Neck range of motion

  • 文章类型: Journal Article
    背景:肌筋膜疼痛综合征是一种伴有肌肉痉挛的肌肉骨骼疼痛疾病,提到疼痛,刚度,运动范围受限。电容阻性透热疗法通过射频波传递能量来加热深层组织。尽管这种方式用于治疗各种肌肉骨骼疾病,没有关于肌筋膜触发点的具体数据。因此,我们旨在评估电容阻性透热疗法对肌筋膜触发点的有效性.
    方法:纳入36名肌筋膜触发点活跃的志愿者。患者随机平均分为两组。第1组是电容-电阻性透热治疗组;第2组是安慰剂电容-电阻性透热(PG)。视觉模拟量表(VAS),疼痛压力阈值(PPT),颈部残疾指数(NDI),颈部运动范围(nROM),在干预前后,使用简短形式-36(SF-36)作为结果。
    结果:在两组中,VAS,PPT,NDI评分在组内显著提高(p<0.05)。CRG在屈曲的nROM方面显示出统计学上的显着改善,扩展,和旋转(p<0.05)。然而,CRG的ROM增加并不优于PG(p>0.05)。
    结论:两组间无显著差异。我们认为PG的积极结果可能归因于做运动。因此,电容电阻透热疗法并不优于运动,但可以用作肌筋膜触发点治疗的辅助方式。
    BACKGROUND: Myofascial pain syndrome is a painful musculoskeletal condition with muscle spasm, referred pain, stiffness, restricted range of motion. Capacitive-resistive diathermy heats deep tissues by transferring energy through radiofrequency waves. Although this modality is used to treat various musculoskeletal disorders, there is no specific data on myofascial trigger points. Thus, we aimed to evaluate the effectiveness of capacitive-resistive diathermy on the myofascial trigger points.
    METHODS: Thirty-six volunteers with active myofascial trigger points were included. Patients were randomly and equally allocated into two groups. Group-1 is the capacitive-resistive diathermy treatment group; Group-2 is the placebo capacitive-resistive diathermy (PG). Visual analog scale (VAS), pain pressure threshold (PPT), neck disability index (NDI), neck range of motion (nROM), Short form-36 (SF-36) were used as outcomes before and after the intervention.
    RESULTS: In both groups, VAS, PPT, NDI score significantly improved within the groups (p < 0.05). The CRG showed a statistically significant improvement in nROM for flexion, extension, and rotation (p < 0.05). However, ROM increase in CRG is not superior to PG (p > 0.05).
    CONCLUSIONS: There was no significant difference between the two groups. We thought positive results in the PG might attributed to doing exercise. As a result, capacitive-resistive diathermy is not superior to exercise, but can be used as an adjuvant modality in myofascial trigger points treatment.
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  • 文章类型: Journal Article
    在伊朗,吸食鸦片通常是通过传统和新颖的路线进行的。两种吸烟方法都在非人体工程学的位置进行。根据以前的研究和我们的假设,它可能对颈椎有害。因此,本研究旨在探讨吸食鸦片与颈部活动范围及颈部肌力的关系。
    在这项横断面和相关研究中,我们用CROM测角仪和手持式测力仪测量了120名患有药物使用障碍的男性颈部肌肉的活动范围和力量.其他数据收集使用人口统计问卷进行,Maudsley成瘾简介,和波斯语版本的利兹依赖问卷。通过Shapiro-Wilks检验对获得的数据进行分析,皮尔逊相关系数和逐步线性回归。
    药物使用的发病年龄与颈部的活动范围和肌肉力量之间没有显着相关性;但是,每日吸食鸦片的持续时间和吸食鸦片的年数与颈部在某些方向上的运动范围和肌肉力量呈负相关。减少颈部活动范围的每日鸦片吸烟时间和减少颈部肌肉力量的鸦片吸烟总持续时间是更强的预测变量。
    通过传统路线吸烟的鸦片会导致非人体工程学的姿势,并且与运动范围和颈部肌肉力量的降低具有中等的显着相关性,在伊朗。
    -吸毒障碍的危害不仅仅是艾滋病和肝炎,减少伤害的计划应该超越预防艾滋病和肝炎。与其他方法(口服和注射,等。)吸烟使用药物引起的肌肉骨骼疾病,在降低生活质量和康复需求方面有更大的成本负担。-药物滥用治疗和减少危害计划应更加重视用口服药物辅助治疗代替吸烟药物。-尽管在伊朗和该地区的一些国家,大量的人多年甚至一生都在吸食鸦片,每天在一个完全不符合人体工程学的位置,但是研究姿势的变形和与身体位置相关的肌肉骨骼疾病,不是一个科学问题,无论是物理治疗研究人员还是成瘾研究人员都没有关注它。-鸦片成瘾者的颈部肌肉力量和活动范围与鸦片吸烟年数和每日鸦片吸烟分钟数相关,但不是它的口腔使用。-持续吸烟的发病年龄和永久性鸦片吸烟以及物质依赖严重程度与颈部活动范围和肌肉力量之间没有显着相关性。-有药物使用障碍的人(尤其是吸烟使用者)是一大群弱势群体,应该是目标人群的肌肉骨骼疾病研究人员和成瘾伤害减少研究人员,更多的实验,比较,队列,等。应该为他们设计和实施研究。
    UNASSIGNED: Opium smoking is commonly practiced via traditional and novel routes in Iran. Both smoking methods are practiced in a non-ergonomic position. According to previous studies and our hypothesis, it can be potentially harmful to the cervical spine. Thus, the present study aimed to investigate the relationship between opium smoking and neck range of motion and neck muscle strength.
