Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effects of Combined Exercise Program for Patients with Chronic Neck Pain

만성 경부통 환자를 위한 복합운동프로그램의 효과

  • Jang, Hyun-Jeong (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Kim, Hyun-Hee (Department of Physical Therapy, Graduate School of Sahmyook University) ;
  • Song, Chang-Ho (Department of Physical Therapy, Sahmyook University)
  • 장현정 (삼육대학교 대학원 물리치료학과) ;
  • 김현희 (삼육대학교 대학원 물리치료학과) ;
  • 송창호 (삼육대학교 물리치료학과)
  • Received : 2011.01.14
  • Accepted : 2011.02.28
  • Published : 2011.02.28
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Abstract

Purpose : The purpose of this study was to compare combined exercise program group to conventional physiotherapy for patients with chronic neck pain. Methods : Participants were randomly allocated to two groups by experimental(n=17) and control(n=17). Combined exercise program group involved stretching, stability, strengthening and endurance, proprioceptive exercises along with an educational programme. Patient attended for 60min, three times a weeks. Control group was treated as conventional physiotherapy on 40 min, three times a weeks. Outcome variables included pain, disability, range of motion, fatigability at 0 and 6 weeks. Results : Pain, Disability Index, Fatigability significantly decreased(p<.05) and Range of motion improved significantly after active exercise program(p<.05). In conclusion. Combined exercise program improves pain and disability, range of motion, fatigability. Conclusion : These results suggest that combined exercise program is suitable for chronic neck pain.

