Electromyographic activity, pain, disability, and improvement perception in chronic neck pain after multimodal physiotherapy
Year: 2025
Type: article
Abstract: Introduction: Few studieshave explored the clinical course in patients with chronic neck pain. Understanding the clinical course can help clinicians evaluate individual patient outcomes, de-fine goals, and establish prognosis. Objective: To describe the clinical course of patients with non-specific chronic neck pain (NCNP) in response to a multimodal physiotherapy program. Methodology: A total of 15 patients with NCNP participated in a six-week physiotherapy multi-modal program. Baseline assessments included sociodemographic characteristics and clinical history of neck pain. The main outcome measures were cervical muscle activity, pain, disability, and global perception of improvement. The Friedman and post-hoc tests with Bonferroni cor-rection were used for statistical analysis. Results: All variables under study varied significantly (p<0.001) over the six-week physiother-apy multimodal program. In the first 3 weeks, sternocleidomastoid and anterior scalene mus-cles showed a significant decrease in muscle activity of 64% and 24%, respectively. All self-reported variables were also observed early significant clinical improvements, with pain and disability decreasing by 50% and 24% at the end of the 3-week intervention. Discussion: Pa-tients with NCNP who are treated with a physiotherapy multimodal program that includes spe-cific motor control exercises can expect a short-term influence on the muscular activity of su-perficial neckmuscles and a reduction of symptoms. Physiotherapists may use this information to make more informed decisions when treating patients with NCNP.Conclusions: The results of the present study may be useful in designing clinical trials to estab-lish whether the improvements were due to the treatment provided or natural condition recov-ery
Authors: Jardim, Marco, Moço, Diogo, Sabido, João, Correia, Mariana, Domingues, Lúcia
Language: English
Subfield: Pharmacology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7074233113
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