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The impact of head repositioning accuracy and proprioception on cervical stabilization exercise in healthy adults

  • Kang, Kyung Wook (Department of Physical Therapy, Shinsung University) ;
  • Kang, Dae Won (Department of Physical Therapy, Shinsung University) ;
  • Kwon, Gu Ye (Department of Physical Therapy, Shinsung University) ;
  • Kim, Han Byul (Department of Physical Therapy, Shinsung University) ;
  • Noh, Kyoung Min (Department of Physical Therapy, Shinsung University) ;
  • Baek, Gi Hyun (Department of Physical Therapy, Shinsung University) ;
  • Cha, Jin Kwan (Department of Physical Therapy, Shinsung University) ;
  • Kim, Hyun Hee (Department of Physical Therapy, Shinsung University)
  • Received : 2015.05.08
  • Accepted : 2015.06.11
  • Published : 2015.06.26

Abstract

Objective: Cervical stabilization exercises are frequently to improve strength and endurance of cervical muscles. The purpose of this study was to identify changes in head repositioning accuracy (HRA) and neck proprioception through cervical stabilization exercises in healthy adults. Design: One group pretest-posttest design. Methods: Thirteen participants with no previous history of neck pain or injury to the cervical spine were recruited. HRA was measured by equipment including laser pointer, helmet, eye patch and marking pens. The distance between the spot where the beam had stopped and the center of the graph paper was measured three times with the averaged value used as the head repositioning accuracy. Neck proprioception was measured by a cervical range of motion device (CROM). Subjects wore the CROM tester and were to look straight ahead while bending his/her neck. Subjects were instructed to perform extension, lateral flexion and rotation, and the values were then measured and recorded. The measurements were performed pre-intervention, and after cervical stabilization exercise. Results: There was no significant difference on HRA after intervention. In addition, there was no significant difference on neck proprioception compared with pre-intervention. Conclusions: The present study did not identify any effect on HRA and neck proprioception of cervical stabilization exercise. Further investigations are required to elucidate this in old aged participants and patients with neck pain.

Keywords

References

  1. Moon SE. General coordinative manipulation. 1st ed. Seoul: Jungdam Media; 2004.
  2. Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani WA. Muscles: testing and function with posture and pain. 5th ed. Baltimore: LWW; 2005.
  3. Burgess-Limerick R, Plooy A, Ankrum DR. The effect of imposed and self-selected computer monitor height on posture and gaze angle. Clin Biomech (Bristol, Avon) 1998;13:584-92. https://doi.org/10.1016/S0268-0033(98)00021-7
  4. Kim SY, Lee HJ. Literature review on the association between a cervical dysfunction and the change of neuromuscular control activity. J Korean Acad Orthoped Man Ther 2006;12:57-67.
  5. Sherrington CS. On the proprioceptive system, especially in its reflex aspect. Brain 1907;29:467-82. https://doi.org/10.1093/brain/29.4.467
  6. Gandevia SC, Burke D. Does the nervous system depend on kinesthetic information to control natural limb movements? Behavioral and Brain Sciences 1992:15:614-32.
  7. Lederman E, Breen AC, Hartman LS, Newham DJ. Fundamentals of manual therapy: physiology, neurology, and psychology. 1st ed. New York: Churchill Livingstone; 1997.
  8. Shankar K. Exercise prescription. 1st ed. Philadelphia: Hanley & Belfus; 1999.
  9. Edin B. Cutaneous afferents provide information about knee joint movements in humans. J Physiol 2001;531:289-97. https://doi.org/10.1111/j.1469-7793.2001.0289j.x
  10. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques. 4th ed. Philadelphia: FA Davis; 2002.
  11. Cuomo F, Birdzell MG, Zuckerman JD. The effect of degenerative arthritis and prosthetic arthroplasty on shoulder proprioception. J Shoulder Elbow Surg 2005;14:345-8. https://doi.org/10.1016/j.jse.2004.07.009
  12. Panjabi M, Abumi K, Duranceau J, Oxland T. Spinal stability and intersegmental muscle forces. A biomechanical model. Spine (Phila Pa 1976) 1989;14:194-200. https://doi.org/10.1097/00007632-198902000-00008
  13. Magee DJ. Orthopedic physical assessment. 5th ed. Philadelphia: Elsevier Health Sciences; 2008.
  14. Kwon JH, Cho MJ, Park MC, Kim SY. Cervical stabilization exercise using the Sling system. J Korean Acad Orthop Man Ther 2002;8:57-71.
  15. Moon SB, Lee WJ, Hong CB, Kim KJ. Effects of cervical extension exercise and Mckinzie exercise on the pain and cervical muscle strength in patients with cervicalgia. Korea J Sports Sci 2007;16:687-98.
  16. Chiu TT, Lam TH, Hedley AJ. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine (Phila Pa 1976) 2005;30:E1-7.
  17. Falla DL, Campbell CD, Fagan AE, Thompson DC, Jull GA. Relationship between cranio-cervical flexion range of motion and pressure change during the cranio-cervical flexion test. Man Ther 2003;8:92-6. https://doi.org/10.1016/S1356-689X(03)00008-0
  18. Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine (Phila Pa 1976) 2002;27:694-701. https://doi.org/10.1097/00007632-200204010-00005
  19. DeStefano LA. Greenman's principles of manual medicine. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2011.
  20. Gong WT, Cheun HJ, Lee KM. The effect of cervical stabilized exercise and joint mobilization on maximum muscle strength and static muscle endurance of cervical region. J Korean Data Inf Sci Soc 2010;21:33-42.
  21. Mayoux-Benhamou MA, Revel M, Vallee C. Selective electromyography of dorsal neck muscles in humans. Exp Brain Res 1997;113:353-60. https://doi.org/10.1007/BF02450333
  22. Olson LE, Millar AL, Dunker J, Hicks J, Glanz D. Reliability of a clinical test for deep cervical flexor endurance. J Manip Physiol Ther 2006;29:134-8. https://doi.org/10.1016/j.jmpt.2005.12.009
  23. Taimela S, Takala EP, Asklof T, Seppala K, Parviainen S. Active treatment of chronic neck pain: a prospective randomized intervention. Spine (Phila Pa 1976) 2000;25:1021-7. https://doi.org/10.1097/00007632-200004150-00018
  24. Kim DH, Jeong MK, Yoon WY. Effects of cervical and lumbar stabilization exercise program on lumbar reposition sense and static, dynamic balance ability, lower back pain in degenerated disc disease patients. J Sport Leis Stud 2013;53:813-21.
  25. Kim SH, Kwon BA, Lee WH. Effects of cervical spinal stabilization training in private security on chronic neck pain and cervical function, neck pain, ROM. Korean Secur Sci Rev 2010;25:89-108.
  26. Lee HY. The effects of the cervical stabilizing exercise on cervical proprioception, shoulder strength and hand grip strength. Master thesis. Daegu: Daegu University; 2012.
  27. Jung JM, Gu JS, Shin WS. The effect of different sitting postures on range of motion, strength and proprioceptive sense of neck. J Korea Acad-Ind Coop Soc 2012;13:2212-8.

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