Abstract:
Purpose: The purpose of the study was to explore the effectiveness of Scapular
stretching and strengthening exercises with conventional physiotherapy compare to
only conventional physiotherapy for chronic Neck Pain. Objectives: To evaluate the
effect of pain and range of motion at Scapular strengthening and stretching exercises
for chronic neck pain patients using pre and post test assessment with conventional
physiotherapy and conventional Physiotherapy alone in Patients with Chronic Neck
Pain. Methodology: Fourteen patients with chronic neck pain were randomly selected
from outdoor musculo-skeletal unit, CRP and then7 patients with Chronic Neck Pain
were selected and randomly assigned to Scapular stretching and strengthening
exercises with conventional physiotherapy group and 7 patients to the only
conventional physiotherapy group for this randomize control trial study. The study
was conducted at musculoskeletal department of CRP, Savar. Visual Analogue Scale
was used to measure pain intensity in different functional position and Goniometer to measure ROM. Unrelated "t" test was used to compare the result in ROM analysis
and Pain was analyzed by Calculating mean difference between two groups. Results:
Following treatment the study found significant improvement of pain. In
Experimental group, Mean difference of reduction of resting pain was 4.28 which
were 2.29 more than Mean difference in control group. Also there was significant
improvement of pain in sitting, forward bending, turning, travelling and sleeping, as
the mean difference were consecutively 2.56, 1.57, 1.85, 0.86 and 0.86 more than
control group. Researcher also found significant Improvement of ROM In case of
neck flexion (p<.0.001), extension (p<0.01), right side bending (p<0.02), left side
bending (p<0.001), left side rotation (p<0.001) but not statistically significant
improvement has been found in Right side rotation of neck. Conclusion: This
experimental study shows that Scapular stretching and strengthening exercises with
conventional physiotherapy is more effective than conventional physiotherapy alone for patients with Chronic Neck Pain.
