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KMID : 1021220220130022635
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국제물리치료학회지
2022 Volume.13 No. 2 p.2635 ~ p.2640
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Influence of Pain Neuroscience Education Combined with Cervical and Thoracic Mobilization on Pain and Kinesiophobia for Forward Head Posture with Chronic Neck Pain
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An Ho-Jung
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Abstract
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Background: Pain neuroscience education (PNE) with other therapeutic approaches can reduce pain intensity in patients with Chronic musculoskeletal pain and chronic spine pain by improving quality of life and disability. However, in various clinical trials and reviews, the optimal dose of an intervention combined with PNE is still an area to be studied.
Objectives: To investigated the effect of forward head posture (FHP) with chronic neck pain on the PNE combined with cervical and thoracic mobilization.
Design: A non-randomized, controlled intervention study.
Methods: Thirty-two subjects were allocated to pain neuroscience education combined with cervical and thoracic mobilization group (PCTMG, n=17) and cervical and thoracic mobilization with TENS group (CTMG, n=15). For 6 weeks, the PCTM group applied PNE and cervical and thoracic mobilization and the CTM group applied cervical and thoracic mobilization and TENS. Changes in intervention pre-post pain and kinesiophobia were observed.
Results: Results from the study indicated that statistically significant decrease in VAS and TSK-11 in PCTMG. In CTMG, there was a statistically significant decrease in VAS. And in PCTMG, there was a statistically significant decrease in VAS and TSK-11 than in CTMG.
Conclusion: Therefore, this study confirmed that PNE combined with cervical thoracic mobilization is an effective intervention compared to ervical thoracic mobilization alone in reducing pain and kinesiophobia in FHP with chronic neck pain.
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KEYWORD
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Pain neuroscience education, Cervical and thoracic mobilization, Pain, Kinesiophobia, Forward head posture, Chronic neck pain
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