EFFECT OF MANUAL THERAPY FOR NECK PAIN
Keywords:
cervical pain, muscle tonus, imbalance, Medical sciences and HealthAbstract
The cervical spine is one of the busiest, most delicate, and most complicated areas in the axial skeletal system (M. Panjabi, 1990; M. Ioosab, 1994). Manual therapy (MT) combines all diagnostic and therapeutic techniques for the study and overcoming of functional blockages in peripheral joints, joints of the spine and related reflex changes in the periphery and / or internal organs. Its main task is the prevention of functional disorders of the musculoskeletal system by maintaining the normal volume of joint play. MT has not only a mobilizing but also an analgesic effect. (L. Kraidzhikova, 2011).
Aim: The aim of this study was to monitor the effects of manual therapy for cervical dysfunction and to test its effectiveness.
Methods: The contingent in the present study are 60 male and female patients aged 40 - 70 years selected by indicators of neck pain with clinically proven or not diagnosed spondylosis. Divided into two groups: 30 with a diagnosis of spondylosis (mean age 56.75) and 30 with an unspecified one (mean age 49.25). Before the start of the application of the kinesitherapeutic methods (therapeutic massage, postisometric relaxation, suction cups, stretching and trigger points), functional tests and examinations of the neck pain were performed for both groups. The following muscles were examined: m. Levator scapulae, m. Trapezius and m. Sternocleidomastoideus. The following types of measurements of the volume of movement in the cervical spine were made: goniometry, centimeter, study of muscle tone. In the group diagnosed with spondylosis, in addition to kinesitherapy methods (therapeutic massage, postisometric relaxation, suction cups, stretching and trigger points), general developmental exercises were applied. Only kinesitherapy methods (therapeutic massage, postisometric relaxation, suction cups, stretching and trigger points) were applied to the group without diagnosis.
In the studied groups the persons for whom the dominant hand is the right hand predominate. The persons in the first group with a left dominant hand are 6 (or 15%), and in the second are 5 (12.5%). Which arm is dominant affects the load on the shoulder girdle and neck and causes problems in its respective part (left or right). The differences (Wilcoxon signed rank test) in the degrees in the frontal plane on the left and right in both groups were statistically significant (P = 0.02 in the first group and P <0.0001 in the second group), the degrees of rotation (P = 0.005 in the first group and P <0.0001 in the second group), the lateral slope (P = 0.006 in the first group and P = 0.04 in the second group) and rotation in cm have a difference only in the first group (P = 0.006). The probable reason for the appearance of these differences is the fact that in persons with spondylosis both sides are affected to a large extent, in contrast to persons without a diagnosis, in which the load on the upper limb is decisive
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