Effectiveness of Global Postural Reeducation Compared to Segmental Stretching on Pain, Disability, and QOL of Subjects with Neck and Shoulder Pain.
10.18857/jkpt.2017.29.1.7
- Author:
Hochung JEON
1
;
Giwon KIM
Author Information
1. Major in Rehabilitation Science, Department of Public Health Science, Korea University Graduate School, Seoul, Korea.
- Publication Type:Randomized Controlled Trial ; Original Article
- Keywords:
Muscle stretching exercise;
Neck pain;
Quality of life;
Shoulder pain
- MeSH:
Follow-Up Studies;
Muscle Stretching Exercises;
Neck Pain;
Neck*;
Posture;
Quality of Life;
Shoulder Pain*;
Shoulder*
- From:
Journal of Korean Physical Therapy
2017;29(1):7-15
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This randomized controlled trial was conducted to compare the effectiveness of global postural reeducation to segmental stretching in subjects with neck and shoulder pain. METHODS: Sixteen subjects with neck and shoulder pain were randomized into two intervention groups, a global posture reeducation group (n=8) that performed muscle chain stretching, and a segmental stretching group (n=8) that performed conventional static muscle stretching. The intervention program consisted of two 40 minutes individual sessions per week for four weeks. Subjects were evaluated pre-intervention, two-week after intervention and at a four-week follow-up appointment for pain intensity, disability and health-related quality of life. Two-way repeated analysis of variance was used for between-time and between-group comparisons. The significance level was 0.05. RESULTS: Significant pain relief and decreasing discomfort of the neck and shoulder were observed after intervention in both groups, and there was an interaction between time lapse and groups (pain, F=10.31, neck disability, F=25.45, shoulder disability, F=12.82, p<0.05). Quality of life also improved after intervention in both groups. Moreover, the physical components score improved, and a significant interaction was observed between time and groups (F=4.85, p<0.05). However, no significant improvement in mental component score of quality of life and no significant interaction between time and groups were observed (p>0.05). CONCLUSION: These findings suggest that a GPR intervention in subjects with neck and shoulder pain induces greater improvement of pain and disability and quality of life than segmental stretching.