Keywords

References

  1. Adams JR, O'Brien CJ. Unknown primary squamous cell carcinoma of the head and neck: a review of diagnosis, treatment and outcomes. Asian J Surg. 2002;25(2):188-93. https://doi.org/10.1016/S1015-9584(09)60172-X
  2. Andersen LL, Kjaer M, Sogaard K et al. Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis Rheum. 2008;59(1):84-91. https://doi.org/10.1002/art.23256
  3. Bekkering GE, Engers AJ, Wensing M et al. Development of an implementation strategy for physiotherapy guidelines on low back pain. Aust J Physiother. 2003;49(3):208-14. https://doi.org/10.1016/S0004-9514(14)60240-3
  4. Blakely WW. EMG diagnostic scanning: a selective review of the literature. Int J Psychosom. 1989;36(1-4):35-6.
  5. Boonstra MC, De Waal Malefijt MC, Verdonschot N. How to quantify knee function after total knee arthroplasty?. Knee. 2008;15(5):390-5. https://doi.org/10.1016/j.knee.2008.05.006
  6. Brison RJ HL, Pickett W. A prospective study of acceleration-extension injuries following rear-end motor vehicle collisionsy. Journal of Musculoskeletal Pain. 2000;8(1-2):97-113. https://doi.org/10.1300/J094v08n01_08
  7. Bronfort G, Evans R, Nelson B et al. A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine. 2001;26(7):788-97. https://doi.org/10.1097/00007632-200104010-00020
  8. Chiu TT, Hui-Chan CW, Chein G. A randomized clinical trial of TENS and exercise for patients with chronic neck pain. Clin Rehabil. 2005;19(8):850-60. https://doi.org/10.1191/0269215505cr920oa
  9. Cram JR. Surface EMG recordings and pain-related disorders: a diagnostic framework. Biofeedback Self Regul. 1988;13(2):123-38. https://doi.org/10.1007/BF01001496
  10. David J, Modi S, Aluko AA et al. Chronic neck pain: a comparison of acupuncture treatment and physiotherapy. Br J Rheumatol. 1998;37(10):1118-22. https://doi.org/10.1093/rheumatology/37.10.1118
  11. Dusunceli Y, Ozturk C, Atamaz F et al. Efficacy of neck stabilization exercises for neck pain: a randomized controlled study. J Rehabil Med. 2009; 41(8):626-31. https://doi.org/10.2340/16501977-0392
  12. Eltayeb S, Staal JB, Hassan A et al. Work related risk factors for neck, shoulder and arms complaints: a cohort study among Dutch computer office workers. J Occup Rehabil. 2009;19(4):315-22. https://doi.org/10.1007/s10926-009-9196-x
  13. Evans R, Bronfort G, Nelson B et al. Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Spine (Phila Pa 1976). 2002;27(21):2383-9. https://doi.org/10.1097/00007632-200211010-00013
  14. Falla D, Bilenkij G, Jull G. Patients with chronic neck pain demonstrate altered patterns of muscle activation during performance of a functional upper limb task. Spine(Phila Pa 1976). 2004;29(13):1436-40. https://doi.org/10.1097/01.BRS.0000128759.02487.BF
  15. Ferrari S, Monticone M. Efficacy of a multimodal rehabilitation program in a dental hygienist with upper quadrant disorders. Description of a case report with one-year follow-up. G Ital Med Lav Ergon. 2009;31(4):407-13.
  16. Gross AR, Hoving JL, Haines TA et al. Manipulation and mobilisation for mechanical neck disorders. Cochrane Database Syst Rev. 2004;(1):CD004249.
  17. Hakkinen A, Salo P, Tarvainen U et al. Effect of manual therapy and stretching on neck muscle strength and mobility in chronic neck pain. J Rehabil Med. 2007;39(7):575-9. https://doi.org/10.2340/16501977-0094
  18. Hanten WP, Olson SL, Russell JL et al. Total head excursion and resting head posture: normal and patient comparisons. Arch Phys Med Rehabil. 2000;81(1):62-6. https://doi.org/10.1016/S0003-9993(00)90223-5
  19. Hoving JL, Koes BW, de Vet HC et al. Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial. Ann Intern Med. 2002;136(10):713-22. https://doi.org/10.7326/0003-4819-136-10-200205210-00006
  20. Hudson JS, Ryan CG. Multimodal group rehabilitation compared to usual care for patients with chronic neck pain: A pilot study. Man Ther. 2010;15(6): 552-6. https://doi.org/10.1016/j.math.2010.06.004
  21. Jull G, Falla D, Treleaven J et al. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res. 2007;25(3):404-12. https://doi.org/10.1002/jor.20220
  22. Kjellman G, Oberg B, Hensing G et al. A 12-year follow-up of subjects initially sicklisted with neck/shoulder or low back diagnoses. Physiother Res Int. 2001;6(1):52-63. https://doi.org/10.1002/pri.213
  23. Kogler A, Lindfors J, Odkvist LM et al. Postural stability using different neck positions in normal subjects and patients with neck trauma. Acta Otolaryngol. 2000;120(2):151-5. https://doi.org/10.1080/000164800750000801
  24. Lafond D, Champagne A, Cadieux R et al. Rehabilitation program for traumatic chronic cervical pain associated with unsteadiness: a single case study. Chiropr Osteopat. 2008;16:15. https://doi.org/10.1186/1746-1340-16-15
  25. Lee H, Nicholson LL, Adams RD. Cervical range of motion associations with subclinical neck pain. Spine. 2004;29(1):33-40. https://doi.org/10.1097/01.BRS.0000103944.10408.BA
  26. Meeus M, Nijs J. Meirleir KD. Chronic musculoskeletal pain in patients with the chronic fatigue syndrome: a systematic review. Eur J Pain. 2007;11(4):377-86. https://doi.org/10.1016/j.ejpain.2006.06.005
  27. Pikula JR. The effect of spinal manipulative therapy (SMT) on pain reduction and range of motion in patients with acute unilateral neck pain: a pilot study. J Can Chiropr Assoc. 1999;43(2):111-19.
  28. Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol. 2004;14(1):13-23. https://doi.org/10.1016/j.jelekin.2003.09.015
  29. Roijezon U, Bjorklund M, Bergenheim M et al. A novel method for neck coordination exercise--a pilot study on persons with chronic non-specific neck pain. J Neuroeng Rehabil. 2008;5:36. https://doi.org/10.1186/1743-0003-5-36
  30. Sarig-Bahat H. Evidence for exercise therapy in mechanical neck disorders. Man Ther. 2003;8(1):10-20. https://doi.org/10.1054/math.2002.0480
  31. Sjolander P, Michaelson P, Jaric S et al. Sensorimotor disturbances in chronic neck pain-range of motion, peak velocity, smoothness of movement, and repositioning acuity. Man Ther. 2008;13(2):122-31. https://doi.org/10.1016/j.math.2006.10.002
  32. Standridge RK, Kondraske GV, Mooney V et al. Temporal characterization of myoelectric spectral moment changes: analysis of common parameters. IEEE Trans Biomed Eng. 1988;35(10):789-97. https://doi.org/10.1109/10.7285
  33. Taimela S, Takala EP, Asklof T et al. Active treatment of chronic neck pain: a prospective randomized intervention. Spine (Phila Pa 1976). 2000;25(8):1021-7. https://doi.org/10.1097/00007632-200004150-00018
  34. Verhagen AP, Scholten-Peeters GG, van Wijngaarden S et al. Conservative treatments for whiplash. Cochrane Database Syst Rev. 2007;18(2):CD003338.
  35. Visser B. van Dieen JH. Pathophysiology of upper extremity muscle disorders. J Electromyogr Kinesiol. 2006;16(1):1-16. https://doi.org/10.1016/j.jelekin.2005.06.005
  36. Ylinen J, Kautiainen H, Wiren K et al. Stretching exercises vs manual therapy in treatment of chronic neck pain: a randomized, controlled crossover trial. J Rehabil Med. 2007;39(2):126-32. https://doi.org/10.2340/16501977-0015
  37. Ylinen J, Takala EP, Nykanen M et al. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. JAMA. 2003;289(19):2509-16. https://doi.org/10.1001/jama.289.19.2509
  38. Young IA, Cleland JA, Michener LA et al. Reliability, construct validity, and responsiveness of the neck disability index, patient-specific functional scale, and numeric pain rating scale in patients with cervical radiculopathy. Am J Phys Med Rehabil. 2010;89(10):831-9. https://doi.org/10.1097/PHM.0b013e3181ec98e6