Browse > Article
http://dx.doi.org/10.12674/ptk.2012.19.3.051

Effect of Scapular Stabilization Exercise on Patients With Neck Pain Classified According to Passive Scapular Elevation Test  

Kim, Ha-Yeon (Dept. of Physical Therapy, Dunsan Oriental Hospital, Daejeon University)
Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Natural Science, Daejeon University)
Jang, Hyun-Jeong (Dept. of Physical Therapy, The Graduate School, Daejeon University)
Joo, Myung-Kyu (Dept. of Physical Therapy, Dunsan Oriental Hospital, Daejeon University)
Publication Information
Physical Therapy Korea / v.19, no.3, 2012 , pp. 51-60 More about this Journal
Abstract
This study aimed to determine the usefulness of classifying patients with neck pain on the basis of the results of passive scapular elevation test. We classified 21 patients with neck pain into positive (n=12) and negative (n=9) groups on the basis of passive scapular elevation test; the 2 groups then equally performed scapular stabilization exercise program for 30 min, 3 times a week, for 4 weeks. Visual analogue scale (VAS), neck disability index (NDI), and range of motion (ROM) were recorded both before and after the intervention for both groups. Paired t-test was used to determine that there were significant changes between before and after the intervention, and independent t-test was used for analyzing changes between two groups of dependent variables. After 4 weeks of training, we observed significant decrease in pain and disability (p<.05) and a significant increase in rotation, flexion, extension, and side-bending ROM (p<.05) in both groups. Further, between pre- and post-intervention evaluations, we observed a significant decrease in pain and disability and a significant increase in rotation and flexion ROM in the positive group than in the negative group (p<.05). These results indicate that passive scapular elevation test may be used to identify mechanical disorders of the cervicoscapular muscle in patients with neck pain. Therefore, we recommend the use of passive scapular elevation test to determine appropriate treatment intervention when treating patients with neck pain.
Keywords
Neck pain; Passive scapular elevation test; Scapular stabilization exercise;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 김선엽, 권재확. 슬링(sling) 시스템을 이용한 요부 안정화 운동. 대한정형물리치료학회지. 2001;7(2):23-39.   과학기술학회마을
2 주명규. 만성 경부통 환자에 대한 안정화운동의 효과. 대전대학교 보건스포츠대학원, 석사학위논문, 2010: 15-20.
3 Andrade GT, Azevedo DC, De Assis Lorentz I, et al. Influence of scapular position on cervical rotation range of motion. J Orthop Sports Phys Ther. 2008;38(11):668-673.   DOI
4 Balogun JA, Abereoje OK, Olaogun MO, et al. Interand intratester reliability of measuring neck motions with tape measure and myrin gravity - reference goniometer. J Orthop Sports Phys Ther. 1989;10(7):248-253.   DOI
5 Baskurt Z, Baskurt F, Gelecek N, et al. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil. 2011;24(3):173-179.
6 Chiu TT, Lam TH, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine (Phila Pa 1976). 2005;30(1):E1-E7.
7 Dusunceli Y, Ozturk C, Atamaz F, et al. Efficacy of neck stabilization exercises for neck pain: A randomized controlled study. J Rehabil Med. 2009;41(8):626-631.   DOI
8 Ha SM, Kwon OY, Yi CH, et al. Effects of passive correction of scapular position on pain, proprioception, and range of motion in neck-pain patients with bilateral scapular downward-rotation syndrome. Man Ther. 2011;16(6):585-589.   DOI
9 Jette DU, Jette AM. Physical therapy and health outcomes in patients with spinal impairments. Phys Ther. 1996;76(9):930-941.
