Effects of active scapular correction on cervical range of motion, pain, and pressure pain threshold in patients with chronic neck pain and depressed scapula: a randomized controlled trial

J Man Manip Ther. 2023 Feb;31(1):24-31. doi: 10.1080/10669817.2022.2077515. Epub 2022 May 19.

Abstract

Background: Correction of scapular alignment is advocated as a component for alleviating symptoms for patients with neck pain.

Objective: The study aimed to examine the effect of active scapular correction on cervical range of motion (ROM), pain, and pressure pain threshold (PPT) in patients with chronic neck pain with depressed scapula.

Methods: A randomized control trial research design was conducted. Twenty-eight participants with chronic neck pain and depressed scapula were randomly assigned to either the intervention (n = 14) or control (n = 14) group. Active cervical rotation ROM, pain at maximum cervical rotation, and PPT over the upper trapezius muscle region were measured at baseline and post active scapular correction.

Results: The participants in the intervention group showed significantly greater active cervical rotation ROM and less pain at maximum cervical rotation than the control group, both on the ipsilateral (p < 0.01) and contralateral (p < 0.05) sides of the depressed scapula. No significant difference in PPT between the groups was demonstrated (p = 0.194).

Conclusion: Active scapular correction intervention resulted in an immediate increase in active cervical rotation ROM and a decrease in neck pain at maximum cervical rotation.

Keywords: Exercise; neck pain; scapula.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chronic Pain* / therapy
  • Humans
  • Neck Pain / therapy
  • Pain Threshold* / physiology
  • Range of Motion, Articular / physiology
  • Scapula

Grants and funding

This study was supported by the Graduate School Thesis Grant, Chulalongkorn University (number GCUGR1225641075M; Graduate School, Chulalongkorn University).