THE EFFECTS OF STABILIZATION EXERCISES AND MAXIMUM ISOMETRIC EXERCISES ON FEAR AVOIDANCE BELIEF IN PATIENTS WITH CHRONIC NON-SPECIFIC NECK PAIN

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ASGARI ASHTIANI AHMADREZA; EBRAHIMI ESMAEIL; TORKAMAN GITI; AMIRI MOHSEN; HAMDI MEHDI

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Journal: Archives of Rehabilitation (Journal of Rehabilitation) Year:2014 | Volume:15 | Issue:2 Page(s): 22-31

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Title

THE EFFECTS OF STABILIZATION EXERCISES AND MAXIMUM ISOMETRIC EXERCISES ON FEAR AVOIDANCE BELIEF IN PATIENTS WITH CHRONIC NON-SPECIFIC NECK PAIN

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Keywords

CHRONIC NECK PAINQ2

STABILIZATION EXERCISESQ2

MAXIMUM ISOMETRIC EXERCISESQ2

FEAR AVOIDANCE BELIEFQ2

Abstract

Objective: There is increasing evidence that show fear of pain and fear of mechanical injury result in progress of pain and disability in the patients. Cervical stabilization training is a method of exercise designed to treat the spinal injuries and causes the stability of cervical spine and reduces its vulnerability. The aim of this study was to compare effectiveness of STABILIZATION EXERCISES with MAXIMUM ISOMETRIC EXERCISES on FEAR AVOIDANCE BELIEF in chronic nonspecific neck pain.Materials & Methods: This clinical controlled trial was done randomly on fifty patients with CHRONIC NECK PAIN who attended physiotherapy research center of Tehran University of social welfare and rehabilitation sciences during 2012-13. Subjects were assigned to either a stabilization (n=25) or a maximum isometric exercise group (n=25). Before and after intervention (4, 8, 12 weeks) pain was assessed with visual analog scale (ordinal), disability (ordinal) with Neck Stability Index (NDI), FEAR AVOIDANCE BELIEF with FEAR AVOIDANCE BELIEF Questionnaire (FABQ). A 48 session exercise program during 8 weeks, six session per week, and each session with repeating specific exercises was performed for both groups. Repeated measurement of analysis variance, independent t-test and paired t-test were used for comparison of results before, during and after the treatment of between and within groups.Results: The mean neck pain decreased from 7.16 ± 1.57 in first session to 0.92 ± 0.70 in 12 session in the stabilization group and from 7.12 ± 1.67 in first session to 1.28 ± 0.94 in 12 session in maximum isometric group (P=0.482). The mean disability (NDI) decreased from 22.60 ± 3.20 in first session to 11.16 ± 0.90 in 12 session in the stabilization group and from 21.88 ± 2.76 in first session to 14.96 ± 1.48 in 12 session in maximum isometric group (P>0.001). The mean FABQ-W decreased from 35.08 ± 4.48 in first session to 9.08 ± 1.44 in 12 session in the stabilization group and from 34.76 ± 4.63 in first session to 17.44 ± 2.18 in 12 session in maximum isometric group (P>0.001). The mean FABQ-PA decreased from 20.12 ± 2.26 in first session to 9.26 ± 1.01 in 12 session in the stabilization group and from 20.08 ± 2.23 in first session to 11.16 ± 1.14 in 12 session in maximum isometric group (p=0.938). Decrease in pain and disability as well as FEAR AVOIDANCE BELIEF was higher in STABILIZATION EXERCISES than in isometric exercises (P<0.05).Conclusion: This study indicated that both STABILIZATION EXERCISES and MAXIMUM ISOMETRIC EXERCISES decrease pain, disability and FEAR AVOIDANCE BELIEF while stabilization exercise was more useful than maximum isometric procedure.

Cites

COMPARISON OF CERVICAL EXTENSOR MUSCLES THICKNESS IN FEMALES WITH CHRONIC NONSPECIFIC NECK PAIN AND HEALTHY INDIVIDUALS BY ULTRASONOGRAPHY

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APA: Copy

ASGARI ASHTIANI, AHMADREZA, EBRAHIMI, ESMAEIL, TORKAMAN, GITI, AMIRI, MOHSEN, & HAMDI, MEHDI. (2014). THE EFFECTS OF STABILIZATION EXERCISES AND MAXIMUM ISOMETRIC EXERCISES ON FEAR AVOIDANCE BELIEF IN PATIENTS WITH CHRONIC NON-SPECIFIC NECK PAIN. ARCHIVES OF REHABILITATION (JOURNAL OF REHABILITATION), 15(2), 22-31. SID. https://sid.ir/paper/43432/en

Vancouver: Copy

ASGARI ASHTIANI AHMADREZA, EBRAHIMI ESMAEIL, TORKAMAN GITI, AMIRI MOHSEN, HAMDI MEHDI. THE EFFECTS OF STABILIZATION EXERCISES AND MAXIMUM ISOMETRIC EXERCISES ON FEAR AVOIDANCE BELIEF IN PATIENTS WITH CHRONIC NON-SPECIFIC NECK PAIN. ARCHIVES OF REHABILITATION (JOURNAL OF REHABILITATION)[Internet]. 2014;15(2):22-31. Available from: https://sid.ir/paper/43432/en

IEEE: Copy

AHMADREZA ASGARI ASHTIANI, ESMAEIL EBRAHIMI, GITI TORKAMAN, MOHSEN AMIRI, and MEHDI HAMDI, “THE EFFECTS OF STABILIZATION EXERCISES AND MAXIMUM ISOMETRIC EXERCISES ON FEAR AVOIDANCE BELIEF IN PATIENTS WITH CHRONIC NON-SPECIFIC NECK PAIN,” ARCHIVES OF REHABILITATION (JOURNAL OF REHABILITATION), vol. 15, no. 2, pp. 22–31, 2014, [Online]. Available: https://sid.ir/paper/43432/en

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