10 Johnson G, Bogduk N, Nowitzke A, et al. Anatomy and actions of the trapezius muscle. Clin Biomech (Bristol, Avon). 1994;9:44-50.   DOI
11 Johnston V, Jull G, Souvlis T, et al. Neck movement and muscle activity characteristics in female office workers with neck pain. Spine (Phila Pa 1976). 2008;33(5):555-563.   DOI
12 Jull G, Barrett C, Magee R, et al. Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia. 1999;19(3):179-185.   DOI
13 Jull G, Trott P, Potter H, et al. A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine (Phila Pa 1976). 2002;27(17):1835-1843.   DOI
14 Jull GA, Falla D, Vicenzino B, et al. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009;14(6):696-701.   DOI
15 Koskimies K, Sutinen P, Aalto H, et al. Postural stability, neck proprioception and tension neck. Acta Otolaryngol Suppl. 1997;529:95-97.
16 McDonnell MK, Sahrmann SA, Van Dillen L. A specific exercise program and modification of postural alignment for treatment of cervicogenic headache: A case report. Sports PhysJ Orthop Ther. 2005;35(1):3-15.   DOI
17 Olson SL, O'Connor DP, Birmingham G, et al. Tender point sensitivity, range of motion, and perceived disability in subjects with neck pain. J Orthop Sports Phys Ther. 2000;30(1):13-20.   DOI
18 Patrician PA. Single-item graphic representational scales. Nurs Res. 2004;53(5):347-352.   DOI   ScienceOn
19 Picavet HS, Schouten JS. Musculoskeletal pain in the netherlands: Prevalences, consequences and risk groups, the DMC(3)-study. Pain. 2003;102(1-2): 167-178.   DOI   ScienceOn
20 Porterfield JA, DeRosa C. Mechanical Neck Pain : Perspectives in Functional Anatomy. Saunders, Philadelphia, 1995:117-172.
21 Ronai P. Exercise Modifications and Strategies to enhance shoulder function. Strength Cond J. 2005;27(4):36-45.   DOI   ScienceOn
22 Silverman JL, Rodriquez AA, Agre JC. Quantitative cervical flexor strength in healthy subjects and in subjects with mechanical neck pain. Arch Phys Med Rehabil. 1991;72(9):679-681.
23 Taimela S, Takala EP, Asklöf T, et al. Active treatment of chronic neck pain: A prospective randomized intervention. Spine (Phila Pa 1976). 2000;25(8):1021-1027.   DOI
24 Van Dillen LR, McDonnell MK, Susco TM, et al. The immediate effect of passive scapular elevation on symptoms with active neck rotation in patients with neck pain. Clin J Pain. 2007;23(8):641-647.   DOI
25 Vernon H, Mior S. The neck disability index: A study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-415.
26 Viljanen M, Malmivaara A, Uitti J, et al. Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: Randomised controlled trial. BMJ. 2003;327(7413):475.   DOI   ScienceOn
27 Vogt MT, Simonsick EM, Harris TB, et al. Neck and shoulder pain in 70- to 79-year-old men and women: Findings from the health, aging and body composition study. Spine J. 2003;3(6): 435-441.   DOI
28 Vossen JE, Kramer JE, Burke DG, et al. Comparison of dynamic push-up training and plyometric push-up training on upper-body power and strength. J Strength Cond Res. 2000;14(3): 248-253.
29 Wang WT, Olson SL, Campbell AH, et al. Effectiveness of physical therapy for patients with neck pain: An individualized approach using a clinical decision-making algorithm. Am J Phys Med Rehabil. 2003;82(3):203-218.
30 Webb R, Brammah T, Lunt M, et al. Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine (Phila Pa 1976). 2003;28(11):1195-1202.
31 Wegner S, Jull G, O'Leary S, et al. The effect of a scapular postural correction strategy on trapezius activity in patients with neck pain. Man Ther. 2010;15(6):562-566.   DOI
32 Ylinen J, Salo P, Nykänen M, et al. Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements. Arch Phys Med Rehabil. 2004;85(8):1303-1308.   DOI
33 Young IA, Cleland JA, Michener LA, et al. Reliability, construct validity, and responsiveness of the neck disability index, patient-specific functional scale, and numeric pain rating scale in patients with cervical radiculopathy. Am J Phys Med Rehabil. 2010;89(10):831-839.   DOI