Exercise Programs Targeting Scapular Kinematics and Stability Are Effective in Decreasing Neck Pain: A Critically...

Area of Science:

• Physiotherapy and Rehabilitation
• Musculoskeletal Disorders
• Biomechanics

Background:

• Neck pain is a prevalent and costly condition affecting both civilian and military populations.
• Traditional treatments for neck pain include exercises, manual therapy, and electrical therapy.
• Scapular orientation and stability training is an emerging intervention for neck pain management, particularly suitable for remote coaching.

Purpose of the Study:

• To evaluate the effectiveness of exercise programs targeting scapular kinematics and stability in reducing neck pain severity.
• To determine the optimal prescription for scapular-focused exercises, including frequency and duration.
• To assess the value of coaching and individualized progressions in these exercise programs.

Main Methods:

• Review of evidence from randomized controlled trials (RCTs) and pre-post test control studies.
• Analysis of exercise programs incorporating scapular kinematics and stability training.
• Consideration of coaching and individualized progression strategies.

Main Results:

• Exercise programs focused on scapular kinematics and stability demonstrate a reduction in neck pain severity.
• Evidence supports a prescription of 3 weekly sessions for 4-6 weeks.
• A 'learning' or coaching phase is crucial for proper exercise execution, with progressions based on ability.

Conclusions:

• Exercise interventions targeting scapular kinematics and stability are effective in decreasing chronic neck pain.
• Further research is needed to explore benefits in specific populations (e.g., military, athletes) and quantify statistical impact.
• Scapular-focused exercises offer a valuable, coachable strategy for neck pain management, adaptable to virtual or limited-access settings.