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