Here is some of the information I recently shared in a November newsletter. Each newsletter has a specific focus. This newsletter is focused on upper crossed syndrome, text neck, and neck pain. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
TABLE OF CONTENTS
STUDIES and ARTICLES
I receive a weekly update on anything published on the internet that includes information about upper crossed syndrome, whiplash, neck pain, and text neck. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: firstname.lastname@example.org
1. A study titled Immediate effect of dynamic cupping on pain in teachers with mechanical neck pain: An experimental study, published in Indian Journal of Physiotherapy and Occupation Therapy Apr 2020 beginning on page 154, concludes there is a significant reduction in pain after the treatment with dynamic cupping (massage cupping) in teachers with mechanical neck pain, so dynamic cupping can be used clinically in patients with mechanical neck pain.
2. A study titled Comparison of cervical muscle activity and spinal curvatures in the sitting position with 3 different sloping seats published in Medicine in Jul 2020, concluded: a forward sloping seat surface was effective in maintaining a neutral alignment of the spine, and this decreased the cervical spine erector muscle activity. Based on this result, equipment and chair development of incline seats forward may improve posture and health, and prevent chronic pain.
3. A study, titled Effect of forward head and rounded shoulder posture on hand grip strength in asymptomatic young adults: a cross-sectional study, published in Bulletin of Faculty of Physical Therapy in 2020 examined the effect of forward head and rounded shoulder posture on handgrip strength in asymptomatic young adults and explores the relationship between the craniovertebral angle and hand grip strength. The study demonstrated the handgrip strength was not affected by the posture in young adults. Additionally, the degree of the craniovertebral angle was not associated with an inverse effect on handgrip strength.
4. A study titled Efficacy of Kinesio taping and postural correction exercises on Levator Scapula electromyographic activities in mechanical cervical dysfunction: a randomized blinded clinical trial, published in Journal of Manipulative and Physiological Therapeutics in Aug 2020, concludes application of both Kinesio tape and postural correction exercises combined can significantly reduce neck pain and normalize elevator scapula activities in patients with mechanical neck dysfunction more than the application of either intervention.
5. A study titled Motor control training of deep neck flexors with pressure biofeedback improves pain and disability in patients with neck pain: a systematic review and meta-analysis, published in Musculoskeletal Science and Practice in 2020 concludes: Motor control training of deep neck flexors with pressure biofeedback is an effective intervention for improving pain intensity and disability in patients with neck pain and preferable to strength-endurance training of cervical muscles.
6. A study titled A study on the effectiveness of scapular retraction exercises on forward head posture, published in Journal of Public Health Research & Development, Jun 2020, measured the craniovertebral angle before and after the 5 exercises were performed (seated row, elbow push back, scapular retraction activation, arm slides, and lower trap row) and concluded: there is a significant effect of scapular retraction exercises in reducing forward head posture.
7. A great article and video by Erik Dalton on occipital neuralgia headaches titled Neck Headache…..really? identifies some problems in the lower chain that might cause headaches, as well as describes the Brugger test procedure to determine the location of the problem. The video includes a good demonstration of a technique to correct O-A joint fixation.
8. A short video, found at PhysioOsteoBook gives a good animation of how forward posture when sitting can cause pain in the upper back and shoulder.
9. A video, titled Engage the Skyhook, by David Lauterstein provides a great review of the anatomy and kinesiology of the suboccipital muscles
10. A short video, Cervical Radiculopathy, by Spine-health, explains what types of pain can be triggered depending on where a nerve in the neck becomes irritated. This can be helpful when treating arm, shoulder, and hand pain.
Here is some of the information I recently shared in my July newsletter. Each newsletter has a specific focus. This month is focused on neck pain and injuries. If you would be interested in receiving my newsletters, please head over to my contact page and sign up.
TABLE OF CONTENTS
STUDIES and ARTICLES
I receive a weekly update on anything published anywhere on the internet that includes information about neck pain, injuries, and treatments. I try to glean the best of the information and provide a brief synopsis of the information. If you come across any information that you think would be good to share, please also feel free to pass that information along to: email@example.com
1. A study titled Pillow preferences of people with neck pain and known spinal degeneration: a pilot randomized controlled trial, published in European Journal of Physical and Rehabilitation Medicine in Sep 2019, enrolled 117 people. Each tested latex pillows polyester pillows and their usual pillow for 28 days. The polyester pillow significantly increased side flexion on waking. The latex pillow did not perform well on any outcome measure.
