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The Effect of Myofascial Release and Cervical Traction on Pain, Range of Motion and the Neck Disability Index in Patients with Chronic Neck Pain: A Randomized Controlled Trial

근막이완술과 목 견인이 만성 목 통증 환자의 통증, 관절가동범위, 목 기능 장애지수에 미치는 영향: 무작위 대조 연구

  • Young-Min Kim (Department of Physical Therapy, Graduate School of Korea National of Transportation Department of Physical Therapy) ;
  • Ho-Yong Shin (Department of Physical Therapy, Graduate School of Korea National of Transportation Department of Physical Therapy)
  • 김영민 (한국교통대학교 물리치료학과 일반대학원 ) ;
  • 신호용 (한국교통대학교 물리치료학과 일반대학원 )
  • Received : 2023.12.19
  • Accepted : 2024.01.20
  • Published : 2024.02.28

Abstract

PURPOSE: This study examined the effects of the myofascial release and cervical traction after applying conservative physical therapy to patients chronic neck pain. METHODS: Patients were randomly divided into two groups, namely myofascial release (7 subjects) and cervical traction (7 subjects). Each group performed their therapy 45 minutes per day, two times a week, for four weeks. Pain intensity was measured using the visual analog scale (VAS). Function was measured with the neck disability index (NDI). The cervical range of motion (CROM) was measured with a cervical range of motion (CROM) goniometer. RESULTS: After four weeks of therapy, the VAS (p < .05) and NDI (p < .05) significantly decreased, and ROM significantly increased in both groups (p < .05). There were also significant differences between the two groups for these three measures, except for neck flexion and neck extension(p<.05). CONCLUSION: Myofascial release and cervical traction are more effective than cervical traction alone for reducing VAS and NDI and increasing ROM in patients with chronic neck pain.