    UNASSIGNED: In this cross-sectional and correlational study, the range of motion and strength of the neck muscles of 120 men with drug use disorder were measured by a CROM goniometer and a hand-held dynamometer. Other data gathering was performed using a demographic questionnaire, the Maudsley Addiction Profile, and the Persian version of Leeds Dependence Questionnaire. The obtained data were analyzed by Shapiro-Wilks test, Pearson\'s correlation coefficient and stepwise linear regression.
    UNASSIGNED: There was no significant correlation between the age of drug use onset and range of motion and muscle strength of the neck; however, the daily duration of opium smoking and the number of years of opium smoking were inversely and significantly correlated with the range of motion and muscle strength of the neck in some directions. Daily opium smoking time for decreasing in neck range of motion and total duration of opium smoking for reduction of neck muscles strength are stronger predictor variables.
    UNASSIGNED: Opium smoking by traditional routes causes non-ergonomic positions and has a moderate significant correlation with reduced range of motion and neck muscle strength, in Iran.
    UNASSIGNED: - The harm of drug use disorder is not only AIDS and hepatitis, and harm reduction programs should go beyond the prevention of AIDS and hepatitis. According to more than 90% of smoking use of drug compared to other methods (oral and injectable, etc.) musculoskeletal disorders caused by the smoking use of drugs, have a greater cost burden in reducing the quality of life and the need for rehabilitation.- Drug abuse treatment and harm reduction programs should focus more seriously on replacing smoking use of drugs with oral medications assisted treatment.- Although in Iran and some countries in the region, a large number of people smoke opium for many years and sometimes all their lives, daily in a completely non-ergonomic position, but studying the deformation of the posture and musculoskeletal disorders related to the body position in them, is not a scientific concern and neither physical therapy researchers have paid attention to it nor addiction researchers.- Neck muscles strength and range of motion in opium addicts are correlated to the number of years of opium smoking and daily minutes of opium smoking, but not to its oral use.- There is no significant correlation between the onset age of continues and permanent opium smoking and substance dependence severity with neck range of motion and muscles strength.- People with drug use disorder (especially smoking users) as a large group of vulnerable people, should be the target population of musculoskeletal disorders researchers and addiction harm reduction researchers, and more experimental, comparative, cohort, etc. researches should be designed and implemented for them.
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  • 文章类型: Comparative Study
    An inertial sensor-embedded virtual reality (VR) head-mounted display, the Oculus Rift (the Rift), monitors head movement so the content displayed can be updated accordingly. While the Rift may have potential use in cervical spine biomechanics studies, its accuracy in terms of cervical spine mobility measurement has not yet been validated. In the current study, a VR environment was designed to guide participants to perform prescribed neck movements. The cervical spine kinematics was measured by both the Rift and a reference motion tracking system. Comparison of the kinematics data between the Rift and the tracking system indicated that the Rift can provide good estimates on full range of motion (from one side to the other side) during the performed task. Because of inertial sensor drifting, the unilateral range of motion (from one side to neutral posture) derived from the Rift is more erroneous. The root-mean-square errors over a 1-min task were within 10° for each rotation axis. The error analysis further indicated that the inertial sensor drifted approximately 6° at the beginning of a trial during the initialization. This needs to be addressed when using the Rift in order to more accurately measure cervical spine kinematics. It is suggested that the front cover of the Rift should be aligned against a vertical plane during its initialization.
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