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Effects of scapular stabilization exercises in patients of chronic neck pain with scapular dyskinesis: a quasi-experimental study
Ozdemir F, Toy S, Kizilay F, Avci ZT, Altay Z, Colak C
Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi [Turkish Journal of Physical Medicine and Rehabilitation] 2021;67(1):77-83
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: This study aims to investigate the effectiveness of scapular stabilization exercises in patients with chronic neck pain and scapular dyskinesis. PATIENTS AND METHODS: This single-center, prospective study included a total of 36 patients (17 males, 19 females; mean age 41 +/- 12.8 years; range 25 to 57 years) with chronic neck pain and scapular dyskinesis between April 2018 and September 2018. The patients were randomly assigned to three treatment groups. Group 1 (n = 13) consisted of those receiving scapular stabilization exercises by a physiotherapy specialist control in addition to the routine physiotherapy and rehabilitation program; group 2 (n = 12) consisted of those receiving the routine physiotherapy and rehabilitation program in addition to scapular stabilization exercises in-home training program; and group 3 (n = 11) consisted of those receiving the routine physiotherapy and rehabilitation program alone. The assessments were made using the visual analog scale (VAS) and Northwick Park Neck Pain Questionnaire (NPQ). RESULTS: Significant differences were found in the pre- and post-treatment VAS scores, and group 1 and group 2 created this significant difference (p < 0.05). A significant difference was also observed in the pre- and post-treatment NPQ scores among the groups (p < 0.05). Group 1 showed the most significant improvement of the NPQ scores (p < 0.05). CONCLUSION: Our study results suggest that addition of scapular stabilization exercises to the routine physiotherapy components may be an effective method for improving pain and functional results.

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