Abstract
Purpose: This study evaluated and compared the efficacy of neck stabilization and isometric neck exercises on pain-related disability sleep disturbance, psychological status and cardiopulmonary parameters in patients with non-specific chronic neck pain.
Methods: Fourteen patients with non-specific chronic neck pain participated in this study. They were recruited from two tertiary health facilities in Lagos state Ethical approval was obtained from the Health Research and Ethics Committee of College of Medicine, University of Lagos, Idi-Araba, Lagos with Approval number- CMUL/HREC/04/19/519. Subjects were distributed into three groups with the aid of random numbers generated by the computer: Group A received Neck stabilization exercises only, Group B received Neck stabilization and isometric neck exercises, Group C received Isometric neck exercises only. Subjects were assessed for pain-related disability, sleep disturbance, psychological status (anxiety and depression), systolic and diastolic blood pressure (SBP, DBP), heart rate (HR), respiratory rate (RR), mean arterial pressure (MAP), rate pressure product (RPP), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEFR) and perceived exertion rate (RPE) before intervention and end of 4th week. This study was done within a period of May–October 2019.
Results: This study showed that neck stabilization combined with isometric exercise improved pain-related disability (p = 0.04), anxiety (p = 0.04) and depression (p = 0.04) after 4 weeks of intervention. Some pulmonary parameters, FVC (p = 0.05, p = 0.02), FEV1 (p = 0.02, p = 0.01) improved significantly post-intervention in both neck stabilization exercise alone and neck stabilization combined with isometric neck exercise groups. While PEFR (p = 0.02, p = 0.01) improved significantly in both neck stabilization combined with isometric neck exercises and isometric neck exercise group alone post-intervention.
Conclusion(s): This study draws the conclusion that neck stabilization exercise only and neck stabilization combined with isometric exercise will better improve pain-related disability, anxiety, depression, sleep disturbance and some selected pulmonary parameters (FVC, FEV1, PEFR) in patients with non-specific chronic neck pain.
Impact: The physiotherapist should consider the use of neck stabilization combined with isometric neck exercise, neck stabilization exercise alone in the management of patients with non-specific chronic neck pain. The physiotherapist should also consider the assessment of patients with NSCNP for cardiopulmonary compromise to know the specific intervention that will be suitable for their management. The researcher advocates that future studies should involve a larger sample size with a longer follow-up period.
Methods: Fourteen patients with non-specific chronic neck pain participated in this study. They were recruited from two tertiary health facilities in Lagos state Ethical approval was obtained from the Health Research and Ethics Committee of College of Medicine, University of Lagos, Idi-Araba, Lagos with Approval number- CMUL/HREC/04/19/519. Subjects were distributed into three groups with the aid of random numbers generated by the computer: Group A received Neck stabilization exercises only, Group B received Neck stabilization and isometric neck exercises, Group C received Isometric neck exercises only. Subjects were assessed for pain-related disability, sleep disturbance, psychological status (anxiety and depression), systolic and diastolic blood pressure (SBP, DBP), heart rate (HR), respiratory rate (RR), mean arterial pressure (MAP), rate pressure product (RPP), forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEFR) and perceived exertion rate (RPE) before intervention and end of 4th week. This study was done within a period of May–October 2019.
Results: This study showed that neck stabilization combined with isometric exercise improved pain-related disability (p = 0.04), anxiety (p = 0.04) and depression (p = 0.04) after 4 weeks of intervention. Some pulmonary parameters, FVC (p = 0.05, p = 0.02), FEV1 (p = 0.02, p = 0.01) improved significantly post-intervention in both neck stabilization exercise alone and neck stabilization combined with isometric neck exercise groups. While PEFR (p = 0.02, p = 0.01) improved significantly in both neck stabilization combined with isometric neck exercises and isometric neck exercise group alone post-intervention.
Conclusion(s): This study draws the conclusion that neck stabilization exercise only and neck stabilization combined with isometric exercise will better improve pain-related disability, anxiety, depression, sleep disturbance and some selected pulmonary parameters (FVC, FEV1, PEFR) in patients with non-specific chronic neck pain.
Impact: The physiotherapist should consider the use of neck stabilization combined with isometric neck exercise, neck stabilization exercise alone in the management of patients with non-specific chronic neck pain. The physiotherapist should also consider the assessment of patients with NSCNP for cardiopulmonary compromise to know the specific intervention that will be suitable for their management. The researcher advocates that future studies should involve a larger sample size with a longer follow-up period.
| Original language | English |
|---|---|
| Pages (from-to) | e175 |
| Number of pages | 1 |
| Journal | Physiotherapy |
| Volume | 113 |
| Issue number | Supplement 1 |
| Early online date | 21 Nov 2021 |
| DOIs | |
| Publication status | Published - Dec 2021 |
| Externally published | Yes |