Muscle energy technique and static stretching in patients with mechanical neck pain – a randomized study
DOI:
https://doi.org/10.15584/ejcem.2022.1.9Keywords:
muscle energy techniques, neck disability index, neck pain, static stretching, visual analogue scaleAbstract
Introduction and aim. Neck pain is becoming increasingly common throughout the world with a considerable impact on individuals. This study compared the effects of muscle energy techniques (MET) and static stretching (SS) on pain intensity and functional disability of patient with mechanical neck pain.
Material and methods. Fifty subjects with mechanical neck pain recruited were randomly allocated into MET and SS groups equally. Subjects in MET received MET protocol, and SS groups were treated with SS; both groups had treatment twice a week for six weeks. Pain intensity and functional disability at baseline, 3rd and 6th week of treatment were measured. Descriptive and Inferential statistics were used to analyze the data. Alpha level was set at <0.05.
Results. There were 12 males and 13 females for MET with age ranged between 31–53 years mean was 42.41± 7.35 years and 11 males and 14 females in SS group with age range 22–60 years and mean age of 42.91±10.44 years. There was a significant reduction in pain intensity and disability in MET’s and SS group (p<0.05) when pre-treatment, 3rd week and 6th week treatment were compared. Pain intensity was lower at SS than MET while functional disability was lower in MET than SS p<0.05 at 6th week.
Conclusion. MET reduces ND more than SS and SS reduces pain intensity better MET.
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References
Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol. 2010;24(6):783-792.
El-Metwally A, Salminen, JJ, Auvinen A, Macfarlane G, Mikkelsson M. Risk factors for development of non-specific musculoskeletal pain in preteens and early adolescents: a prospective 1-year follow-up study. BMC Musculoskelet Disord. 2007;8(1):46.
Binder AI. Cervical spondylosis and neck pain. BMJ. 2007;334 (7592):527-531.
Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. European Spine Journal. 2007;16(5):679-686.
Nagrale AV, Glynn P, Joshi A, Ramteke G. The efficacy of an integrated neuromuscular inhibition technique on upper trapezius trigger points in subjects with non-specific neck pain: a randomized controlled trial. Journal of Manual & Manipulative Therapy. 2010;18(1):37-43.
Heintz MM, Hegedus E J. Multimodal management of mechanical neck pain using a treatment based classification system. The Journal of manual & manipulative therapy. 2008;16(4):217-224.
Barron ME. Cervical Spondylosis: Diagnosis and Management http:// www.emedicine.com/neuro/topic564.htm Accessed July 10, 2021.
Yan Y, Jing H, Fan Li, Hu L. Investigation of the Effect of Neck Muscle Active Force on Whiplash Injury of the Cervical Spine. Applied Bionics and Biomechanics. 2008;(20):18.
Deokhoon, J Johnston V, McPhail SM, Leary SO. A Longitudinal Evaluation of Risk Factors and Interactions for the Development of Nonspecific Neck Pain in Office Workers in Two Cultures. Int J Hum Factors Ergon. 2020;63:4.
Evans R, Bronfort G, Nelson B, Goldsmith CH. Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Spine 2002;27(21):2383-2389.
Chaitow L, DeLany J. Neuromuscular techniques in orthopedics. Techniques in Orthopaedics, 2003;18(1):74-86.
Ewan T, Antonio RC, Diba M, Antonino B, Antonio P. The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: a systematic review. Chiropr Man Therap. 2019;27:35.
Lenehan, KL., Fryer, G., McLaughlin, P. The effect of muscle energy technique on gross trunk range of motion. Journal of osteopathic medicine. 2003;6(1):13-18.
Mahajan R, Kataria C, Bansal K. Comparative effectiveness of muscle energy technique and static stretching for treatment of subacute mechanical neck pain. Int J Health Rehabil Sci. 2012;1(1):16-21.
Hertling, D, Kessler RM. Management of common musculoskeletal disorders: physical therapy principles and methods. Lippincott Williams & Wilkins. 2006.
Andrews JR, Harrelson GL, Wilk KE. Physical Rehabilitation of the Injured Athlete: Expert Consult-Online and Print. 2012; Elsevier Health Sciences.
Apoorva P, Nilima B, Ashok S, Parag S. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial. Hong Kong Journal of Physiotherapy. 2016;35:5-11.