2. An article titled Prevalence of neck pain among dentists, published in Drug Invention Today in Aug 2019 indicates that 56% of dentists surveyed suffered from neck pain for 10-15 years. The study concluded that the majority of dental practitioners acquired the development of cervical spondylosis.
3. A study titled Effect of isometric exercises on pain and disability in patients with chronic neck pain, published in the European Journal of Physical Education and Sport Science in 2019, concluded: our study showed that physical therapy and neck isometric exercises and cervical joint opening exercises together with stretching exercises of back extensors were effective in chronic neck pain.
4. A study titled Effects of Thoracic Mobility Exercise on Cervicothoracic Function, Posture, and Pain in Individuals with Mechanical Neck Pain, published in Physical Therapy Korea in Sept 2019 focused on “individuals with mechanical neck pain showing biomechanical and neurophysiological changes, including cervical spine muscle weakness. As a result of deep muscle weakness, it causes stability disability and reduced upper thoracic spine mobility, which finally leads to functional movement restriction such as limited range of motion and dysfunction." Conclusion: Thoracic mobility exercises during 6 weeks might be an effective intervention to improve the functional level, posture feature, and QVAS pain rating for managing individuals with mechanical neck pain.
5. A study titled Short-term effects of kinesiology taping in the treatment of latent and active upper trapezius trigger points: two prospective, randomized, sham-controlled trials, published in Scientific Report in Oct 2019, concluded: results of this study do not support the use of the space correction KT technique to treat patients with latent or active myofascial trigger points in the upper trapezius muscle.
6. A study titled Effect of Kinesiology taping and posture stabilizing exercise on pain, cranio-vertebral angle, proprioception in adults with forward head posture, published in the Journal of International Academy of Physical Therapy Research in 2019, concluded: the application of posture setting exercise could decrease pain, proprioceptive error and increase craniovertebral angle on forward head posture.
7. A study, titled Neck muscle activation and head kinematics when using a smartphone while walking, published in Sage Journals in Nov 2019 evaluated the neck muscular load of smartphone use while walking. The results indicate two-handed texting while walking poses a larger muscular load to the neck extensor muscles compared to when conducting one-handed browsing while walking due to the larger head tilt angle.
8. A study titled Adding Temperomandibular joint treatments to routine physiotherapy for patients with non-specific chronic neck pain: a randomized clinical study, published in the Journal of Bodywork and Movement Therapies in April 2020 concluded: adding treatments of TMJ to routine neck physiotherapy can magnify the effect of the intervention, a significant change still in evidence at follow up.
9. A study titled The relationship between forward head posture and neck pain: a systematic review and meta-analysis, published at SpringerLink in Nov 2019 concluded: adults with neck pain show increased forward head posture when compared to asymptomatic adults and that forward head posture is significantly correlated with neck pain measures in adults and older adults. No association was found between forward head posture and most of neck pain measures in adolescents.
10. A study titled Effect of Dry Needling Injection and Kinesiotaping on Pain and Quality of Life in Patients with Mechanical Neck Pain, published in Pain Physician in Oct 2019, concluded: both methods were found to be effective on pain, mood, and quality of life and Kinesiotaping was found to be superior to dry needling in Mechanical neck pain in terms of increasing ROM and decreasing disability.
Every month I send out a newsletter to subscribers with the most recent evidence and studies on specific body work topics. The newsletter may include summaries and links to studies and articles, videos that provide support information about exercises, new techniques or lectures. There are five main focuses for the newsletters and each newsletter is repeated twice a year. The six main focuses for the newsletters are: Shoulder and rotator cuff, fibromyalgia, fascia and trigger points, upper cross and neck, cupping and lymphatic drainage and business/ethics. If you would like to receive the newsletters with more complete information than is found in the excerpts, please sign up to receive the newsletter on my contact page.
