COMBINATION OF ULTRASOUND THERAPY, MUSCLE ENERGY TECHNIQUE, AND SUSTAINED NATURAL APOPHYSEAL GLIDES IN NON-SPECIFIC NECK PAIN – A CASE SERIES
Downloads
Background: Non-specific neck pain is a common neuromusculoskeletal problem and affects about two thirds of people worldwide. Purpose: To find out the efficacy of the combination therapy in individuals with non-specific neck pain. Case: The intervention was given in 12 sessions (3 times per week for 4 weeks) with the total duration of therapy per session is 20 minutes. The sequence of interventions includes: ultrasound therapy, application of muscle energy techniques, and SNAGs mobilization. Evaluation of therapy in the form of pain was measured by a visual analogue scale and the range of motion of the cervical spine's lateral flexion was measured by a goniometer. Result: The results of the case series showed a decrease in pain scores from an average of 5.67 to 2.73. In the range of motion of the cervical spine's lateral flexion there was an increase from an average of 30 degrees to 36 degrees. Conclusion: The combination of ultrasound therapy, muscle energy technique, and sustained natural apophyseal glides provided benefits in reducing pain and increasing the range of motion of the cervical spine's lateral flexion in individuals with non-specific neck pain. This case series can be used as a preliminary study to develop further research with experimental methods in proving the effectiveness of the combination therapy in treating non-specific neck pain.
Ali, A., Shakil-Ur-Rehman, S., Sibtain, F., 2014. The Efficacy of Sustained Natural Apophyseal Glides with and without Isometric Exercise Training in Non-specific Neck Pain. Pakistan J. Med. Sci. Vol. 30(4), Pp. 872-874.
Antari, N.K.A.J., Nugraha, M.H.S., Niko, I.M., Winaya, Adhityadharma, P.R., 2021. Deep Cervical Muscle Exercise Versus Soft Tissue Mobilization in Non-Specific Neck Pain. J. Keterapian Fis. Vol. 6(2), Pp. 89-92.
Beltran-Alacreu, H., Lopez-de-Uralde-Villanueva, I., Calvo-Lobo, C., Fernandez-Carnero, J., Touche, R. La, 2018. Clinical Features of Patients with Chronic Non-Specific Neck Pain per Disability Level: A Novel Observational Study. Rev. Assoc. Med. Bras. Vol. 64(8), Pp. 700-709.
Boonstra, A.M., Preuper, H.R.S., Reneman, M.F., Posthumus, J.B., Stewart, R.E., 2008. Reliability and Validity of The Visual Analogue Scale for Disability in Patients with Chronic Musculoskeletal Pain. Int. J.Rehabil. Res. Vol. 31(2), Pp. 165-169.
Burdette, E. Clif Lichtenstiger, C., Rund, L., Keralapura, Mallika Gossett, C., Stahlhut, R., Neubauer, Paul Komadina, Bruce Williams, E., Alix, C., Jensen, T., Schook, L., Diederich, C.J., 2011. Ultrasound Therapy Applicators for Controlled Thermal Modification of Tissue. In: Proc. SPIE 7901. Energy-based Treatment of Tissue and Assessment VI, San Francisco, California, United States, p. 79010W.
Celik, O., Ketenci, A., Esmaeilzadeh, S., Sindel, D., 2013. AB0667 The Effectiveness of Therapeutic Ultrasound in Non-Specific Mechanical Cervical Pain and Comparison of Different Application Methods for Clinical Practice. Ann. Rheum. Dis. Vol. 72(3), Pp. A992.3-A992.
Denegar, C.R., Saliba, E., Saliba, S., 2009. Therapeutic Modalities for Musculoskeletal Injuries (Athletic Training Education), 3 rd. ed. Human Kinetics.
Dundar, U., Solak, O., Samlı, F., Kavuncu, V., 2010. Effectiveness of Ultrasound Therapy in Cervical Myofascial Pain Syndrome: A Double Blind, Placebo-Controlled Study. Turkish J. Rheumatol. Vol. 25(3), Pp. 110-115.
Farooq, M.N., Bandpei, M.A.M., Ali, M., Khan, G.A., 2016. Reliability of The Universal Goniometer for Assessing Active Cervical Range of Motion in Asymptomatic Healthy Persons. Pakistan J. Med. Sci. Vol. 32(2), Pp. 457–461.
Fejer, R., Hartvigsen, J., 2008. Neck Pain and Disability Due to Neck Pain: What Is The Relation? Eur. Spine J.Vol. 17(1), Pp. 80-88.
Hayes, B.T., Merrick, M.A., Sandrey, M.A., Cordova, M.L., 2004. Three-MHz Ultrasound Heats Deeper Into the Tissues than Originally Theorized. J. Athl. Train. Vol. 39(3), Pp. 230-234.
Henry, J.P., Munakomi, S., 2022. Anatomy, Head and Neck, Levator Scapulae Muscles. StatPearls. URL https://www.ncbi.nlm.nih.gov/books/NBK553120/ (accessed 11.12.22).
Kazeminasab, S., Nejadghaderi, S.A., Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, M.J.M., Kolahi, A.-A., Safiri, S., 2022. Neck Pain: Global Epidemiology, Trends and Risk Factors. BMC Musculoskelet Disord. Vol. 23(1), Pp. 26.
