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260017

Effect of Manual Pressure Release and Scapular Stabilization Exercises on Myofascial Pain Syndrome Following Neck Dissection Surgery

Article

Last updated: 03 Jan 2025

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Abstract

Background: Neck dissection (ND) is a popular technique to treat malignant growths in the head and neck caused by carcinoma of squamous cells. Spinal accessory nerve damage related to the type of neck dissection surgery (NDS) results in scapular dyskinesia, trapezius atrophy, shoulder dysfunction, and chronic neck pain. Myofascial pain syndrome (MPS) is identified in 13% of individuals with neck and head cancer.  Objective: The aim of the study is to explore the impact of MPR and SSE at MPS following ND surgery in reducing pain and improving cervical ROM. Patients and methods: A total of 40 patients with cervical MPS post NDS were enrolled, and divided into 2 equal groups in a random manner. The intervention group (Group A) applied manual pressure release (MPR) for 20 minutes and scapular stabilization exercises (SSE) for approximately 30 minutes, in addition to traditional therapy (ROM exercises, strengthening exercises, and stretching exercises) for about 15 minutes. The control group (Group B) received only traditional therapy. The trial lasted 8 weeks and involved 3sessions per week. Results: Comparing between the intervention group and the control group after treatment showed that the intervention group had a significantly lower VAS (p=0.001) and a significantly higher pressure pain threshold (p=0.002). Moreover, side bending and rotation ROM of the neck for both sides were significantly improved within the intervention group compared to the control group (p=0.001). Conclusion Better results were observed within neck pain and ROM in the patients who received MPR and SSE.  

DOI

10.21608/ejhm.2022.260017

Keywords

Neck dissection surgery, Myofascial pain Syndrome, Manual pressure release, Scapular stabilization exercise

Authors

First Name

Alzahraa Mohammed Mohammed

Last Name

Attia

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Email

zahra_mohammed56@yahoo.com

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Orcid

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First Name

Nancy Hassan

Last Name

Aboelnour

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Ragab Ali

Last Name

Sherif

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Karim Ibrahim

Last Name

Saafaan

MiddleName

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-09-17

Publish Date

2022-10-01

Page Start

4,668

Page End

4,675

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_260017.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=260017

Order

85

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effect of Manual Pressure Release and Scapular Stabilization Exercises on Myofascial Pain Syndrome Following Neck Dissection Surgery

Details

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Article

Created At

22 Jan 2023