Browse > Article
http://dx.doi.org/10.12674/ptk.2013.20.1.047

Immediate Effects of Upper Trapezius Stretching in More and Less Tensed Positions on the Range of Neck Rotation in Patients With Unilateral Neck Pain  

Park, Kyue-Nam (Dept. of Physical Therapy, The Graduate School, Yonsei University)
Ha, Sung-Min (Kinetic Ergocise Based on Movement Analysis Laboratory)
Kim, Si-Hyun (Dept. of Physical Therapy, The Graduate School, Yonsei University)
Kwon, Oh-Yun (Dept. of Physical Therapy, College of Health Science, Yonsei University, Dept. of Ergonomic Therapy, The Graduate School of Health Science, Yonsei University)
Publication Information
Physical Therapy Korea / v.20, no.1, 2013 , pp. 47-54 More about this Journal
Abstract
The purpose of this study was to compare the immediate effects of upper trapezius muscle stretching in more tensed position (MTP) and less tensed position (LTP) on the change of range of motion (ROM) for neck rotation, and the ROM for conjunct neck motions at end-range of neck rotation toward the painful side in patients with unilateral neck pain. Eighteen patients with unilateral neck pain were recruited for the study's MTP group, and 18 age-, weight- and gender-matched patients with unilateral neck pain were recruited for LTP group. The ROM changes in active neck primary and conjunct motions were measured using a cervical ROM inclinometer in the sitting position. Our results showed that both upper trapezius stretching method in MTP and LTP were significantly effective in increasing the ROM of neck rotation toward painful side in patients with unilateral neck pain. However, a significantly greater increase in the ROM for neck rotation and a further decrease in conjunct neck extension during neck rotation toward the painful side were shown in MTP group, compared to LTP group. The upper trapezius stretching in MTP is useful in increasing the ROM of neck rotation and decreasing the range of conjunct neck extension during neck rotation toward the painful side in patients with unilateral neck pain.
Keywords
Position; Range of motion; Stretching; Unilateral neck pain; Upper trapezius muscle;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Albuquerque FC, Hu YC, Dashti SR, et al. Craniocervical arterial dissections as sequelae of chiropractic manipulation: Patterns of injury and management. J Neurosurg. 2011;115(6):1197-1205.   DOI   ScienceOn
2 Borg-Stein J, Simons DG. Focused review: Myofascial pain. Arch Phys Med Rehabil. 2002;83(3 Suppl 1):S40-47, S48-49.   DOI   ScienceOn
3 Cagnie B, Cools A, De Loose V, et al. Reliability and normative database of the Zebris cervical range-of-motion system in healthy controls with preliminary validation in a group of patients with neck pain. J Manipulative Physiol Ther. 2007;30(6):450-455.   DOI   ScienceOn
4 Chen J, Solinger AB, Poncet JF, et al. Meta-analysis of normal cervical motion. Spine (Phila Pa 1976). 1999;24(15):1571-1578.   DOI   ScienceOn
5 Chiu TT, Sing KL. Evaluation of cervical range of motion and isometric neck muscle strength: Reliability and validity. Clin Rehabil. 2002;16(8): 851-858.   DOI
6 Coppieters MW, Stappaerts KH, Wouters LL, et al. The immediate effects of a cervical lateral glide treatment technique in patients with neurogenic cervicobrachial pain. J Orthop Sports Phys Ther. 2003;33(7):369-378.   DOI
7 Dall'Alba PT, Sterling MM, Treleaven JM, et al. Cervical range of motion discriminates between asymptomatic persons and those with whiplash. Spine (Phila Pa 1976). 2001;26(19):2090-2094.   DOI   ScienceOn
8 Fryer G, Adams JH. Magnetic resonance imaging of subjects with acute unilateral neck pain and restricted motion: A prospective case series. Spine J. 2011;11(3):171-176.   DOI   ScienceOn
9 Gargan M, Bannister G, Main C, et al. The behavioural response to whiplash injury. J Bone Joint Surg Br. 1997;79(4):523-526.   DOI   ScienceOn
10 Hakkinen A, Salo P, Tarvainen U, et al. Effect of manual therapy and stretching on neck muscle strength and mobility in chronic neck pain. J Rehabil Med. 2007;39(7):575-579.   DOI   ScienceOn
11 Hoving JL, Koes BW, de Vet HC, et al. Manual therapy, physical therapy or continued care by the general practitioner for patients with neck pain. A randomized, controlled trial. Ann Intern Med. 2002;136(10):713-722.   DOI   ScienceOn
12 Hurwitz EL, Aker PD, Adams AH, et al. The effects of P-A mobilization on the cervical range of motion and pain for patients with chronic neck pain. J Kor Soc Phys Ther. 2005;17(4):519-535.   과학기술학회마을
13 Iwama H, Ohmori S, Kaneko T, et al. Water-diluted local anesthetic for trigger-point injection in chronic myofascial pain syndrome: Evaluation of types of local anesthetic and concentrations in water. Reg Anesth Pain Med. 2001;26(4): 333-336.