Mahmoud, N.F., Hassan, K.A., Abdelmajeed, S.F., Moustafa, I.M., Silva, A.G., 2019. The Relationship Between Forward Head Posture and Neck Pain: A Systematic Review and Meta-Analysis. Curr. Rev. Musculoskelet. Med. Vol. 12(4), Pp. 562-377.
Matthews, M.J., Stretanski, M.F., 2022. Ultrasound Therapy. StatPearls. URL https://www.ncbi.nlm.nih.gov/books/NBK547717/
Mehdikhani, R., Reza, O.G., Shadmehr, A., Rasanani, M.H., 2019. Changes of Joint Position Sense in Responses to Upper Trapezius Muscle Fatigue in Subclinical Myofascial Pain Syndrome Participants Versus Healthy Control. Muscle Ligaments Tendons J. Vol. 8(4), Pp. 534-543.
Morishit, K., Karasuno, H., Yokoi, Y., Morozumi, K., Ogihara, H., Ito, T., Fujiwara, T., Fujimoto, T., Abe, K., 2014. Effects of Therapeutic Ultrasound on Intramuscular Blood Circulation and Oxygen Dynamics. J. Japanese Phys. Ther. Assoc. Vol. 17(1), Pp. 1-7.
Nugraha, M.H.S., Antari, N.K.A.J., Saraswati, N.L.P.G.K., 2020. Perbandingan Efektivitas Proprioceptive Neuromuscular Facilitation terhadap Muscle Energy Technique pada Mechanical Neck Pain: A Randomized Controlled Trial. J. Vokasi Indones. Vol. 8(1), Pp. 40-48.
Ourieff, J., Scheckel, B., Agarwal, A., 2022. Anatomy, Back, Trapezius. StatPearls. URL https://www.ncbi.nlm.nih.gov/books/NBK518994/#:~:text=The trapezius muscle is a,and lower groups of fibers.
Pal, A., Misra, A., 2019. Effectiveness of SNAG Mobilization on Computer Professionals with Mechanical Neck Pain and Mobility Deficit. Int. J. Physiother. Res. Vol. 7(2), Pp. 3022-3027.
Papadopoulos, E.S., Mani, R., 2020. The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain. Int. J. Low. Extrem. Wounds Vol 19(4), Pp. 350-358
Perrucini, P.D. de O., Poli-Frederico, R.C., Pires-Oliveira, D.A. de A., Bertin, L.D., Pires, F.B., Shimoya-Bittencourt, W., Santos, V.M., Coelh, J.M., Oliveira,R.F. de, 2020. Anti-Inflammatory and Healing Effects of Pulsed Ultrasound Therapy on Fibroblasts. Am. J. Phys. Med. Rehabil. Vol. 99(1), Pp. 19-25.
Phadke, A., Bedekar, N., Shyam, A., Sancheti, P., 2016. Effect of Muscle Energy Technique and Static Stretching on Pain and Functional Disability in Patients with Mechanical Neck Pain: A Randomized Controlled Trial. Hong Kong Physiother. J. Vol. 35, Pp. 5-11.
Seo, U.-H., Kim, J.-H., Lee, B.-H., 2020. Effects of Mulligan Mobilization and Low-Level Laser Therapy on Physical Disability, Pain, and Range of Motion in Patients with Chronic Low Back Pain: A Pilot Randomized Controlled Trial. Healthcare Vol. 8(3), Pp. 237.
Singh, S.I., Rayjade, A., 2019. Effect of Spinal Mobilization with Arm Movement and Sustained Natural Apophyseal Glides in Cervical Hypomobility. Int. J. Heal. Sci. Res. Vol. 9(6), Pp. 111-116.
Sudaryanto, S., 2014. Pemberian Teknik Mulligan Dan Soft Tissue Mobilization Lebih Baik Daripada Hanya Soft Tissue Mobilization dalam Meningkatkan Lingkup Gerak Sendi Ekstensi, Rotasi, Lateral Fleksi Cervical pada Mechanical Neck Pain. J. Ilm. Fisioter. Vol. 14(1), Pp. 1-10.
Sung, J.-H., Lee, J.-M., Kim, J.-H., 2022. The Effectiveness of Ultrasound Deep Heat Therapy for Adhesive Capsulitis: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health Vol. 19(3), Pp. 1859.
Tsakitzidis, G., Remmen, R., Dankaerts, W., Royen, P. Van, 2013. Non-Specific Neck Pain and Evidence-Based Practice. Eur. Sci. J. Vol. 9(3), Pp. 1–19.
Watson, T., 2017. Ultrasound Dose Calculations. Electrotherapy. URL https://www.electrotherapy.org/ultrasound-dose-calculations (accessed 8.21.22).
Won, Y.K.Y., Latip, H.F.M., Aziz, M.S.A., 2019. The Reliability and Validity on Measuring Tool of Cervical Range of Motion: A Review. Sport. Med. Inj. Care J. Vol. 1(1), Pp. 1-4
Copyright (c) 2023 Journal of Vocational Health Studies
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
- The authors agree to transfer the transfer copyright of the article to the Journal of Vocational Health Studies (JVHS) effective if and when the paper is accepted for publication.
- Legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-NonCommercial-ShareAlike (CC BY-NC-SA), implies that publication can be used for non-commercial purposes in its original form.
- Every publications (printed/electronic) are open access for educational purposes, research, and library. Other that the aims mentioned above, editorial board is not responsible for copyright violation.
Journal of Vocational Health Studies is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License