The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effectiveness of Global Postural Reeducation Compared to Segmental Stretching on Pain, Disability, and QOL of Subjects with Neck and Shoulder Pain

  • Jeon, Hochung (Major in Rehabilitation Science, Department of Public Health Science, Korea University Graduate School) ;
  • Kim, Giwon (Department of Physical Therapy, College of Health Science, Korea University)
  • Received : 2017.01.09
  • Accepted : 2017.03.02
  • Published : 2017.02.28
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Abstract

Purpose: This randomized controlled trial was conducted to compare the effectiveness of global postural reeducation to segmental stretching in subjects with neck and shoulder pain. Methods: Sixteen subjects with neck and shoulder pain were randomized into two intervention groups, a global posture reeducation group (n=8) that performed muscle chain stretching, and a segmental stretching group (n=8) that performed conventional static muscle stretching. The intervention program consisted of two 40 minutes individual sessions per week for four weeks. Subjects were evaluated pre-intervention, two-week after intervention and at a four-week follow-up appointment for pain intensity, disability and health-related quality of life. Two-way repeated analysis of variance was used for between-time and between-group comparisons. The significance level was 0.05. Results: Significant pain relief and decreasing discomfort of the neck and shoulder were observed after intervention in both groups, and there was an interaction between time lapse and groups (pain, F=10.31, neck disability, F=25.45, shoulder disability, F=12.82, p<0.05). Quality of life also improved after intervention in both groups. Moreover, the physical components score improved, and a significant interaction was observed between time and groups (F=4.85, p<0.05). However, no significant improvement in mental component score of quality of life and no significant interaction between time and groups were observed (p>0.05). Conclusion: These findings suggest that a GPR intervention in subjects with neck and shoulder pain induces greater improvement of pain and disability and quality of life than segmental stretching.

