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Dr. Reda kotb Abd Elrazik :: Publications:

Title:
Effect of adding trunk core training exercise to conventional therapy on patients with chronic mechanical neck pain
Authors: Ali, A. F. M., Shabara, A. R. A., Elrazik, R. K. A., & Samir, S. M
Year: 2022
Keywords: mechanical neck pain, exercise, neck disability index, surface electromyography, core training program, cervical range of motion.
Journal: International Journal of Health Sciences
Volume: 6
Issue: s6
Pages: 8524–8538.
Publisher: Not Available
Local/International: International
Paper Link:
Full paper Reda kotb Abd Elrazik_Effect_of_adding_trunk_core_training_exe.pdf
Supplementary materials Not Available
Abstract:

Background: One of the most frequent causes of musculoskeletal pain in the general population is cervicalgia, sometimes known as neck pain. Its estimated prevalence ranges from 16.7% to 71.5 percent, and it should be noted that up to 50% of these cases may develop into chronic conditions. In this study, patients with persistent mechanical neck pain were examined to determine the effectiveness of trunk core training exercises on pain, range of motion, functional impairment, and muscle activity. Purpose: The goal of the study was to determine the impact of adding core training to patients' existing conventional treatments for chronic mechanical neck pain. Methods: Twenty male and twenty female patients with persistent mechanical neck pain, ranging in age from 18 to 40, participated in this study. The cases were classified into two equal groups randomly (A and B). Group A has got standard physiotherapy program (Passive stretching of the upper fibers of trapezius, sternocleidomastoid, and scalene muscles, Isometric strengthening exercises of neck muscles, hot pack). Group B has obtained standard physiotherapy program in addition to trunk core training program. Results: When the two groups were evaluated, it was found that both groups had statisticallynoticeable decreases in VAS, NDI, and sternocleidomastoid and scalenus anterior activity after treatment compared to pre-treatment (p > 0.001). Both groups’ post-treatment upper trapezius activity and total neck range of motion were statistically clearly higher than they were pre-treatment (p > 0.001). Following treatment, a comparison between the groups showed a statistically decrease in group B’s VAS, NDI, and right and left sternocleidomastoid activity (p < 0.001). In favor of group B after treatment, there was a statistically significant increase in neck range of motion and the activity of the right and left upper trapezius (p < 0.001). Although there was no statistically significant difference in the activity of the right and left scalenus anterior between the groups (p > 0.05). Conclusions: Based on the study's objectives and results, it was determined that core training programs for the trunk, in addition to conventional treatment, were superior to conventional treatment alone in improving VAS, NDI, neck range of motion, right and left sternocleidomastoid activity, and upper trapezius activity in patients with chronic mechanical neck pain

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