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Assessment of the effects of manual techniques on neck pain.

100%

Stępnik J. H., Czaprowski D.

Advances in Rehabilitation

2018

vol. 32

issue 2

33-39

Introduction The research focused on assessing the effects of a set of manual techniques applied in the anterior neck region on pain and ability to perform everyday activities by the study participants. The aim of the study was to assess the influence of selected manual techniques on tissues located in the anterior region of the neck and on an index of disability caused by neck pain. Material and methods The study included 31 individuals (26 females and 5 males) aged 23-53 (mean=35 years) who were randomly divided into 2 groups, i.e. the study group (n=16, 13 females, 3 males) and the control group (n=15, 13 females, 2 males). The participants from the study group underwent a procedure which included five techniques performed on the anterior neck, i.e. superficial cervical fascia stretch, infrahyoid muscle stretch – pretracheal fascia, carotid sheath stretch, deep cervical fascia stretch, suspensory ligament of pleural cupula stretch. The participants from the control group underwent laser therapy on the cervical and thoracic spine with the device switched off. The treatment effectiveness was assessed with the use of the Neck Disability Index (NDI). The measurements were made before and five days after the therapy. Results Compared to the control group, the mean total score in the NDI increased significantly by 8.5 points (17%) (p>0.05) in the study group. Conclusions The study results indicated that performing osteopathic procedures in the anterior neck region reduces neck pain and disability level in patients.

An infl uence of myofascial release techniques on the esophagus pressure for patients after total laryngectomy

63%

Marszałek S., Żebryk-Stopa A., Kraśny J., Obrębowski A., Golusiński W.

Otolaryngologia Polska

2008

vol. 62(6)

686-690

The increase of patients after total laryngectomy myofascial neck and arms area tension might be observed. Via fascial continuity it has an adverse impact on superior oesophageal constrictor, forming the “mouth of oesophagus”, which hinders learning oesophagus speech. The aim. The assessment of manual myofascial release techniques infl uence on the patients’ oesophagus pressure after total laryngectomy. Material. 40 patients (12 F, 28 M), aged 43-75 (middle 56,8 years), 9 months to 13 years (average 3 years) after total laryngectomy, 35 patients (87.5%) after neck lymph node’s resection, 38 patients (95%) after radiotherapy. Methods. The oesophagus pressure was checked by modifi ed Seeman’s method. Manual myofascial release techniques were applied within head, neck, arms, upper trunk and upper limbs area. Wilcoxon and Shapiro-Wilk’s test was used for the purpose of statistical analysis. Results. A statistical signifi cant decrease of the mean of oesophagus pressure was observed after physiotherapy treatment. The average pressure among the examined group decreased from 37,9 to 26,6 mm Hg. Conclusions. The application of myofascial manual techniques decreased an oesophagus pressure which allows patients to obtain faster oesophagus speech.

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1 Advances in Rehabilitation

1 Otolaryngologia Polska

2 2018

1 Czaprowski D.

1 Golusiński W.

1 Kraśny J.

1 Marszałek S.

1 Obrębowski A.

1 Stępnik J. H.

1 Żebryk-Stopa A.

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Assessment of the effects of manual techniques on neck pain.

An infl uence of myofascial release techniques on the esophagus pressure for patients after total laryngectomy