IJPR.2017.128

Type of Article:  Original Research

Volume 5; Issue 2 (April 2017)

Page No.: 1993-2000

DOI: https://dx.doi.org/10.16965/ijpr.2017.128

INFLUENCE OF GLUTEUS MAXIMUS INHIBITION ON UPPER TRAPEZIUS OVERACTIVITY IN CHRONIC MECHANICAL NECK PAIN WITH RADICULOPATHY

Ghada Mohamed Koura 1, Eman Abd Allah Kamel 1, Hamada Ahmed Hamada 2, Wanees Mohamed Badawy *3.

1 Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.

2 Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt.

*3 Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.

Corresponding Author: Dr. Wanees M. Badawy, PhD, Lecturer, Dept of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt. Mobile number: (0020)1288055771 E-Mail: wanees.alamir@pt.cu.edu.eg

ABSTRACT

Background: Mechanical neck pain is the most common type of neck pain and commonly to accompany with radiculopathy. Patients of neck pain exhibit greater activation of accessory muscles, (sternocledomastoid, anterior scalene, and upper trapezius muscles) and may also show changed patterns of motor control of other posture muscles as pelvic muscles for reducing activation of painful muscles of neck.

Aim of the study: To determine if there is an association between gluteus maximus inhibition and over activity of upper fibers of trapezius in patients with chronic mechanical neck pain with radiculopathy.

Materials and Methods: Forty female patients participated in this study diagnosed as chronic mechanical neck pain with radiculopathy. Amplitude and onset of muscle activation were assessed by using the surface electromyograghy (EMG) during prone hip extension test.

Results: The results of this study demonstrated that there is no correlation between the amplitude of  EMG activity of right and left gluteus maximus and the amplitude of EMG activity of  right and left upper trapezius (P<0.05).

Conclusion: It can be concluded that the overactivity of the upper trapezius muscle in patients with chronic mechanical neck pain with radiculopathy is not related to the inhibition of the gluteus maximus muscle during prone hip extension test.

Key Words: Mechanical Neck pain, Gluteus Maximus, Upper Trapezius, Surface Electromyography.

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Cite this article: Ghada Mohamed Koura, Eman Abd Allah Kamel, Hamada Ahmed Hamada, Wanees Mohamed Badawy. INFLUENCE OF GLUTEUS MAXIMUS INHIBITION ON UPPER TRAPEZIUS OVERACTIVITY IN CHRONIC MECHANICAL NECK PAIN WITH RADICULOPATHY. Int J Physiother Res 2017;5(2):1993-2000. DOI: 10.16965/ijpr.2017.128
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