Comparative study of therapeutic effect between scapular stabilized and general exercise in the fourth year’s dental students, Faculty of Dentistry, KhonKaen University

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Tanaphong Muanchat
Daraporn Sae-Lee
Sauwanan Bumrerraj
Aatit Paungmali
Lugkana Mator
Sawitri Wanpen
Yodchai Boonprakob

Abstract

Background: Poor posture is a common cause for neck pain, back pain, and low back pain. Working position of some careers lead to these disorders. For example, dentists always work in forward head posture and shoulder abduction. Thus, a good posture with working position and exercise are procedures for prevention and treatment simultaneously.


Objectives: To compare the effectiveness between scapular stabilized and general exercise on alteration of craniovertibral angle, ability of utilizing of craniocervical flexor muscles, and strength of scapular muscles (serratus anterior, middle trapezius, lower trapezius, and rhomboid muscles) of the 4th year’s dental students.


Materials and methods: A quasi-experimental study was designed for this current study. Seventy four participants of the 4th year’s dental studentswere recruited and divided randomly into two groups by sections ofstudying. Thirty seven participants were performed scapular stabilized exercise (group 1) and thirty seven participants were performed general exercise (group2), respectively. These exercises were inserted during clinical practice period which were performed 15 minutes per time, 2 times per day, and once a week in 3 months. All of measurements were tested before exercise, one month after exercise, and three months after exercise.


Results: 1) Means of CV angle before exercise, one month after exercise, and three monthsafter exercise of group 1 were 50.55±5.14, 52.04±2.94, and 53.64±2.94 degrees. For group 2, the means of CV angle were 52.04±2.94, 51.99±3.00, and 54.59±3.00 degrees. 2) Means of ability of utilizing of neck flexor muscles were increased significantly in both groups. 3) Means of scapular muscles wereincreased significantly in both groups.


Conclusion: Scapular stabilized exercise and general exercise can increase ability of utilizing of neck flexor muscles and increase strength of scapular muscles similarly. However, scapular stabilized exercise showed improvement of CV angle faster than general exercise.

Article Details

How to Cite
Muanchat, T., Sae-Lee, D., Bumrerraj, S., Paungmali, A., Mator, L., Wanpen, S., & Boonprakob, Y. (2017). Comparative study of therapeutic effect between scapular stabilized and general exercise in the fourth year’s dental students, Faculty of Dentistry, KhonKaen University. Journal of Associated Medical Sciences, 50(3), 553. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/97152
Section
Research Articles

References

1. Park HS, Kim J, Roh HL, Namkoong S. Analysis of the risk factors of musculoskeletal disease among dentists induced by work posture. J PhysTherSci 2015; 27(12): 3651-4.

2. Chatchawan U, Puntumetakul R, Peungsuwan P, Wanpen S, Boonprakob Y, Phadungkit S, et al. Prevalence of musculoskeletal symptoms in KhonKaenUniversitystudents, Thailand. J Med Tech Phys Ther 2012; 25(2): 193-202.

3. Mostamand J, Lotfi H, Safi N. Evaluating the head posture of dentists with no neck pain. J Bodyw Mov Ther 2013; 17(4): 430-3.

4. Janda, V. Muscles and cervicogenic pain syndromes. Inphysical therapy of the cervical and thoracic spine, ed. R. Grand. New York: Churchill Livingstone; 1988.

5. Karlqvist L, Wigaeus TE, Hagberg M, Hagman M, Toomingas A. Self-reported working conditions of VDU operators and associations with musculoskeletal symptoms: a cross-sectional study focussing on gender differences. Int J IndErgon 2002; 30(4-5): 277-94.

6. Tarnanen SP, Ylinen JJ, Siekkinen KM, Malkia EA, Kautiainen HJ, Hakkinen AH. Effect of isometric upper-extremity exercises on the activation of core stabilizing muscles. Arch Phys Med Rehabil 2008; 89(3): 513-21.

7. Kim JY, Kwag KI. Clinical effects of deep cervical flexor muscle activation in patients with chronic neck pain. J PhysTher Sci 2016; 28(1): 269–73.

8. Anthony DH, Jessina CM, Eli NP, Jon PF, Jingkun Z, Dan EP, and Joseph F. The use and interpretation of quasi-experimental studies in medical informatics. J Am Med Inform Assoc 2006; 13(1): 16–23.

9. Ruivo RM, Pezarat CP, and Carita AI. Cervical and shoulder postural assessment of adolescents between 15 and 17 years old and association with upper quadrant pain. Braz J Phys Ther 2014; 18(4): 364–71.

10. Lee KJ, Han HY, Cheon SH, Park SH, and Yong MS. The effect of forward head posture on muscle activity during neck protraction and retraction. J Phys Ther Sci. 2015; 27(3): 977-79.

11. Cheung Lau HM, Wing Chiu TT, Lam TH. Clinical measurement of craniovertebral angle by electronic head posture instrument: a test of reliability and validity. Man Ther 2009; 14(4): 363-8.

12. Jull GA, Oleary SP, and Falla DL. Clinical assessment of the deep cervical flexor muscles: The craniocervical flexion test. J Manip Physiol Ther 2008; 31(7): 525-33.

13. Fernandez-de-las-Penas C. Clinical evaluation of cervicogenic headache: A clinical perspective. J Man Manip Ther. 2008; 16(2): 81.

14. Supasatean W, Boonprakorb Y, Kamolrat T, Mator L, Benjapornlert P, Bumrerraj S, et al. Correlation between abdominal and scapular muscle strength in upper back pain patients with and without scapulocostal syndrome. Bull Chiang Mai Assoc Med Sci 2016; 49(3): 323-37.

15. Michener LA, Boardman ND, Pidcoe PE, Frith AM. Scapular muscle tests in subjects with shoulder pain and functional loss: reliability and construct validity. Phys Ther 2005; 85(11): 1128-38.

16. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther 2008; 13(2): 148-54.

17. Baskurt Z, Baskurt F, Gelecek N, Özkan MH. The effectiveness of scapular stabilization exercise in the patients with subacromial impingement syndrome. J Back Musculoskelet Rehabil 2010; 24(3): 173-9.

18. Lynch SS, Thigpen C, Mihalik JP, Prentice WE, Padua D. The effects of an exercise intervention on forward head and rounded shoulder postures in elite swimmers. Br J Sports Med 2010; 44(5): 376-81.

19. Page P, Frank CC, and Larder R. Assessment and treatment of muscle imbalance: The Janda approach. USA: Human Kinetics, 2010.

20. Dos Santos, Raimundo, da Silva, Souza, Ferreira, Borges Santo Urbano, Gasparini, Bertoncello D. Increased strength of the scapular stabilizer and lumbar muscles after twelve weeks of Pilates training using the Reformer machine: A pilot study. J Bodyw Mov Ther 2017; 21(1):74-80.

21. Ruivo RM, Carita AI, Pezarat-Correia P. The effects of training and detraining after an 8 months resistance and stretching training program on forward head and protracted shoulder postures in adolescents: Randomised controlled study. Man Ther 2016; 21: 76-82.

22. Buttagat V. Effects of scapular stabilization exercise on pain related parameters in patients with scapulocostal syndrome: A randomized controlled trial. J Bodyw Mov Ther 2016; 20(1):115-22

23. Murlasits Z, Kneffel Z, ThalibL.The physiological effects of concurrent strength and endurance training sequence: A systematic review and meta-analysis. J Sports Sci 2017; 7:1-8.