“A Study to Compare the Effectiveness of McKenzie Approach V/S Scapular Stabilization Exercises on Pain and Side Flexion Range of Motion in Subjects with Trapezitis - A Randomized Controlled Trial.”

Abstract

Introduction: People have a 70% likelihood of developing neck pain during their lives; thus, neck pain is an important issue affecting economic productivity in modern society. The upper trapezius is designated as a postural muscle and it is highly susceptible to overuse. Trapezitis is mainly caused due to stress and tension, repetitive movements, poor posture, prolonged head bending activity, using a thick pillow, tight pectoral major muscle, and severe neck spasms. Pain is classified in to three categories based on the duration of onset – Acute, Subacute, and chronic. When pain persist for about 22-84 days i.e. around 3 months it is classified as Subacute pain.

Objectives: To study and compare the effect of McKenzie approach and Scapular stabilization exercises on subjects with trapezitis on pain, and ROM of neck side flexion.

Methods: Total 30 subjects were selected for current study and were randomly allocated into Group A – Scapular stabilization exercise and Group B – McKenzie Exercise. Treatment was given for 10 session – 5 session/week for 2 weeks. At the end of the intervention protocol data for outcome measure – NPRS and Side-flexion ROM was taken.

Results: The result of current study suggest there is a significant improvement in pain and Range of motion of side-flexion, when comparison was done within groups having p value<0.05. similarly, when between group analysis was done significant difference was found between both the groups suggesting one treatment is superior to other.

Conclusions: when compared between the two groups the Statistically significant difference was found in both the group suggesting one technique is superior to other. Thus, accepting our alternate hypothesis. McKenzie Approach is found superior to Scapular stabilization exercises.