Keywords

References

  1. Jung SH, Park SS, Kwak DJ, et al. The effect of treatment method on neck pain, cervical range of motion and muscle activity of voluntary contraction in nonspecific neck patients. Journal of Sport and Leisure Studies. 2015;62:873-82.  https://doi.org/10.51979/KSSLS.2015.11.62.873
  2. Korea Gallup. 2012-2022 Smartphone usage rate & brands. Gallup report. G20220706. 
  3. Bae KY, Park SJ, Chon SC. Effects of application of myofascial release of neck and upper trunk on the pain, insomnia and sleep disturbances in patients with chronic neck pain. KSIM. 2021;9(2):43-52. 
  4. Health insurance review and assessment service. 2020 
  5. 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. The BMJ. 2003;327;1-5.  https://doi.org/10.1136/bmj.327.7405.1
  6. Ferrari R, Russell A. Neck pain. Best Pract Res Clin Rheumatol. 2003;17(1):57-70.  https://doi.org/10.1016/S1521-6942(02)00097-9
  7. Misailidou V, Malliou P, Beneka A, et al. Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools. J Chiropr Med. 2010;9:49-59.  https://doi.org/10.1016/j.jcm.2010.03.002
  8. Lin RF, Chang JJ, Lu ML. Correlations between quality of life and psychological factors in patients with chronic neck pain. Kaohsiung J Med Sci. 2010;26(1):13-20.  https://doi.org/10.1016/S1607-551X(10)70003-6
  9. Kjellman G, Oberg B, Hensing G. A 12-year follow-up of subjects initially sicklisted with neck/shoulder or low back diagnoses. Physio Res Int. 2001;6(1): 52-63 
  10. Tozzi P, Bongiorno D, Vitturini C. Fascial release effects on patients with non-specific cervical or lumbar pain. J Bodyw Mov Ther. 2011;15(4):405-16.  https://doi.org/10.1016/j.jbmt.2010.11.003
  11. Visser B, Van Dieen JH. Pathophysiology of upper extremity muscle disorders. J Electromyogr Kinesiol. 2006;16:1-16.  https://doi.org/10.1016/j.jelekin.2005.06.005
  12. Cheon SC, Jang KY. Effect of craniocervical flexion exercise on pain and cross sectional area of longus colli muscle in workers with chronic neck pain. J Ergon Soc Korea. 2010;29(6):889-95.  https://doi.org/10.5143/JESK.2010.29.6.889
  13. Miller J, Gross A, D Sylva J, et al. Manual therapy and exercise for neck pain: A systematic review. Man Ther. 2010;15:334-54.  https://doi.org/10.1016/j.math.2010.02.007
  14. Revel M. Whiplash injury of the neck from concepts to facts. Ann Readapt Med Phys, 2003;46(3):158-170.  https://doi.org/10.1016/S0168-6054(03)00053-9
  15. Kim SH, Kim MJ. The effect of cervical traction on pain & symptom for patients with cervical pain. Kor Acad Ortho Man Phys Ther. 2001;7(1):67-75. 
  16. Borman P, Keskin D, Ekici B, et al. The efficacy of intermittent cervical traction in patents with chronic neck pain. Clin Rheumatol. 2008;27:1249-53.  https://doi.org/10.1007/s10067-008-0895-z
  17. Chiu T, Joseph Kim-Ng J, Walter-Zheng B, et al. A randomized controlled trial on the efficacy of intermittent cervical traction for patients with chronic neck pain. Clinical Rehabilitation. 2010;25(9):814-22. 
  18. Romeo A, Vanti C, Boldrini V, et al. Cervical Radiculopathy: Effectiveness of Adding Traction to Physical Therapy-A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Phys Ther. 2019;98(4):231-42. 
  19. Lau H, Chiu T, Lam T. The effectiveness of thoracic manipulation on patients with chronic mechanical neck pain A randomized controlled trial. Man Ther. 2011;16:141-7.  https://doi.org/10.1016/j.math.2010.08.003
  20. Martel J, Dugas C, Dubois J, et al. A randomised controlled trial of preventive spinal manipulation with and without a home exercise program for patients with chronic neck pain. BMC Musculoskeletal Disorders. 2011;12(41):1471-84. 
  21. Alberto M, Angel O, Cleofas R, et al. Immediate changes in masticatory mechanosensitivity, mouth opening, and head posture after myofascial techniques in pain-free healthy participants: a randomized controlled trial. J MANIPULATIVE PHYSIOL THER. 2013;36(5):310-8.  https://doi.org/10.1016/j.jmpt.2013.05.011
  22. Cha SW. Effects of posterior neck myofascial release therapy and massage therapy on muscles tension pain sleep and quality of life in casino workers. Nam Seoul University. Master Thesis. 2017. 
  23. Kim MG, Lee WJ. Effect of fascial distortion model on the pain and movement of neck patient. J Kor Phys Ther, 2019;31(1):24-30.  https://doi.org/10.18857/jkpt.2019.31.1.24
  24. Manuel R, Jose L, Pablo R, et al. Effects of myofascial release on pressure pain thresholds in patients with neck pain: a single-blind randomized controlled trial. Am J Phys Med Rehabil. 2018;97(1):16-22  https://doi.org/10.1097/PHM.0000000000000790