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References

  1. Edmondston SJ, Wallumrod ME, MacLeid F et al. Reliability of isometric muscle endurance tests in subjects with postural neck pain. J Manipulative Physiol Ther. 2008;31(5):348-54. https://doi.org/10.1016/j.jmpt.2008.04.010
  2. Walker-Bone K, Cooper C. Hard work never hurt anyone: Or did it? A review of occupational associations with soft tissue musculoskeletal disorders of the neck and upper limb. Ann Rheum Dis. 2005;64(10):1391-6. https://doi.org/10.1136/ard.2003.020016
  3. Kong YS, Kim YM, Shim JM. Effects of modified cervical exercise on respiratory functions in smartphone users with forward head posture. J Kor Phys Ther. 2016;28(5):292-6. https://doi.org/10.18857/jkpt.2016.28.5.292
  4. Lv P, Peng Y, Zhang Y et al. Kinematic causes and exercise rehabilitations of patients with round shoulder, thoracic kyphosis and forward head posture (fhp). Epidemiology: Open Access. 2016;6(5):1-6. https://doi.org/10.4236/ojepi.2016.61001
  5. Lee HJ. Neck pain and functioning in daily activities associated with smartphone usage. J Kor Phys Ther. 2016;28(3):183-8. https://doi.org/10.18857/jkpt.2016.28.3.183
  6. Tunwattanapong P, Kongkasuwan R, Kuptniratsaikul V. The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: a randomized controlled trial. Clin Rehabil. 2016;30:64-72. https://doi.org/10.1177/0269215515575747
  7. Garra G, Singer AJ, Leno R et al. Heat or cold packs for neck and back strain: a randomized controlled trial of efficacy. Acad Emerg Med. 2010; 17(5):484-9. https://doi.org/10.1111/j.1553-2712.2010.00735.x
  8. Gross A, Miller J, D'Sylva J et al. Manipulation or mobilisation for neck pain: a cochrane review. Man Ther. 2010;15(4):315-33. https://doi.org/10.1016/j.math.2010.04.002
  9. Chow RT, Johnson MI, Lopes-Martins RA et al. Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials. Lancet. 2009;374(9705):1897-908. https://doi.org/10.1016/S0140-6736(09)61522-1
  10. Ylinen J. Physical exercises and functional rehabilitation for the management of chronic neck pain. Eura Medicophys. 2007;43:119.
  11. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques. Fa Davis, 2012:73-6.
  12. Shrier I. Stretching before exercise does not reduce the risk of local muscle injury: a critical review of the clinical and basic science literature. Clin J Sport Med. 1999;9(4):221-7. https://doi.org/10.1097/00042752-199910000-00007
  13. Malliaropoulos N, Papalexandris S, Papalada A et al. The role of stretching in rehabilitation of hamstring injuries: 80 athletes follow-up. Med Sci Sports Exerc. 2004;36(5):756-9.
  14. Chon SC, Chang KY. The effects of post-isometric contraction stretching combined with antagonist muscle contraction on muscle strength and flexibility. Journal of Sport and Leisure Studies. 2010;40(2):709-17.
  15. Areeudomwong P, Wongrat W, Neammesri N et al. A randomized controlled trial on the long-term effects of proprioceptive neuromuscular facilitation training, on pain-related outcomes and back muscle activity, in patients with chronic low back pain. Musculoskeletal Care. 2016.
  16. Teodori RM, Negri JR, Cruz MC et al. Global postural re-education: a literature review. Rev Bras Fisioter. 2011;15(3):185-9. https://doi.org/10.1590/S1413-35552011000300003
  17. Andersson HI. The epidemiology of chronic pain in a swedish rural area. Qual Life Res. 1994;3:S19-S26. https://doi.org/10.1007/BF00433371
  18. Costa LO, Maher CG, Latimer J et al. Motor control exercise for chronic low back pain: a randomized placebo-controlled trial. Phys Ther. 2009; 89(12):1275-86. https://doi.org/10.2522/ptj.20090218
  19. Tsatsouline P. Relax into stretch: instant flexibility through mastering muscle tension. Dragon Door Publication, 2001:39-44.
  20. Maluf SA, Moreno BG, Crivello O et al. Global postural reeducation and static stretching exercises in the treatment of myogenic temporomandibular disorders: a randomized study. J Manipulative Physiol Ther. 2010;33(7):500-7. https://doi.org/10.1016/j.jmpt.2010.08.005
  21. Fozzatti C, Herrmann V, Palma T et al. Global postural re-education: an alternative approach for stress urinary incontinence? E Eur J Obstet Gynecol Reprod Biol. 2010;152(2):218-24. https://doi.org/10.1016/j.ejogrb.2010.06.002
  22. Cunha ACV, Burke TN, Franca FJR et al. Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: a randomized clinical trial. Clinics. 2008;63(6):763-70.
  23. Amorim CS, Gracitelli ME, Marques AP et al. Effectiveness of global postural reeducation compared to segmental exercises on function, pain, and quality of life of patients with scapular dyskinesis associated with neck pain: a preliminary clinical trial. J Manipulative Physiol Ther. 2014;37(6):441-7. https://doi.org/10.1016/j.jmpt.2013.08.011
  24. Bonetti F, Curti S, Mattioli S et al. Effectiveness of a'global postural reeducation'program for persistent low back pain: a non-randomized controlled trial. BMC Musculoskelet Disord. 2010;11:1. https://doi.org/10.1186/1471-2474-11-1
  25. Lawand P, Junior IL, Jones A et al. Effect of a muscle stretching program using the global postural reeducation method for patients with chronic low back pain: a randomized controlled trial. Joint Bone Spine. 2015; 82(4):272-7. https://doi.org/10.1016/j.jbspin.2015.01.015
  26. Fozzatti MC, Palma P, Herrmann V et al. Impact of global postural reeducation for treatment of female stress urinary incontinence. Rev Assoc Med Bras. 2008;54:17-22.
  27. Ferreira GE, Barreto RG, Robinson CC et al. Global postural reeducation for patients with musculoskeletal conditions: a systematic review of randomized controlled trials. Braz J Phys Ther. 2016(AHEAD);20(3): 194-205. https://doi.org/10.1590/bjpt-rbf.2014.0153
  28. Silva EM, Andrade SC, Vilar MJ. Evaluation of the effects of global postural reeducation in patients with ankylosing spondylitis. Rheumatol Int. 2012;32(7):2155-63. https://doi.org/10.1007/s00296-011-1938-3
  29. Li L, Liu X, Herr K. Postoperative pain intensity assessment: a comparison of four scales in chinese adults. Pain Med. 2007;8(3):223-34. https://doi.org/10.1111/j.1526-4637.2007.00296.x
  30. Vernon H. The neck disability index: sate-of-the-art, 1991-2008. J Manipulative Physiol Ther. 2008;31(7):491-502. https://doi.org/10.1016/j.jmpt.2008.08.006
  31. Roach KE, Budiman-Mak E, Songsiridej N et al. Development of a shoulder pain and disability index. Arthritis Rheum. 1991;4(4):143-9. https://doi.org/10.1002/art.1790040403
  32. McHorney CA, Ware Jr JE, Raczek AE. The mos 36-item short-form health survey (sf-36): li. psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993;31(3): 247-63. https://doi.org/10.1097/00005650-199303000-00006
  33. Dimitrova E, Rohleva M. Global postural reeducation in the treatment of postural impairments. Res Kinesiology. 2014;4:72-5.
  34. Minshull C, Eston R, Bailey A et al. The differential effects of pnf versus passive stretch conditioning on neuromuscular performance. Eur J Sport Sci. 2014;14(3):233-41. https://doi.org/10.1080/17461391.2013.799716
  35. Yildirim MS, Ozyurek S, Tosun O et al. Comparison of effects of static, proprioceptive neuromuscular facilitation and mulligan stretching on hip flexion range of motion: a andomized controlled trial. Biol Sport. 2016;33:89-94. https://doi.org/10.5604/20831862.1194126
  36. Jeon HC, Yang KW, Kim KH et al. Relationship of pain, disability and quality of life in individual with neck and shoulder pain. J Kor Phys Ther. 2016;28(5):328-33. https://doi.org/10.18857/jkpt.2016.28.5.328
  37. Pillastrini P, Banchelli F, Burioli A et al. Effectiveness of global postural re-education in patients with chronic nonspecific neck pain: randomized controlled trial. Phys Ther. 2016;96(9):1408-16. https://doi.org/10.2522/ptj.20150501

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