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Effect of Deep Cranio-cervical Flexors Training over Isometric Neck Exercises in Chronic Neck Pain and Disability


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1 South Gujarat Medical Education and Research Center, SPB Physiotherapy College, Ugat Bhesan Road, Near Mora Bhagal, Rander Road, Surat, Gujarat, India
     

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Title: Effect of Deep Cranio-Cervical Flexor Training over Isometric Neck Exercise in Chronic Neck Pain and Disability

Objectives : The purpose of this study was to investigate whether a low load DCCF training program is effective in reduction of intensity of pain and perceived neck disability over conventional Isometric neck Exercise (INE) in subjects with chronic neck pain.

Methods: Fifty female between the ages of 17 to 25 years, with chronic non-severe neck pain were randomized into experimental or control group: a low load DCCF training plus conventional INE or only conventional INE respectively for 4 week exercise program. The outcome measures were VAS for intensity of neck pain and NDI for neck disability.

Results: At the end of 4th week follow-up assessment, the experimental group showed no statistical significant difference in reduction of pain intensity and percieved disability compared with the control group

Conclusion: There is no additional effectiveness of low load DCCF training over isometric neck strengthening exercise on chronic pain and disability.


Keywords

Dccf, Isometric Neck Exercises, Chronic Neck Pain, Neck Disability
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  • Côté P, Cassidy J D, Caroll L, Kristman V. The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain 2004; 112: 267-273.

  • Gore D, Sepic S, Gardner G, et al. Neck pain: a long-term follow-up of 205 patients. Spine 1987;12:1–5.

  • Michel G., Christer H. et al; “The prevalence of neck pain-A population-based study; Acta Orthop Scand 2002; 73 (4): 455–459

  • Szeto GP, Straker LM, O’Sullivan PB. A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work, 2: neck and shoulder kinematics. Man Ther. 2005;10: 281-291

  • Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine. 2002;27: 694-701.

  • Conley MS, Meyer RA, Bloomberg JJ, et al. Noninvasive analysis of human neck muscle function. Spine. 1995;20:2505-2512.

  • Mayoux-Benhamou MA, Revel M, Vallee C, et al. Longus colli has a postural function on cervical curvature. Surg Radiol Anat. 1994;16:367-371.

  • Vasavada AN, Li S, Delp SL. Influence of muscle morphometry and moment arms on the momentgenerating capacity of human neck muscles. Spine. 1998;23: 412-422.

  • Panjabi MM, Cholewicki J, Nibu K, Grauer J, Babat LB, Dvorak J. Critical load ofthe human cervical spine: an in vitro experimental study. Clinical Biomechanics 1998;13:11–7.

  • Harms-Ringdahl K, Ekholm J, Schuldt K, Nemeth G, Arborelius UP. Load moments and myoelectric activity when the cervical spine is held in full flexion and extension. Ergonomics 1986;29(12):1539–52.

  • Oatis CA. Kinesiology: The Mechanics and Pathomechanics of Human Movement. Philadelphia, Pa: Lippincott Williams & Wilkins; 2004

  • Winters JM, Peles JD. Neck muscle activity and 3D head kinematics during quasistatic and dynamic tracking movements. In: Winters JM, Woo SLY, eds.

  • Multiple Muscle Systems: Biomechanics and Movement Organization. New York, NY: Springer-Verlag; 1990:461-480.

  • Janda V. Muscle and cervicogenic pain syndromes. In:Grant R.Physical therapy for cervical and thoracic spine.2ed.clinics in Physical Therapy. Vol.17,1988. Churchill Livingstone Inc. p195-216

  • Falla D, Jull G, 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;29:2108–14.

  • Jull GA. Deep cervical neck flexor dysfunction in whiplash. J Musculoskelet Pain 2000;8:143–54.

  • Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine. 2004;29:2108-2114.

  • Falla D, Jull G, Hodges PW. Feed-forward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res. 2004; 157:43-48.

  • Darnell MW. A proposed chronology of events for forward head posture. J craniomandibular Pract, 1983: 1: 50-4.

  • Gelb H. new concept in craniomandibular and chronic pain management. 1ed, 1994. Times mirror international Publishers Ltd, Mosby – Wolfe

  • Falla D, full G, Russell T, et al. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007;87: 408-417.

  • O’Leary, S., Falla, D., Hodges, P. W., Jull, G. and Vicenzino, B. (2007) Specific therapeutic exercise of the neck induces immediate local hypoalgesia. Journal of Pain, 8 11: 832-839.

  • Jari Ylinen, Esa-Pekka Takala, Matti Nykänen, et al; Active Neck Muscle Training in the Treatment of Chronic Neck Pain in Women JAMA. 2003;289:2509-2516

  • Jull, G, Barrett, C, et al: Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia 19:179–185, 1999.


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  • Effect of Deep Cranio-cervical Flexors Training over Isometric Neck Exercises in Chronic Neck Pain and Disability

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Authors

Dharti Hingarajia
South Gujarat Medical Education and Research Center, SPB Physiotherapy College, Ugat Bhesan Road, Near Mora Bhagal, Rander Road, Surat, Gujarat, India
Sushant Dey
South Gujarat Medical Education and Research Center, SPB Physiotherapy College, Ugat Bhesan Road, Near Mora Bhagal, Rander Road, Surat, Gujarat, India
Nishant Tejwani
South Gujarat Medical Education and Research Center, SPB Physiotherapy College, Ugat Bhesan Road, Near Mora Bhagal, Rander Road, Surat, Gujarat, India

Abstract


Title: Effect of Deep Cranio-Cervical Flexor Training over Isometric Neck Exercise in Chronic Neck Pain and Disability

Objectives : The purpose of this study was to investigate whether a low load DCCF training program is effective in reduction of intensity of pain and perceived neck disability over conventional Isometric neck Exercise (INE) in subjects with chronic neck pain.

Methods: Fifty female between the ages of 17 to 25 years, with chronic non-severe neck pain were randomized into experimental or control group: a low load DCCF training plus conventional INE or only conventional INE respectively for 4 week exercise program. The outcome measures were VAS for intensity of neck pain and NDI for neck disability.

Results: At the end of 4th week follow-up assessment, the experimental group showed no statistical significant difference in reduction of pain intensity and percieved disability compared with the control group

Conclusion: There is no additional effectiveness of low load DCCF training over isometric neck strengthening exercise on chronic pain and disability.


Keywords


Dccf, Isometric Neck Exercises, Chronic Neck Pain, Neck Disability

References