Dziļo mugurkaula kakla daļas fleksoru spēka treniņa efektivitāte personām ar hroniskām mugurkaula kakla daļas sāpēm: sistemātisks literatūras pārskats
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Date
2021
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Volume Title
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Darba nosaukums: Dziļo mugurkaula kakla daļas fleksoru spēka treniņa efektivitāte personām ar hroniskām mugurkaula kakla daļas sāpēm: sistemātisks literatūras pārskats
Darba aktualitāte: Mugurkaula kakla daļas (MKD) sāpes sabiedrībā ir bieži sastopama problēma un darba nespējas cēlonis, kas ietekmē aptuveni 70% cilvēku kādā viņu dzīves brīdī. (Gupta et al., 2013) Mugurkaula kakla daļas problēmas var nelabvēlīgi ietekmēt fizisko, psiholoģisko un sociālo cilvēka funkciju. (Suvarnnato et al., 2019) Pieaugot datoru izmantošanai, MKD sāpes ir kļuvušas par visizplatītāko traucējumu biroja darbiniekiem. (Lee et al., 2017) Ir konstatēts, ka dziļajiem MKD fleksoriem ir tendence vājināties. (O’Leary et al, 2012) Šo muskuļu spēka trenešāna samazina MKD sāpes un palielina to muskuļu aktivāciju, kas var uzlabot spēju saglabāt pareizo MKD pozīciju un aktīvo stabilitāti. (Gupta et al., 2013)
Pētījuma mērķis: Noskaidrot dziļo mugurkaula kakla daļas fleksoru spēka treniņa efektivitāti personām ar hroniskām mugurkaula kakla daļas sāpēm.
Pētījuma metodes: Datubāzes, kuros tika meklēti pētījumi, ir PubMed Central, Journal of Rehabilitation Medicine, Wiley Online Library. Tika atlasīti pētījumi, kas ir publicēti angļu valodā no 2011. līdz 2021. gadam, ar The Neck Disability Index scale kā vienojošu instrumentu un dziļo MKD fleksoru spēka treniņu kā terapiju.
Rezultāti: Apkopojot iekļauto sistemātiskajā literatūras pārskatā pētījumu rezultātus, Kakla nevarības indeksa skalas rādītāji visu pētījumu terapiju beigās statistiski nozīmīgi samazinājās, salīdzinot ar rādītājiem pirms terapiju uzsākšanas. Tā kā visos pētījumos tika minēts par MKD pozīcijas kontroli, aktīvo stabilitāti, dziļo MKD fleksoru izturību un koordināciju, visu šo komponentu mijiedarbībā var panākt efektīvu hronisko MKD sāpju samazināšanu.
Secinājumi: Dziļo mugurkaula kakla daļas fleksoru spēka treniņa efektivitātes novērtēšana tika balstīta uz trim vidējas un diviem augstas kvalitātes pētījumiem, izmantojot PEDro skalu. Apkopoto pētījumu rezultāti liecina, ka dziļo mugurkaula kakla daļas fleksoru spēka treniņš ir efektīvs simptomu mazināšanā personām ar hroniskām mugurkaula kakla daļas sāpēm, izmantojot Kakla nevarības indeksa skalu. Dziļo mugurkaula kakla daļas fleksoru spēka treniņš vismaz sešas līdz astoņas nedēļas piecas reizes nedēļā ir labvēlīgs mugurkaula kakla daļas pozīcijas, kustību kontroles, aktīvās stabilitātes, dziļo mugurkaula kakla daļas fleksoru izturības uzlabošanā personām ar hroniskām mugurkaula kakla daļas sāpēm.
Atslēgas vārdi: dziļo mugurkaula kakla daļas fleksoru spēka treniņš, mugurkaula kakla daļas sāpes, Kakla nevarības indekss.
