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Title: COMPARE THE EFFECTS OF STRENGTHENING EXERCISES WITH AND WITHOUT SOFT TISSUE MOBILIZATION FOR THE MANAGEMENT OF TENSION NECK SYNDROME IN FEMALES: A RANDOMIZED CONTROLLED TRIAL
Authors: Javairia Javaid, Wardah Hussain Malick, Abdul Ahad, Danish Rauf
Journal: The Rehabilitation Journal
Publisher: Human Easement Foundation
Country: Pakistan
Year: 2022
Volume: 6
Issue: 3
Language: English
Background: Tension neck syndrome (TNS) is a prevalent condition worldwide. Soft tissue mobilization and strengthening exercises are used in physiotherapeutic rehabilitation of the musculoskeletal disorders. Objective: To compare the effects of strengthening exercises with and without soft tissue mobilization (STM) for pain and disability reduction in females with TNS. Methods: A single-blinded, parallel-group randomized controlled trial was conducted at the National Institute of Rehabilitation Medicine, Pakistan, from April to July 2016. A total of n=30 females, aged 30-70 years, were recruited through non-probability convenient sampling technique and randomly allocated to the experimental and control group. The experimental group received STM and neck isometric strengthening exercises, whereas the control group received neck isometric strengthening exercises only. The Numeric Pain Rating Scale (NPRS) was used to assess the pain intensity, while Neck Disability Index (NDI) was used for the neck-related disability. The data was collected at the baseline, after the 4th session and after the 8th session. The repeated measure analysis of variance (RM ANOVA) was used to analyse within the group changes, while the independent t-test was used to analyse the differences between the groups. The data was analysed by using SPSS version 21.Results: The mean age of the study participants was 47.9 ± 8.95 years. Within groups’ changes showed that pain intensity, individual items of NDI and its total score showed significant improvement in both the groups from the baseline to the 8th session (p £ 0.05). After the 8th session, the experimental group showed more significant reduction (p £ 0.05) in pain intensity and neck disability as compared to the control group. Conclusions: Soft tissue mobilization when combined with neck isometric strengthening exercises was more effective than exercises alone for reducing the pain intensity and disability in females with tension neck syndrome.
To compare the effects of strengthening exercises with and without soft tissue mobilization (STM) for pain and disability reduction in females with Tension Neck Syndrome (TNS).
A single-blinded, parallel-group randomized controlled trial was conducted with 30 female participants aged 30-70 years. Participants were randomly allocated to an experimental group (STM + neck isometric strengthening exercises - NISE) or a control group (NISE only). Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS), and neck-related disability was assessed using the Neck Disability Index (NDI). Data was collected at baseline, after the 4th session, and after the 8th session. Repeated measure analysis of variance (RM ANOVA) and independent t-tests were used for data analysis.
graph TD
A["Recruit 30 Females with TNS"] --> B["Random Allocation"];
B --> C["Experimental Group: STM + NISE"];
B --> D["Control Group: NISE Only"];
C --> E["Data Collection NPRS, NDI"];
D --> E;
E --> F["Analyze Data RM ANOVA, t-test"];
F --> G["Compare Effects"];
G --> H["Conclusion"];
The study suggests that combining soft tissue mobilization with neck isometric strengthening exercises is more effective than exercises alone for managing pain and disability in females with TNS. This combination may lead to better myofascial release, structural realignment, and postural adjustments.
Both groups showed significant improvement in pain intensity and NDI scores from baseline to the 8th session. After the 8th session, the experimental group (STM + NISE) demonstrated a more significant reduction in pain intensity and neck disability compared to the control group (NISE only).
Neck isometric strengthening exercises combined with soft tissue mobilization are more effective than exercises alone in reducing pain intensity and disability in females with tension neck syndrome.
* The study was conducted from April to July 2016.
* A total of 30 females were recruited for the study.
* The mean age of the study participants was 47.9 ± 8.95 years.
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