Cervical range of motion (ROM) is necessary to perform normal activities of daily living and deficits are associate with various pathologies. Currently, its unclear if specific myofascial stretches will improve cervical range of motion and decrease myofascial sensitivity. After a single session of the manual stretching procedure, participants immediately demonstrated increased cervical ROM and pressure pain thresholds.
Methods: Sixty participants with no history of neck pain or trauma were randomized into one of two groups: stretching group (n = 30), or control group (n = 30). The stretching group received a standardized manual stretching protocol. The control group did not received intervention. Pre and Post-test measurements were recorded for both groups. Within group differences and group by time interactions were evaluated for Cervical range of motion ROM and myofascial sensitivity. The immediate improvement in active ROM of the cervical spine may prompt clinicians to consider the sequencing of treatment. Stretching prior to active exercises may allow for active exercise through a larger ROM. Future research is needed to evaluate the immediate effects of stretching in the symptomatic population.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Manual stretching for the upper trapezius and levator scapulae muscle
University of Central Florida
Orlando, Florida, United States
Range of Motion
CROM including flexion, extension, side bending left, side bending right, rotation left, and rotation right
Time frame: 1 minute post-intervention
Pressure pain thresholds
The PPT was recorded using a Wagner FDX-25 hand-held digital pressure algometer (Wagner Instruments, Greenwich, CT). The investigator performed each assessment uniformly by applying force at the same rate of 5 Pa/second.
Time frame: 1 minute post-intervention
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