Title: Effectiveness of deep cervical flexor strength training in persons with chronic cervical spine pain: a systematic review of the literature Background: Cervical spine pain is a common problem in the community and a cause of disability for work. That affects about 70% of people at some period in their lives. (Gupta et al., 2013) Cervical spine problems can unfavorably affect the physical, psychological and social functions of a person. (Suvarnnato et al., 2019) With the increase of computer use, cervical spine pain has become the most common disorder in office workers. (Lee et al., 2017) Deep cervical flexors have been found to tend to weaken. (O’Leary et al, 2012) Decreased strength of these muscles reduces the cervical spine pain and increases these muscles activity, as well as improves the ability to save the upright position and active stability of the cervical spine. (Gupta et al., 2013) Objective: To determine the effectiveness of deep cervical flexor strength training in persons with chronic cervical spine pain. Methods: The literature was searched in PubMed Central, Journal of Rehabilitation Medicine, Wiley Online Library databases. Studies published in English language from 2011 to 2021 with The Neck Disability Index scale as a unifying tool and deep cervical flexor strength training as therapy were selected. Results: Summarizing the studies included in the systematic review of the literature, the results of the Neck Disability Index scale statistically significantly decreased compared to the pre-treatment results. As a cervical spine position control and active stability, strength and coordination of deep cervical flexors were mentioned in all of the studies, the interaction of all these components can lead to effective reduction of chronic cervical spine pain. Conclusions: Evaluation of the effectiveness of deep cervical flexor strength training was based on three medium and two high quality studies according to the PEDro scale. The results of the summarized studies show that deep cervical flexor strength training is effective in reducing symptoms in persons with chronic cervical spine pain using the Neck Disability Index scale. Deep cervical flexor strength training for at least six to eight weeks five times a week is beneficial in improving cervical spine position, movement control, active stability, deep cervical flexor strength in persons with chronic cervical spine pain. Keywords: deep cervical flexor strength training, neck (cervical spine) pain, Neck disability index (NDI).
Title: Effectiveness of deep cervical flexor strength training in persons with chronic cervical spine pain: a systematic review of the literature Background: Cervical spine pain is a common problem in the community and a cause of disability for work. That affects about 70% of people at some period in their lives. (Gupta et al., 2013) Cervical spine problems can unfavorably affect the physical, psychological and social functions of a person. (Suvarnnato et al., 2019) With the increase of computer use, cervical spine pain has become the most common disorder in office workers. (Lee et al., 2017) Deep cervical flexors have been found to tend to weaken. (O’Leary et al, 2012) Decreased strength of these muscles reduces the cervical spine pain and increases these muscles activity, as well as improves the ability to save the upright position and active stability of the cervical spine. (Gupta et al., 2013) Objective: To determine the effectiveness of deep cervical flexor strength training in persons with chronic cervical spine pain. Methods: The literature was searched in PubMed Central, Journal of Rehabilitation Medicine, Wiley Online Library databases. Studies published in English language from 2011 to 2021 with The Neck Disability Index scale as a unifying tool and deep cervical flexor strength training as therapy were selected. Results: Summarizing the studies included in the systematic review of the literature, the results of the Neck Disability Index scale statistically significantly decreased compared to the pre-treatment results. As a cervical spine position control and active stability, strength and coordination of deep cervical flexors were mentioned in all of the studies, the interaction of all these components can lead to effective reduction of chronic cervical spine pain. Conclusions: Evaluation of the effectiveness of deep cervical flexor strength training was based on three medium and two high quality studies according to the PEDro scale. The results of the summarized studies show that deep cervical flexor strength training is effective in reducing symptoms in persons with chronic cervical spine pain using the Neck Disability Index scale. Deep cervical flexor strength training for at least six to eight weeks five times a week is beneficial in improving cervical spine position, movement control, active stability, deep cervical flexor strength in persons with chronic cervical spine pain. Keywords: deep cervical flexor strength training, neck (cervical spine) pain, Neck disability index (NDI).
Description
Fizioterapija
Physiotherapy
Veselības aprūpe
Health Care
Physiotherapy
Veselības aprūpe
Health Care
Keywords
dziļo mugurkaula kakla daļas fleksoru spēka treniņš, mugurkaula kakla daļas sāpes, Kakla nevarības indekss, deep cervical flexor strength training, neck (cervical spine) pain, Neck disability index (NDI)