14 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   ScienceOn
15 Jordan A, Mehlsen J, Ostergaard K. A comparison of physical characteristics between patients seeking treatment for neck pain and age-matched healthy people. J Manipulative Physiol Ther. 1997;20(7):468-475.
16 Ma C, Wu S, Li G, et al. Comparison of miniscalpel-needle release, acupuncture needling, and stretching exercise to trigger point in myofascial pain syndrome. Clin J Pain. 2010;26(3):251-257.   DOI   ScienceOn
17 Kamanli A, Kaya A, Ardicoglu O, et al. Comparison of lidocaine injection, botulinum toxin injection, and dry needling to trigger points in myofascial pain syndrome. Rheumatol Int. 2005;25(8):604-611.   DOI   ScienceOn
18 Lee H, Nicholson LL, Adams RD. Cervical range of motion associations with subclinical neck pain. Spine (Phila Pa 1976). 2004;29(1):33-40.   DOI   ScienceOn
19 Lee H, Nicholoson LL, Adams RD, et al. Body chart pain location and side-specific physical impairment in subclinical neck pain. J Manipulative Physiol Ther. 2005;28(7):479-486.   DOI   ScienceOn
20 Sahrmann SA. Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic spines. St Louis, Mosby, 2011;66-78.
21 Sullivan MK, Dejulia JJ, Worrell TW. Effect of pelvic position and stretching method on hamstring muscle flexibility. Med Sci Sports Exerc. 1992 ;24(12):1383-1389.
22 Takasaki H, Aoki M, Muraki T, et al. Muscle strain on the radial wrist extensors during motion- simulating stretching exercises for lateral epicondylitis: A cadaveric study. J Shoulder Elbow Surg. 2007;16(6):854-858.   DOI   ScienceOn
23 Tousignant M, Duclos E, Lafleche S, et al. Validity study for the cervical range of motion device used for lateral flexion in patients with neck pain. Spine (Phila Pa 1976). 2002;27(8):812-817.   DOI   ScienceOn
24 Tousignant M, Smeesters C, Breton AM, et al. Criterion validity study of the cervical range of motion (CROM) device for rotational range of motion on healthy adults. J Orthop Sports Phys Ther. 2006;36(4):242-248.   DOI
25 Ylinen J, Kautiainen H, Wiren K, et al. Stretching exercises vs manual therapy in treatment of chronic neck pain: A randomized, controlled cross-over trial. J Rehabil Med. 2007;39(2):126-132.   DOI   ScienceOn
26 Wang C, Xiong Z, Deng C. Miniscalpel-needle versus triggerpoint injection for cervical myofascial pain syndrome: A randomize comparative trial. J Altern and Complement Med. 2007;13(1):14-16.   DOI   ScienceOn