Comparison Of The Neck And Scapular Proprioceptive Neuromuscular Facilitation Exercises On Postural Disorders, Scapular Dyskinesia And Round Shoulders in Individuals With Cervical Sagittal Alignment Disorder.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 29
- 试验地点
- 1
- 主要终点
- Craniovertebral Angel Evaluation
研究概览
简要总结
In modern society, repetitive and monotonous activities are increasing due to the decrease in general physical activity, the development of the information technology industry, and time culture flow. Therefore, prolonged exposure to unstable or abnormal posture can trigger a chain reaction of poor alignment and imbalance, leading to musculoskeletal diseases such as muscle stiffness or repetitive traumatic injury.
Sagittal cervical malalignment (SCM), and also known as Forward head posture (FHP), is one of the poor posture types of the head commonly seen in the sagittal plane. İt is defined as the forward shift of the head. As the head moves forward, the center of gravity changes. To compensate for this shift in the center of gravity, the upper body slides back and the shoulders move forward, the rounded shoulder develops so that the head is placed in front of the body.
SCM can cause many harmful symptoms such as neck pain, shoulder pain, back pain, chronic headaches, increased curvature of the spine and scapular dyskinesis, and rounded shoulder.
详细描述
Proper posture is defined as musculoskeletal balance with minimal stress or strain on the body. The human body is a multi-joint system with kinetic chains controlled by the central nervous system, with a series of joints that interact with muscle activity.
Prolonged exposure to unstable or abnormal posture can trigger a chain reaction of weak alignment and imbalance, leading to musculoskeletal diseases such as muscle stiffness or repeated traumatic injury. Sagittal cervical malalignment (SCM), in other words forward head posture (FHP), is one of the poor posture types of the head commonly seen in the sagittal plane. It is defined as the shift of the center of the head towards the front. As the head moves forward, the center of gravity changes. To compensate for this shift in the center of gravity, the upper body slides back and the shoulders move forward, the rounded shoulder develops so that the head is placed in front of the body.
SCM of the head is defined as the anterior extension of the head with hyperextension of the upper cervical vertebrae (C1-C3) and flexion of the lower cervical vertebrae (C4-C7) and hyperlordosis of the cervical curve. It can be caused by a variety of factors, including Sleeping in positions with an excessive elevation of the head, prolonged use of the computer, and developed back muscle weakness.
SCM can cause many harmful symptoms such as neck pain, shoulder pain, back pain, chronic headaches, increased curvature of the spine and scapular dyskinesia, and rounded shoulder.
The rounded shoulder is a bent posture in which the scapulae are elevated and the acromion protrudes forward compared to the center of gravity of the body. These changes can cause an imbalance of the surrounding muscles and eventually pain in the head, temporomandibular joints, neck, back, shoulders and arms.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Those with a Kraviovertebral angle below 50o.
- •Healthy individuals who have not had an upper extremity injury in the last 6 months.
- •Has 3 or more pain in VAS for at least 3 months
排除标准
- •Have received any physiotherapy program in the last 6 months due to neck pain or back pain.
- •With structural scoliosis
- •Have a history of fracture in the cervical vertebrae
- •Have any rheumatic disease affecting the neck
- •Having had a cervical spine surgery
- •Spinal cord compression from a tumor or other cause
- •Those with neurological deficits
研究组 & 干预措施
Scapular and Neck Proprioceptive Neuromuscular Facilitation Group
Participants in the intervention group will be applied neck and scapular Proprioceptive Neuromuscular Facilitation exercises lasting 40 minutes for 3 sessions a week for 4 weeks.
干预措施: Scapular and Neck Proprioceptive Neuromuscular Facilitation exercises (Other)
Control Group
McKenzie and Kendall exercises will be given to the participants in the control group. Exercises will be done 3 sessions a week over a 4-week period.
干预措施: McKenzie and Kendall exercises (Other)
结局指标
主要结局
Craniovertebral Angel Evaluation
时间窗: 5 minutes
The anatomical points of the participant's ipsilateral tragus and C7 spinous process will be marked. The angle between the line connecting the C7 spinous process and the tragus point and the horizontal line drawn from C7 gives the craniovertebral angle. Individuals with a CVA angle of less than 50 degrees are individuals with cervical sagittal alignment. A camera will be placed at a distance of 1 meter and the camera lens will be at the C7 level, fınally the lateral photos of the patients will be taken. Angle calculations will be made using the triangular screen ruler computer program of Markus Bader- MB Software Solutions.
次要结局
- Evaluation of Postural Problems(5 minutes)
- Neck Pain assessment(1 minute)
- Neck disailty index (NDİ)(3 minutes)
- Active Cervical Range of Motion(10 minutes)
- The International Physical Activity Questionnaire (IPAQ)- Short Form(3 minutes)
- Lateral Scapular Slide Test(10 minutes)
- The Craniocervical Flexion Test(10 minutes)