• Enrique Lluch, Maria Dolores Arguisuelas, Otilia Calvente Quesada, Estibaliz Martínez Noguera, Marta Peiró Puchades, José A Pérez Rodríguez, and Deborah Falla.
• PhD student, Department of Physiotherapy, University of Valencia, Valencia, Spain.
• J Manipulative Physiol Ther. 2014 Nov 1;37(9):660-6.

ObjectiveThe purpose of this study was to investigate the effect of active vs passive scapular correction on pain and pressure pain threshold at the most symptomatic cervical segment in patients with chronic neck pain.MethodsTwenty-three volunteers with chronic, idiopathic neck pain were recruited (age, 38.9 ± 14.4 years; sex [man/woman], 3/20; Neck Disability Index, 28.1% ± 9.9%). Subjects were randomly allocated to 2 groups: active scapular correction or passive scapular correction. Pressure pain threshold and pain intensity rated on a numerical rating scale during a posteroanterior glide over the most symptomatic cervical segment were measured before and immediately after the active or passive scapular intervention.ResultsOnly the active scapular correction produced a reduction in pain (pre, 6.3 ± 1.2; post, 3.7 ± 2.4; P < .05) and increase in pressure pain threshold (pre, 8.7 ± 4.2 kg/cm(2); post, 10.1 ± 3.8 kg/cm(2); P < .05) at the most painful cervical segment.ConclusionsAn active scapular correction exercise resulted in an immediate reduction of pain and pressure pain sensitivity in patients with chronic neck pain and scapular dysfunction.Copyright © 2014 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.

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