PLEASE NOTE: This is the last edition of the Fibromyalgia newsletter. This newsletter will be converted to a newsletter with a focus on chronic pain conditions rather than the narrow focus of fibromyalgia.
A study titled “A pilot study of myofascial release therapy compared to Swedish massage in Fibromyalgia” by Liptan, Mist, Wright, Arzt & Jones, published in Journal of Bodywork and Movement Therapies concluded: between-group differences in symptoms and physical function did not reach statistical significance. There were no consistent focal areas of improvement for the Swedish massage group while the MFR group reported consistent pain reductions in the neck and upper back regions. A larger randomized controlled trial is called for.
In a study in Man Ther 2015 by Yuan, Matsutani & Marques, titled “Effectiveness of different styles of massage therapy in fibromyalgia: a systematic review and meta-analysis”, the authors concluded: myofascial release had large, positive effects on pain and medium effects on anxiety and depression at the end of treatment; myofascial release also improves fatigue, stiffness and quality of life; connective tissue massage improves depression and quality of life; manual lymphatic drainage is superior to connective tissue massage regarding stiffness, depression and quality of life; Shiatsu improves pain, pressure pain threshold, fatigue, sleep and quality of life; and Swedish massage does not improve outcomes.
In a study, published in Rheumatol Int. 2017 titled “A comparison of the effects of exercises plus connective tissue massage to exercises alone in women with fibromyalgia syndrome: a randomized controlled trial” concluded: exercises with and without connective tissue massage might be effective for decreasing pain, fatigue and sleep problem whereas increasing health status and quality of life. However, exercises with CTM might be superior in improving pain, fatigue, sleep problem, and role limitations due to physical health compared to exercise alone.
A study, published in J Pain Res. 2017, titled “Caffeine as an opioid analgesic adjuvant in fibromyalgia” concluded: caffeine consumption was associated with decreased pain and symptom severity in opioid users, but not in opioid nonusers, indicating caffeine may act as an opioid adjuvant in fibromyalgia-like chronic pain patients. This data suggest that caffeine consumption concomitant with opioid analgesics could provide therapeutic benefits not seen with opioids or caffeine alone.
A study published in Complement Ther Clin Prati in Aug 2017, titled “Effects of whole-body vibration therapy in pain, function and depression of the patients with fibromyalgia” concluded: Whole body vibration therapy is found to be effective in reducing symptoms of fibromyalgia.
A study published in Clin Biomech titled “Effects of a 16-week hydrotherapy program on three-dimensional scapular motion and pain of women with fibromyalgia: a single-arm study” concluded: Hydrotherapy was effective to improve quality of life, pain intensity and fibromyalgia impact on women. However, scapular kinematics did not change after the period of treatment. Although symptoms improved, the lack of changes in scapular kinematics may indicate these women have an adaptive movement pattern due to their chronic painful condition.
Every month I send out a newsletter to subscribers with the most recent evidence and studies on specific bodywork topics. The newsletter may include summaries and links to studies and articles, videos that provide support information about exercises, new techniques or lectures. There are five main focuses for the newsletters and each newsletter is repeated twice a year. The seven main focuses for the newsletters are: Shoulder and rotator cuff, fibromyalgia, fascia and trigger points, upper cross and neck, cupping/lymphatic drainage, adult learning and business/ethics. If you would like to receive the newsletters with more complete information than is found in the excerpts, please sign up to receive the newsletter on my contact page.
1.In a brief article by Erik Dalton, he reminds us that “the occipitoatlantal (O-A) joint is the uppermost weight-bearing synovial joint in the body, it is the final junction for adapting to asymmetry and dysfunction from below. And because it is attached to the brain stem, which controls all basic body functions (including breathing and heartbeat), poor alignment may have widespread consequences.”
2. The Brugger Test can be used to determine if suboccipital spasm is the result of head and neck positioning or compensations below the neck. To perform the Brugger Test, use one hand to brace the client’s forehead and the index finger and thumb of your other hand to gently palpate and hold the area with the most knotty spasm. While holding this hand position, ask the client to sit. If the spasm decreases when the client sits, it suggests asymmetry in the lower body rather than head and neck compensation.
