J Korean Phys Ther.  2017 Feb;29(1):7-15. 10.18857/jkpt.2017.29.1.7.

Effectiveness of Global Postural Reeducation Compared to Segmental Stretching on Pain, Disability, and QOL of Subjects with Neck and Shoulder Pain

• Jeon H
• Kim G

• KMID: 2385766
• DOI: http://doi.org/10.18857/jkpt.2017.29.1.7

Abstract

PURPOSE
This randomized controlled trial was conducted to compare the effectiveness of global postural reeducation to segmental stretching in subjects with neck and shoulder pain.
METHODS
Sixteen subjects with neck and shoulder pain were randomized into two intervention groups, a global posture reeducation group (n=8) that performed muscle chain stretching, and a segmental stretching group (n=8) that performed conventional static muscle stretching. The intervention program consisted of two 40 minutes individual sessions per week for four weeks. Subjects were evaluated pre-intervention, two-week after intervention and at a four-week follow-up appointment for pain intensity, disability and health-related quality of life. Two-way repeated analysis of variance was used for between-time and between-group comparisons. The significance level was 0.05.
RESULTS
Significant pain relief and decreasing discomfort of the neck and shoulder were observed after intervention in both groups, and there was an interaction between time lapse and groups (pain, F=10.31, neck disability, F=25.45, shoulder disability, F=12.82, p<0.05). Quality of life also improved after intervention in both groups. Moreover, the physical components score improved, and a significant interaction was observed between time and groups (F=4.85, p<0.05). However, no significant improvement in mental component score of quality of life and no significant interaction between time and groups were observed (p>0.05).
CONCLUSION
These findings suggest that a GPR intervention in subjects with neck and shoulder pain induces greater improvement of pain and disability and quality of life than segmental stretching.

Keyword

Muscle stretching exercise; Neck pain; Quality of life; Shoulder pain

MeSH Terms

Follow-Up Studies
Muscle Stretching Exercises
Neck Pain
Neck*
Posture
Quality of Life
Shoulder Pain*
Shoulder*