{"id":153,"date":"2017-04-11T05:40:50","date_gmt":"2017-04-11T05:40:50","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=153"},"modified":"2017-04-11T05:40:50","modified_gmt":"2017-04-11T05:40:50","slug":"ijpr-2017-128","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-128","title":{"rendered":"IJPR.2017.128"},"content":{"rendered":"<p style=\"text-align: justify;\"><div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr.5.2\/IJPR.2017.128.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijpr_vol5_2.html\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#3498db;border-color:#2a7ab0;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#71b7e6;border-radius:5px;text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 5; Issue 2 (April 2017)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a01993-2000<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2017.128<\/h3>\n<h3 style=\"text-align: justify;\">INFLUENCE OF GLUTEUS MAXIMUS INHIBITION ON UPPER TRAPEZIUS OVERACTIVITY IN CHRONIC MECHANICAL NECK PAIN WITH RADICULOPATHY<\/h3>\n<p style=\"text-align: justify;\"><strong>Ghada Mohamed Koura <sup>1<\/sup>, Eman Abd Allah Kamel <sup>1<\/sup>, Hamada Ahmed Hamada <sup>2<\/sup>, Wanees Mohamed Badawy *<sup>3<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>1<\/sup> Department of Physical Therapy for Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt.<\/p>\n<p style=\"text-align: justify;\">*<sup>3<\/sup> Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author:<\/strong> 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 <strong>E-Mail:<\/strong> wanees.alamir@pt.cu.edu.eg<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background:<\/strong> 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.<\/p>\n<p style=\"text-align: justify;\"><strong>Aim of the study:<\/strong> 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.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and<\/strong> 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.<\/p>\n<p style=\"text-align: justify;\"><strong>Results:<\/strong> The results of this study demonstrated that there is no correlation between the amplitude of\u00a0 EMG activity of right and left gluteus maximus and the amplitude of EMG activity of\u00a0 right and left upper trapezius (P&lt;0.05).<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion:<\/strong> 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.<\/p>\n<p style=\"text-align: justify;\"><strong>Key Words:<\/strong> Mechanical Neck pain, Gluteus Maximus, Upper Trapezius, Surface Electromyography<strong>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li>Childs J, Cleland J, Elliott J, Deydre T, Wainner R, Whitman J. Neck Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association.\u00a0 Journal of Orthopaedic &amp; Sports Physical Therapy 2008;38(9):1-34.<\/li>\n<li>Danielle S, Ross H,Barbara W, Sarah S. Chronic Neck Pain: Making the Connection Between Capsular Ligament Laxity and Cervical Instability. Open Orthop J 2014;8:326\u2013345.<\/li>\n<li>Hoving J, Koes B, De Vet H, Van Windt D, Assendelft W, Van Mameren H. Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain: a randomized, controlled trial. Annals of internal medicine 2002; May 21;136(10):713-722.<\/li>\n<li>Fejer R, Hartvigsen J, and Kyvik K. Heritability of Neck Pain: A Population based Study of 33,794 Danish Twins. Rheumatology 2006;45(5):589\u201394.<\/li>\n<li>Binder AI. Cervical spondylosis and neck pain.\u00a0BMJ\u202f: British Medical Journal 2007;334(7592):527-531.<\/li>\n<li>Picavet H, Schouten J. Musculoskeletal pain in the Netherlands: Prevalences, consequences and risk groups, the DMC(3)-study. Pain 2003;102(1):167-178.<\/li>\n<li>Falla D, Jull G, and Hodges P. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine 2004;29(19):2108-2114.<\/li>\n<li>Page P, Frank C, and Lardner L. Assessment and treatment of muscle imbalance: the Janda approach; Benchmark Physical Therapy Inc; 2010, p77-80.<\/li>\n<li>Sahrmann S. Diagnosis and treatment of movement impairment Missouri: Mosby. Inc; 2002;121-92.<\/li>\n<li>Hossain M, and Nokes L. A model of dynamic sacro-iliac joint instability from malrecruitment of gluteus maximus and biceps femoris muscles resulting in low back pain. Med Hypotheses 2005;65(2):278\u201381.<\/li>\n<li>Bruno PA, Bagust J. An investigation into motor pattern differences used during prone hip extension between subjects with and without lowback pain. Clinical Chiropractic 2007;10(2):68-80.