Narain AJ, Singh, S. Bhowmik To compare the effect of core stability exercises and muscle energy techniques on low back pain patients IOSR. J Sports Phys Educ. 2013;1:9-15.
Hashim AM, Mohd K. Shveta K. Effect of muscle energy technique and static stretching on hamstring flexibility in healthy male subjects. Ind J Physiother Occup Ther. 2010;4:32-36.
Eng J. Sample size calculation: How many individuals should be studied? Radiology. 2003;227:309-313.
Ojoawo AO, Olabode A, Esan O, Badru A , Odejide S, Arilewola B. Therapeutic Efficacy of Cervical Traction in the Management of Cervical Radiculopathy: A Control Trial. Rwanda J Health Sci. 2013;2(2):25-29.
Trouli, MN, Vernon, HT, Kakavelakis, KN, Antonopoulou, MD, Paganas, AN, Lionis, CD. Translation of the Neck Disability Index and validation of the Greek version in a sample of neck pain patients. BMC Musculoskeletal Disorders. 2008;9(1):106.
Mac Dermid JC, Walton DM, Avery S, et al. Measurement Properties of the Neck Disability Index: A Systematic Review. Journal of Orthopaedic & Sports Physical Therapy 2009;39(5):400-417.
Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-415.
Scott J, Huskisson EC. Graphic representation of pain. Pain. 1976;2(2):175-184.
Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018;11:851-856.
Shafshak, TS, Elnemr, R. The Visual Analogue Scale Versus Numerical Rating Scale in Measuring Pain Severity and Predicting Disability in Low Back Pain, JCR: Journal of Clinical Rheumatology. 2021;27(7):282-285.
Aun, C, Lam YM, Collett B. Evaluation of the use of visual analogue scale in Chinese patients. Pain, 1986;25(2):215-221.
Sadria G, Hosseini M, Rezasoltani A, Akbarzadeh Bagheban A, Davari A, Seifolahi A. A comparison of the effect of the active release and muscle energy techniques on the latent trigger points of the upper trapezius. J Body Mov Ther. 2017;21:920-925.
Reid JC, Greene R, Young JD, Hodgson DD, Blazevich, AJ, Behm DG. The effects of different durations of static stretching within a comprehensive warm-up on voluntary and evoked contractile properties. Eur J Appl Physiol. 2018;118:1427-1445.
Weerapong P, Hume PA, Kolt GS. The Mechanisms of Massage and Effects on Performance, Muscle Recovery and Injury Prevention. Sports Med. 2005;35:235-256.
Prashant N, Anand H, Subhash K. Comparison of muscle energy technique and positional release therapy in acute low back pain—RCT. Ind J Physiother Occup Ther. 2010;4:32-36.
Gupta S, Jaiswal P, Chhabra D. A comparative study between postisometric relaxation and isometric exercises in non-specific neck pain. Journal of exercise science and physiotherapy. 2008;4(2):88.
Sharmila, B. Isometric muscle energy technique and non-specific neck pain in secondary school teachers-results of an experimental study. Indian Journal of Physiotherapy and Occupational Therapy. 2014;8(2):58.
Frontera, WR. (Ed.) Rehabilitation of sports injuries: scientific basis. Maiden, MA: Blackwell Science (2003).
Kostopoulos D, Nelson Jr AJ, Ingber RS, Larkin RW. Reduction of spontaneous electrical activity and pain perception of trigger points in the upper trapezius muscle through trigger point compression and passive stretching. J Musculoskelet Pain. 2008;16(4):266-278.
Pillastrini P, de Lima E, Sá Resende F, et al. Effectiveness of Global Postural Re-education in Patients With Chronic Nonspecific Neck Pain: Randomized Controlled Trial. Phys Ther. 2016;96(9):1408-1416.
Shady MA, Elnaggar I M, Nader I. El Sayed, Ali S. Comparative study between the effect of passive stretching exercises and post isometric relaxation technique in chronic mechanical neck pain patients. EJMCM. 2021;8(03):2271-2276.
Hatefi M, Babakhani F, Ashrafizadeh M. The effect of static stretching exercises on hip range of motion, pain, and disability in patients with non-specific low back pain. J Exp Orthop. 2021;278(1):55.
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