3. The website, The RMT Education Project, has a great article titled Massage Therapy and Post-Concussion Headaches which discusses the effectiveness of massage for these types of headaches. There is also a good short video explaining what happens with a concussion.
4. Whitney Lowe gives a very clear and concise explanation of the steps of The Slump Test and how to use it to determine where impingement might be created. The article can be found at Academy of Clinical Massage website.
5. A study, published in J Phys Ther Sci in 2013, titled Impact of longus colli muscle massage on the strength and endurance of the deep neck flexor muscle of adults, concluded: Massage of the longus colli muscle, which is the deep neck flexor, was shown to improve in strength and endurance, which are measures of neck stabilization.
6. Round Earth Publishing: Introduction to Head Pain offers some insight into common symptoms (other than muscular pain) that can be manifested through trigger points in muscles in the neck and face.
1. A review article, titled Neck Proprioception Shapes Body Orientation and Perception of Motion, in Frontiers in Human Neuroscience, concluded: tonic neck-proprioceptive input may induce persistent influences on the subject’s mental representation of space. These plastic changes might adapt motion sensitiveness to lasting or permanent head positional or motor changes.
2. A study, published in Manual Therapy, Manual therapy for mechanical neck disorders: a systematic review concludes: for mechanical neck disorder with or without headaches, it appears that to be most beneficial, manual therapies should be done with exercise for improving pain and patient satisfaction. Manipulation and mobilization alone appear to be less effective.
3. A study, Stretching exercises vs manual therapy in treatment of chronic neck pain: a randomized controlled cross-over trial published in the Journal of Rehabilitation Medicine, concluded: Both stretching exercise and manual therapy considerably decreased neck pain and disability in women with non-specific neck pain.
4. A study, Effect of manual therapy and stretching on neck muscle strength and mobility in chronic neck pain, published in J Rehabil Med, concluded: Manual therapy and stretching were effective short-term treatments for reducing both spontaneous and strain-evoked pain in patients with chronic neck pain. It is possible that the decrease in pain reduced inhibition of the motor system and in part improved neck function. However, the changes in neck muscle strength were minor, showing that these treatments alone are not effective in improving muscle strength.
5. A study, Five-week outcomes from a dosing trial of therapeutic massage for chronic neck pain, published in Ann Fam Med, concluded: Multiple 60-minutes massages per week more effective than fewer or shorter session for individuals with chronic neck pain.
In the Alternative Health Care Arena
1.A study published on PlosOne, Efficacy of abdominal acupuncture for neck pain: a randomized controlled trial, concluded: Abdominal acupuncture is an effective alternative treatment for neck pain.
2. A study, Immediate Effects of high velocity low amplitude thrust manipulation of the thoracic spine on mechanical neck pain, disability and cervical range of motion, published in Int J Physiother Res in 2017 concluded: HVLA thrust of the thoracic spine was effective in immediately reducing mechanical neck pain and improving cervical range of motion.
3. A study in J Back Musculoskelet Rehabil in Sep 2017 titled Effectiveness of kinesio taping in addition to conventional rehabilitation treatment on pain, cervical range of motion and quality of life in patients with neck pain: a randomized controlled trial concluded: a protocol of manual therapy and physical exercises significantly improved pain and mobility in patients with neck pain. We obtained no evidence of additional benefits from the of application of KT in this population.
4. A study on Science Direct titled Effects of yogic exercise on nonspecific neck pain in university students concluded: the yoga group showed significantly decreased neck pain scores compared with those of the control group. These findings indicate that yogic exercises could reduce neck pain in university students.
Every month I send out a newsletter to subscribers with the most recent evidence and studies on specific body work topics. The newsletter may include summaries and links to studies and articles, videos that provide support information about exercises, new techniques or lectures. There are five main focuses for the newsletters and each newsletter is repeated twice a year. The five main focuses for the newsletters are: Shoulder and rotator cuff, fibromyalgia, fascia and trigger points, upper cross and neck, and business/ethics. If you would like to receive the newsletters with more complete information than is found in the excerpts, please sign up to receive the newsletter on my contact page.
Tips & Tidbits
Studies, Articles, and Resources