The control group (n=14) was given UST + stretching exercise while the treatment group (n=14) was given UST + stretching exercise + joint mobilization + stabilization exercise. This study measures the effectiveness of therapy in terms of reducing pain as measured by a visual analogue scale, as well as neck disability with the Indonesian version of the Modified Northwick Park neck pain Questionnaire (MNPQ).
Results: The results of the comparison test between groups showed that there was a significant difference (p<0.05) in the reduction in pain and disability scores between the control and treatment groups.
Conclusion: The addition of joint mobilization and neck stabilization exercises to the intervention of ultrasound therapy and stretching training was more significant than the administration of ultrasound therapy and stretching training alone in reducing neck pain and disability in non-specific neck pain.
References
Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM, Silva AG. The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis. Current Reviews in Musculoskeletal Medicine. 2019;12(4):562-577. doi:10.1007/s12178-019-09594-y
Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. Journal of Back and Musculoskeletal Rehabilitation. 2018;30(6):1149-1169. doi:10.3233/BMR-169615
Papadopoulos ES, Mani R. The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain. The International Journal of Lower Extremity Wounds. 2020;19(4):350-358. doi:10.1177/1534734620948343
de Oliveira Perrucini PD, Poli-Frederico RC, de Almeida Pires-Oliveira DA, et al. Anti-Inflammatory and Healing Effects of Pulsed Ultrasound Therapy on Fibroblasts. American Journal of Physical Medicine & Rehabilitation. 2020;99(1):19-25. doi:10.1097/PHM.0000000000001265
Noori SA, Rasheed A, Aiyer R, et al. Therapeutic Ultrasound for Pain Management in Chronic Low Back Pain and Chronic Neck Pain: A Systematic Review. Pain Medicine. 2020;21(7):1482-1493. doi:10.1093/pm/pny287
Lee HS, Yeom HJ. The Effect of Cervical Stretching on Neck Pain and Pain Free Mouth Opening. In: ; 2012:204-210. doi:10.1007/978-3-642-35603-2_30
Sudaryanto, Sutjana D, Irfan M. Pemberian Teknik Mulligan Dan Soft Tissue Mobilization Lebih Baik Daripada Hanya Soft Tissue Mobilization Dalam Meningkatkan Lingkup Gerak Sendi Ekstensi, Rotasi, Lateral Fleksi Cervical Pada Mechanical Neck Pain. Sport and Fitness Journal. 2013;1(2). https://ojs.unud.ac.id/index.php/sport/article/view/7182
Slaven EJ, Goode AP, Coronado RA, Poole C, Hegedus EJ. The relative effectiveness of segment specific level and non-specific level spinal joint mobilization on pain and range of motion: results of a systematic review and meta-analysis. Journal of Manual & Manipulative Therapy. 2013;21(1):7-17. doi:10.1179/2042618612Y.0000000016
Wu B, Yuan H, Geng D, Zhang L, Zhang C. The Impact of a Stabilization Exercise on Neck Pain: A Systematic Review and Meta-analysis. Journal of Neurological Surgery Part A: Central European Neurosurgery. 2020;81(04):342-347. doi:10.1055/s-0039-3400953
Dusunceli Y, Ozturk C, Atamaz F, Hepguler S, Durmaz B. Efficacy of neck stabilization exercises for neck pain: A randomized controlled study. Journal of Rehabilitation Medicine. 2009;41(8):626-631. doi:10.2340/16501977-0392
Nugraha MHS, Antari NKAJ, Saraswati NLPGK. THE VALIDITY AND RELIABILITY OF THE MODIFICATION OF NORTHWICK PARK NECK PAIN QUESTIONNAIRE IN INDONESIAN VERSION FOLLOWING CROSS-CULTURAL ADAPTATION IN MECHANICAL NECK PAIN. Majalah Ilmiah Fisioterapi Indonesia. 2019;7(3):1. doi:10.24843/MIFI.2019.v07.i03.p01
Watson T. Ultrasound Dose Calculations. Published 2017. http://www.electrotherapy.org/assets/Downloads/Ultrasound Dose Calculations 2017.pdf
Kanlayanaphotporn R, Chiradejnant A, Vachalathiti R. The Immediate Effects of Mobilization Technique on Pain and Range of Motion in Patients Presenting With Unilateral Neck Pain: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation. 2009;90(2):187-192. doi:10.1016/j.apmr.2008.07.017
Kisner C, Colby L. Therapeutic Exercise: Foundations and Techniques. F.A. Davis Company; 2012.
Coulter ID, Crawford C, Vernon H, et al. Manipulation and Mobilization for Treating Chronic Nonspecific Neck Pain: A Systematic Review and Meta-Analysis for an Appropriateness Panel. Pain Physician. 2019;22(2):E55-E70. http://www.ncbi.nlm.nih.gov/pubmed/30921975
Fathollahnejad K, Letafatkar A, Hadadnezhad M. The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study. BMC Musculoskeletal Disorders. 2019;20(1):86. doi:10.1186/s12891-019-2438-y
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