Original Research Article
Year: 2018 | Month: March | Volume: 8 | Issue: 3 | Pages: 138-148
Multimodal Physiotherapy Improves Pain, Functional Disability, Sleep Quality and Health Related Quality of Life in Chronic Mechanical Neck Pain Patients
Shumaila Choudhary1, M. Ejaz Hussain2, Adam Moscovitch3, Seithikurippu R. Pandi-Perumal4, Ahmed S. Bahammam5
1Assisstant Professor (Visiting), 2Director,
Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, New Delhi, INDIA
3Medical Director, Sleep and Fatigue Institute, The University of Calgary, CANADA.
4President and Chief Executive Officer, Somnogen Canada Inc., College Street, Toronto, CANADA.
5Professor, King Saud University, Riyadh, SAUDI ARABIA.
Corresponding Author: Shumaila Choudhary
Background and purpose- Mechanical neck pain is a common problem affecting people worldwide. According to current evidence, 30% to 50% of general population suffers from MNP and experience chronic pain yearly. The use of objective measures such as cervical range of motion; cervical muscles strength, endurance and electromyography have been widely used in mechanical neck pain interventional studies. However sleep quality and health related quality of life, which are important subjective measures reflecting well-being of an individual has been neglected in the past. Therefore, there is a need to investigate these variables in these patients.
Methods- It was a randomized control study. Thirty patients were randomly assigned to Group A-experimental group and Group B-control group with 15 patients in each group. Group-A received supervised physiotherapy while Group-B received minimal intervention as home program. All the outcome measures were collected at baseline and post intervention.
Results- There was a statistically significant improvement in both the groups. In between group comparison the experimental group shows statistically significant improvement than the control group in all the outcome measures.
Conclusions- Patients with chronic mechanical neck pain found to have substantial decrease in quality of life and impaired sleep quality. The physiotherapy resulted in significant improvement in pain, functional disability, sleep quality and health related quality of life in experimental group compared to the control group.
Key words: Mechanical neck pain (MNP), Sleep quality, Health related quality of life (HRQOL), Multimodal physiotherapy.