The effect of chiropractic and different physiotherapy applications on wrist proprioception and grip strength in people with mechanical neck pain

Title : The effect of chiropractic and different physiotherapy applications on wrist proprioception and grip strength in people with mechanical neck pain

Abstract:

Purpose of the study; the aim of this study is to compare the effectiveness of chiropractic and different physiotherapy applications on bilateral wrist grip strength, grip sensitivity, two-point discrimination and joint position sense in people with neck pain of mechanical origin (NPMO). 48 volunteer individuals between the ages of 18-55 diagnosed with NPMO were divided into 4 groups. Individuals were randomly divided into control group, chiropractic group, classical hand-wrist exercise group and proprioceptive exercise group; Pain levels were evaluated with VAS. Disability level was evaluated with the neck pain disability scale (NPDS) and the Copenhagen neck functional disability scale (CNFDS). Range of motion (ROM) was evaluated with a specifically designed goniometer, grip strength (GS) was evaluated with a hand dynamometer, grip force sensitivity (GFS) was evaluated with a pneumatic dynamometer, and two-point discrimination (2PD) was evaluated with a discriminator. Measurements were made 3 times: before treatment, at the 4th week after treatment, and at the 8th week from the beginning. According to the first and second measurement analysis results in all treatment groups, a statistically significant improvement was observed in rest and activity VAS, NPDS and CNFDS values (p<0.05). In the control group; There was a significant difference in dominant GF and dominant radial deviation measurement (p<0.05). In the chiropractic group; there was a significant difference in non-dominant GF, non-dominant GFS, dominant TPD and dominant ROM extension, flexion and ulnar deviation measurements (p<0.05). In the classical exercise group; there was a significant difference in non-dominant GF, dominant TPD, non-dominant ROM extension, radial deviation and dominant flexion measurements (p<0.05). In the proprioceptive exercise group; there was a significant difference in bilateral GF, dominant GFS, bilateral TPD, non-dominant ROM extension, ulnar and radial deviation, and dominant flexion measurements (p<0.05). According to the results of the study; proprioceptive exercises contribute positively to hand-wrist grip strength and proprioceptive sense.

Biography:

Lecturer Dr. Cozvelioglu graduated from Afyon Kocatepe University in 2014 with a degree in physical therapy and rehabilitation. He then completed the first and only chiropractic master's degree in the country from a higher education institution at Bahçeşehir University in 2017. In the same years, he became a member of the Turkish Chiropractic Spine Health Association and carried out the country's first studies in the field of chiropractic on football players. He received his doctorate degree, which he started in 2018 at the same university, in 2024. His doctorate topic was again chiropractic treatment from traditional and alternative medicine practices.