<\/li>\n<li>Lehman G, Lennon D, Tresidder B, Rayfield B, Poschar M. Muscle recruitment patterns during the prone leg extension.\u00a0BMC Musculoskeletal Disorders\u00a02004;5:3.<\/li>\n<li>Lewis C, Sahrmann S. Muscle activation and movement patterns during prone hip extension exercise in women.\u00a0Journal of athletic training 2009;44(3):238-248.<\/li>\n<li>Vogt L, Pfeifer K, and Banzer W. Neuromuscular control of walking withchronic low-back pain. Manual Therapy 2003;8(1):21\u20138.<\/li>\n<li>Lowery M, Stoykov N, Kuiken T. Variations in surface EMG pick-up range with subcutaneous fat thickness. Proceedings of the 12<sup>th<\/sup> Congress of the International Society for Electrophysiology and Kinesioloy, Vienna, Austria, 2002, June 22-25.<\/li>\n<li>Lehman G. Trunk and hip muscle recruitment patterns during the prone leg extension following a lateral ankle sprain: a prospective case study pre and post injury. Chiro Osteopath 2006;14:4.<\/li>\n<li>Stefan\u00a0G, Rachel\u00a0M, Lana G, Timothy C, Susanne G, Michael W, Dieter J. BMI and neuronal integrity in healthy, cognitively normal elderly: a proton magnetic resonance spectroscopy study.\u00a0Obesity 2010;18(4):743-748.<\/li>\n<li>Kristen B, Cara C, Jennifer L, Lindsey P, Michael V. Electromyography analysis of gluteus medius and gluteus maximus during rehabilitation exercises.\u00a0International journal of sports physical therapy 2011;6(3):206.<\/li>\n<li>Sung-Hyoun C., Jung-Ho L.,Cheol-Yong K. The changes of electromyography in the upper trapezius and supraspinatus of women college students according to the method of bag-carrying and weight.\u00a0Journal of physical therapy science 2013;25(9):1129.<\/li>\n<li>Worrell T, Karst G, Adamczyk D, Moore R, Stanley C, Steimel B, Steimel S. Influence of joint position on electromyographic and torque generation during maximal voluntary isometric contractions of the hamstrings and gluteus maximus muscles.Journal of Orthopaedic and Sports Physical Therapy 2001;31(21):730\u2013740.<\/li>\n<li>Arab A, Ghamkhar L, Emami M, Nourbakhsh M. Altered muscular activation during prone hip extension in women with and without low back pain. Chiro and Man Ther 2011; 19(1):1.<\/li>\n<li>Kay T, Kennedy C, Hondras M, Haines T, Bouter L. A critical appraisal of review articles on the effectiveness of conservative treatment for neck pain. Spine 2001;26(2):196-205.<\/li>\n<li>Jull G, Amiri M, Bullock S, Darnell R, Lander C. Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches. Cephalalgia 2007;27(7):793-802.<\/li>\n<li>Diederichsen L, N\u00f8rregaard J, Dyhre-Poulsen P, Winther A, Tufekovic G, Bandholm T. The effect of handedness on electromyographic activity of human shoulder muscles during movement.\u00a0Journal of Electromyography and Kinesiology 2007;17(4):410-419.<\/li>\n<li>Farina D, Kallenberg LA, Merletti R, Hermens H. Effect of side dominance on myoelectric manifestations of muscle fatigue in the human upper trapezius muscle.\u00a0European journal of applied physiology 2003;90(5-6):480-488.<\/li>\n<li>Sandsjo L, Melin B, Rissen D, Dohns I, Lundberg U. Trapezius muscle activity, neck and shoulder pain, and subjective experiences during monotonous work in women.\u00a0European journal of applied physiology\u00a02000;83(2-3):235-238.<\/li>\n<li>Van Wingerden J, Vleeming A, Buyruk H, Raissadat K. Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis.\u00a0European Spine Journal 2004;13(3):199-205.<\/li>\n<li>Hungerford B, Gilleard W, Hodges P. Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine 2003;28(14):1593\u2013600.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #3498db #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #3498db;\"><strong>Cite this article:<\/strong><\/span> 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\u00a0Res 2017;5(2):1993-2000. DOI: 10.16965\/ijpr.2017.128 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 5; Issue 2 (April 2017) Page No.:\u00a01993-2000 DOI:\u00a0https:\/\/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<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2017-128\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-153","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/153"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/comments?post=153"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/153\/revisions"}],"predecessor-version":[{"id":159,"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/pages\/153\/revisions\/159"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/wp-json\/wp\/v2\/media?parent=153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}