Immediate effects of active versus passive scapular correction on pain and pressure pain threshold in patients with chronic neck pain

Enrique Lluch, Maria Dolores Arguisuelas, Otilia Calvente Quesada, Estibaliz Martínez Noguera, Marta Peiró Puchades, José A Pérez Rodríguez, Deborah Falla

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

OBJECTIVE: The purpose of this study was to investigate the effect of active vs passive scapular correction on pain and pressure pain threshold at the most symptomatic cervical segment in patients with chronic neck pain.

METHODS: Twenty-three volunteers with chronic, idiopathic neck pain were recruited (age, 38.9 ± 14.4 years; sex [man/woman], 3/20; Neck Disability Index, 28.1% ± 9.9%). Subjects were randomly allocated to 2 groups: active scapular correction or passive scapular correction. Pressure pain threshold and pain intensity rated on a numerical rating scale during a posteroanterior glide over the most symptomatic cervical segment were measured before and immediately after the active or passive scapular intervention.

RESULTS: Only the active scapular correction produced a reduction in pain (pre, 6.3 ± 1.2; post, 3.7 ± 2.4; P < .05) and increase in pressure pain threshold (pre, 8.7 ± 4.2 kg/cm(2); post, 10.1 ± 3.8 kg/cm(2); P < .05) at the most painful cervical segment.

CONCLUSIONS: An active scapular correction exercise resulted in an immediate reduction of pain and pressure pain sensitivity in patients with chronic neck pain and scapular dysfunction.

Original languageEnglish
Pages (from-to)660-666
Number of pages7
JournalJournal of Manipulative and Physiological Therapeutics
Volume37
Issue number9
Early online date1 Oct 2014
DOIs
Publication statusPublished - Nov 2014

Keywords

  • Adolescent
  • Adult
  • Brain Mapping
  • Chronic Pain
  • Female
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Manipulation, Chiropractic
  • Manipulation, Orthopedic
  • Manipulation, Spinal
  • Motion Therapy, Continuous Passive
  • Neck Pain
  • Pain Measurement
  • Pain Perception
  • Pain Threshold
  • Patient Satisfaction
  • Pressure
  • Scapula
  • Severity of Illness Index
  • Treatment Outcome
  • Young Adult
  • Exercise
  • Intervention
  • Randomized Trial

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