Effect of Global Postural Re-education on Pain, Disability, And Posture in Desk Job Workers with Nonspecific Neck Pain: Randomized Control Trial
Abstract
Objective: To study the effect of Global postural re-education (GPR) on pain, disability, and posture in patients with chronic nonspecific neck pain.
Material and Methods: A single-blinded randomized control trial was conducted. A total of 45 individuals, with nonspecific neck pain aged between 20-40 years, with Craniovertebral Angle (CVA) of less than 49 degrees, were randomly assigned to either the GPR or control group, according to inclusion and exclusion criteria. The intervention was twice a week, spanning four weeks. Outcome measures included: the Numerical Pain Rating Scale (NPRS) for pain intensity, the Neck Disability Index (NDI) for disability assessment and the CVA for posture evaluation.
Results: To establish the difference between the groups, the Mann-Whitney U test was performed, and within-group analysis was performed by the Wilcoxon sign rank test. NPRS showed significant improvement (p-value=0.02). NDI did not show significant improvement (p-value=0.83); CVA showed significant improvement (p-value=0.0009).
Conclusion: This study concludes that GPR was more effective in reducing pain, increasing function, and improving posture than the control group and can be used in regular practice with proper setup.
Keywords
Full Text:
PDFReferences
Darivemula S, Goswami K, Gupta S, Salve H, Singh U, Goswami A. Work-related neck pain among desk job workers of tertiary care hospital in New Delhi, India: Burden and determinants. Indian J Community Med 2016;41:50.
Shannon, Harry S. Changes in general health and musculoskeletal outcomes in the workforce of a hospital undergoing rapid change: a longitudinal study. Am Psychol Assoc 750 First Str NE Wash DC 2023;20002-4242.
Chandwani A. Ergonomics Assessment of Office Desk Workers Working in Corporate Offices. Int J Health Sci Res 2019:9;3
Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. A classification of chronic pain for ICD-11. Pain 2015;156:1003–7.
Domingues L, Cruz EB, Pimentel-Santos FM, Ramiro S, Donato H, Manica SR, et al. Prognostic factors for recovery and non-recovery in patients with non-specific neck pain: a protocol for a systematic literature review. BMJ Open 2018;8:e023356.
Khawar A, Khawar S, Tauqeer S, Amjad F, Rubab HI, Wafa HS. Association of upper cross syndrome with prolonged sitting among young adults. Pak Biomed J 2022;5:370–4.
Subbarayalu AV, Ameer MA. Relationships among head posture, pain intensity, disability and deep cervical flexor muscle performance in subjects with postural neck pain. J Taibah Univ Med Sci 2017;12:541–7.
Nejati P, Lotfian S, Moezy A, Moezy A, Nejati M. The relationship of forward head posture and rounded shoulders with neck pain in Iranian office workers. Med J Islam Repub Iran 2014;28:26.
Lee MY, Lee HY, Yong MS. Characteristics of cervical position sense in subjects with forward head posture. J Phys Ther Sci 2014;26:1741–3.
Cheng CH, Wang JL, Lin JJ, Wang SF, Lin KH. Position accuracy and electromyographic responses during head reposition in young adults with chronic neck pain. J Electromyogr Kinesiol 2010;20:1014–20.
Koseki T, Kakizaki F, Hayashi S, Nishida N, Itoh M. Effect of forward head posture on thoracic shape and respiratory function. J Phys Ther Sci 2019;31:63–8.
Lee JH. Effects of forward head posture on static and dynamic balance control. J Phys Ther Sci 2016;28:274-7.
Panjabi MM, Cholewicki J, Nibu K, Grauer J, Babat LB, Dvorak J. Critical load of the human cervical spine: an in vitro experimental study. Clin Biomech 1998;13:11–7.
Loudon JK, Ruhl M, Field E. Ability to reproduce head position after whiplash injury. Spine (Phila Pa 1976) 1997;22:865-8.
Cunha ACV, Burke TN, França FJR, Marques AP. Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: a randomized clinical trial. Clinics 2008;63:763–70.
Dimitrova E, Rohleva M. Global postural reeducation in the treatment of postural impairments. Res Kinesiology 2014;4:72-5.
Amorim CS, Gracitelli ME, Marques AP, Alves VL. Effectiveness of global postural reeducation compared to segmental exercises on function, pain, and quality of life of patients with scapular dyskinesis associated with neck pain: a preliminary clinical trial. J Manipulative Physiol Ther 2014;37:441-7.
Mendes-Fernandes T, Puente-González AS, Márquez-Vera MA, Vila-Chã C, Méndez-Sánchez R. Effects of global postural reeducation versus specific therapeutic neck exercises on pain, disability, postural control, and neuromuscular efficiency in women with chronic nonspecific neck pain: study protocol for a randomized, parallel, clinical Trial. Int J Environ Res Public Health 2021;18:10704.
Cleland JA, Childs JD, Whitman JM. Psychometric properties of the neck disability index and numeric pain rating scale in patients with mechanical neck pain. Arch Phys Med Rehabil 2008;89:69–74.
Young IA, Cleland JA, Michener LA, Brown C. Reliability, construct validity, and responsiveness of the neck disability index, patient-specific functional scale, and numeric pain rating scale in patients with cervical radiculopathy. Am J Phys Med Rehabil 2010;89:831.
Kadu DV, Shetye JV. Reliability of “MB-ruler software” to measure craniovertebral angle using the photographic method. J Health Allied Sci NU 2022;12:307–11.
Basso D, Corrêa E, Silva AM da. Effect of global postural reeducation on body alignment and on clinical status of individuals with temporomandibular disorder associated to postural deviations. Fisioter E Pesqui 2010;17:63–8.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.