Effects of scapular stabilization program on pain, range of motion, and disability in patients with chronic non-specific neck pain

Abstract

Objectives: The objective of this study was to analyze the impacts of the scapular stabilization program (SSP) on pain, range of motion (ROM), and disability in chronic non-specific neck pain (NNP). Methods: It was a randomized clinical trial. The study was conducted at University Medical Centre, Lahore. According to eligibility criteria, 28 participants were randomly allocated to the experimental and control groups through the lottery method. While the control group received only relaxation exercises, the experimental group received SSP exercises along with the relaxation exercises on the cervicoscapular region. Three sessions of 45 min each, three times/week, on alternating days for three weeks were given. The outcome measures for pain, ROM, and disability were the numeric pain rating scale (NPRS), goniometer, and neck disability index (NDI), respectively. These were assessed before the intervention and at the end of the third week. Results: The mean age of Groups A and B was 24.76 ± 4.53 and 27.76 ± 4.62, respectively. Within-group analysis of NPRS, NDI, and cervical flexion and extension ROM showed significant improvement in both groups. Between-group analysis showed post-treatment NPRS (P = 0.000), NDI (P = 0.000), cervical flexion (P = 0.004), and extension (P = 0.000). A significant improvement (P < 0.05) in pain, disability, and flexion and extension was observed in the experimental group. Conclusion: Both groups showed improved outcomes, but a significant difference was found in the control and experiment groups. The trial concluded that in treating NNP, the SSP effectively alleviates pain and improves disability and mobility.