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342771

Relationship between Pain, Functional Disability, Proprioception, and Scapular Muscle Strength in Patients with Chronic Mechanical Neck Pain

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Chronic mechanical neck pain (CMNP) is an increasing health problem, causing functional disability in large populations. Aim of Study: The aim of this cross-sectional and correla-tional study was to investigate the relationship between pain, disability, proprioception, and scapular muscle strength in pa-tients with chronic mechanical neck pain. Material and Methods: Twenty-three patients of both gen-ders were included in this study. Their mean age was 34.93± 7.93, and their mean BMI was 27 .80±5.39. They were referred by orthopedic surgeons with a diagnosis of CMNP. All subjects were assessed for pain intensity using the Arabic version of the numeric pain rating scale, function and disability using the Ar-abic version of the neck disability index (NDI), cervical propri-oception using an inclinometer to calculate the joint position error sense (JPE), and scapular muscle strength of the serratus anterior, upper, middle, and lower trapezius using a hand-held dynamometer (HHD). A correlation analysis was conducted between the outcome measures using the Spearman Rho co-efficient. Results: A significant positive correlation between pain and the neck disability index was found, while right serratus ante-rior strength was negatively correlated with pain and the neck disability index. Right upper trapezius strength was negatively correlated with the neck disability index. strength of the right middle trapezius was positively correlated with joint position error of flexion (ps0.05). No significant relationships were found between pain and proprioception (p>0.05). Conclusion: The functional disability of patients with CMNP is correlated with the degree of pain and strength of the upper trapezius and serratus anterior and should be considered in the assessment, while cervical proprioception does not seem to be correlated with the measured outcome variables.

DOI

10.21608/mjcu.2024.342771

Keywords

Chronic mechanical neck pain — Functional disa, bility — Proprioception — Scapular muscles

Authors

First Name

AISHA S. ABD ELRAOF, M.Sc.*; ENAS F. YOUSSEF, PhD.**

Last Name

MOHAMED ABDELMEGEED, PhD.**

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Affiliation

The Department of Physical Therapy at Talla Central Hospital, Almenofia* and Orthopedic Physical Therapy Department, Faculty of Physical Therapy, Cairo University**

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Volume

91

Article Issue

12

Related Issue

46126

Issue Date

2023-12-01

Receive Date

2024-02-23

Publish Date

2024-12-01

Page Start

1,435

Page End

1,441

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_342771.html

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https://mjcu.journals.ekb.eg/service?article_code=342771

Order

342,771

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Relationship between Pain, Functional Disability, Proprioception, and Scapular Muscle Strength in Patients with Chronic Mechanical Neck Pain

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Article

Created At

30 Dec 2024