  25. Ivan R, Francisco J, Gustavo R, et al. Myofascial release therapy in the treatment of occupational mechanical neck pain: a randomized parallel group study. Am J Phys Med Rehabil. 2016;95(7):507-15.  https://doi.org/10.1097/PHM.0000000000000425
  26. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Alt Med Biol, 2007;8(1):27-31.  https://doi.org/10.1089/ham.2006.0814
  27. Park JS, Park DJ. Changes in the cervical and lumber flexion-relaxation ratio, range of motion, pressure pain threshold, and perceived comfort following the wearing of a trunk brace during smartphone watching. PNF & Mov. 2021;19(3):413-422. 
  28. Lee SM. The effect of pilates on craniovertebral angle, cervical range of motion, neck and shoulder region pain and muscle fatigue on forward head posture. Pusan National University. Master Thesis. 2012. 
  29. Chae YW. The measurement of forward head posture and pressure pain threshold in neck muscle. J Kor Phys Ther. 2002;14(1):117-124. 
  30. Song KJ, Choi BW, Kim SJ, et al. Cross-cultural adaptation and validation of the korean version of the neck disability index. The Korean Fracture Society, 2009;44(3):350-359. 
  31. Lee EW, Shin WS, Jung KS, et al. Reliability and validity of the neck disability index in neck pain patient. PTK. 2007;14(3):97-106. 
  32. Trouli M, Vernon H, Kakavelakis K, et al. Translation of the neck disability index and validation of the greek version in a sample of neck pain patients. BMC Musculoskeletal Disorders. 2009;9(106):1-8. 
  33. Hanten WP, Olson SL, Russell JL, et al. Total head excursion and resting head posture: normal and patient comparisons. Arch Phys Med Rehabil. 2000; 81(1):62-66.  https://doi.org/10.1016/S0003-9993(00)90223-5
  34. Lee H, Nicholson LL, Adams RD. Cervical range of motion associations with subclinical neck pain. Spine. 2004;29(1):33-40.  https://doi.org/10.1097/01.BRS.0000103944.10408.BA
  35. Stovner LJ, Hagen K, Jensen R. The global burden of headache: a documentation of headache preva- lence and disability worldwide. Cephalalgia 2007;27:193-210.  https://doi.org/10.1111/j.1468-2982.2007.01288.x
  36. Savva C, Korakakis V, Efstathiou M, et al. Cervical traction combined with neural mobilization for patients with cervical radiculopathy: A randomized controlled trial. J Bodyw Mov Ther. 2020;26:279-89. 
  37. Lee HJ, Leslie L. Nicholson, Roger D. Cervical range of motion associations with subclinical neck pain. Spine. 2003;1(1):43-57. 
  38. Hong JG, Kim YM. Effects of Cervical traction and muscle energy technique on pain, neck disability index, function, range of motion in patients with cervical radiculopathy. Kor Acad Ortho Man Phys Ther. 2021;27(3):57-67. 
  39. 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 Clin Commun. 2007;39:575-79  https://doi.org/10.2340/16501977-0094
  40. Moustafa IM, Diab AA. Multimodal treatment program comparing 2 different traction approaches for patients with discogenic cervical radiculopathy: A randomized controlled trial. J Chiropr Med. 2014;13(3):157-167.  https://doi.org/10.1016/j.jcm.2014.07.003
  41. Garcia-Perez-Juana D, Fernandez-de-Las-Penas C, Arias-Buria JL. Changes in cervicocephalic kinesthetic sensibility, widespread pressure pain sensitivity, and neck pain after cervical thrust manipulation in patients with chronic mechanical neck pain: a randomized clinical trial. J Manipulative Physiol Ther. 2018;41(7):551-560.  https://doi.org/10.1016/j.jmpt.2018.02.004
  42. Jeon JK, Kim MJ. Effects of myofacial release and mulligan technique on pain and disability for cervicogenic headache patients. Kor Acad Ortho Man Phys Ther. 2012;18(2):87-93. 
  43. Fritz JM, Thackeray A, Brennan GP, et al. Exercise only, exercise with mechanical traction, or exercise with over-door traction for patients with cervical radiculopathy, with or without consideration of status on a previously described subgrouping rule: a randomized clinical trial. J Orthop Sports Phys Ther. 2014;44(2):45-57  https://doi.org/10.2519/jospt.2014.5065
  44. Young IA, Michener LA, Cleland JA, et al. Manual therapy, exercise, and traction for patients with cervical radiculopathy: a randomized clinical trial. Phys Ther. 2009;89(7):632-642.  https://doi.org/10.2522/ptj.20080283
  45. Hidalgo B, Halld T, Bossert, J, et al. The efficacy of manual therapy and exercise for treating non-specific neck pain: a systematic review. J Back Musculoskelet Rehabil. 2017;30:1149-1169. https://doi.org/10.3233/BMR-169615