DOI QR코드

DOI QR Code

Comparison of three different exercise trainings in patients with chronic neck pain: a randomized controlled study

  • Besta Hazal Gumuscu (Department of Physiotheraphy and Rehabilitation, Institute of Health Sciences, Yeditepe University) ;
  • Eylul Pinar Kisa (Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Biruni University) ;
  • Begum Kara Kaya (Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Biruni University) ;
  • Rasmi Muammer (Department of Physiotherapy and Rehabilitation, Faculty of Health Science, Yeditepe University)
  • Received : 2022.11.04
  • Accepted : 2023.02.25
  • Published : 2023.04.01

Abstract

Background: Neck pain is a common problem in the general population and second only to low back pain in musculoskeletal problems. The aim of this study is to compare three different types of exercise training in patients with chronic neck pain. Methods: This study was conducted on 45 patients with neck pain. Patients were divided into 3 groups: Group 1 (conventional treatment), Group 2 (conventional treatment plus deep cervical flexor training), and Group 3 (conventional treatment plus stabilization of the neck and core region). The exercise programs were applied for four weeks, three days a week. The demographic data, pain intensity (verbal numeric pain scale), posture (Reedco's posture scale), cervical range of motion ([ROM] goniometer), and disability (Neck Disability Index [NDI]) were evaluated. Results: In all groups, a significant improvement was found in terms of pain, posture, ROM, and NDI values in all groups (P < 0.001). Between the groups, analyses showed that the pain and posture improved more in Group 3, while the ROM and NDI improved more in Group 2. Conclusions: In addition to conventional treatment, applying core stabilization exercises or deep cervical flexor muscle training to patients with neck pain may be more effective in reducing pain and disability and increasing ROM than conventional treatment alone.

Keywords

References

  1. Cox LG, Kidgell DJ, Iles RA. Neck-specific strengthening exercises and cognitive therapy for chronic neck pain: a systematic review. Phys Ther Rev 2019; 24: 335-45. https://doi.org/10.1080/10833196.2019.1664081
  2. Cunha AC, Burke TN, Franca FJ, Marques AP. Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: a randomized clinical trial. Clinics (Sao Paulo) 2008; 63: 763-70. https://doi.org/10.1590/S1807-59322008000600010
  3. Im B, Kim Y, Chung Y, Hwang S. Effects of scapular stabilization exercise on neck posture and muscle activation in individuals with neck pain and forward head posture. J Phys Ther Sci 2016; 28: 951-5. https://doi.org/10.1589/jpts.28.951
  4. Mustafaoglu R, Yasaci Z, Zirek E, Griffiths MD, Ozdincler AR. The relationship between smartphone addiction and musculoskeletal pain prevalence among young population: a cross-sectional study. Korean J Pain 2021; 34: 72-81. https://doi.org/10.3344/kjp.2021.34.1.72
  5. Yip CH, Chiu TT, Poon AT. The relationship between head posture and severity and disability of patients with neck pain. Man Ther 2008; 13: 148-54. https://doi.org/10.1016/j.math.2006.11.002
  6. Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther 2007; 87: 408-17. https://doi.org/10.2522/ptj.20060009
  7. Iqbal ZA, Rajan R, Khan SA, Alghadir AH. Effect of deep cervical flexor muscles training using pressure biofeedback on pain and disability of school teachers with neck pain. J Phys Ther Sci 2013; 25: 657-61. https://doi.org/10.1589/jpts.25.657
  8. Marco CA, Marco AP, Plewa MC, Buderer N, Bowles J, Lee J. The verbal numeric pain scale: effects of patient education on self-reports of pain. Acad Emerg Med 2006; 13: 853-9. https://doi.org/10.1197/j.aem.2006.04.020
  9. Chiu TT, Lam TH, Hedley AJ. Correlation among physical impairments, pain, disability, and patient satisfaction in patients with chronic neck pain. Arch Phys Med Rehabil 2005; 86: 534-40. https://doi.org/10.1016/j.apmr.2004.02.030
  10. Thawinchai N, Funprom K. Effect of carrying style on posture score in adolescents with musculoskeletal pain. Chiang Mai Univ J Nat Sci 2019; 18: 553-61. https://doi.org/10.12982/CMUJNS.2019.0036
  11. Ozer Kaya D, Toprak Celenay S. Effectiveness of relaxation training in addition to stabilization exercises in chronic neck pain: a randomized clinical trial. Turk J Physiother Rehabil 2019; 30: 145-53.
  12. Shin YJ, Kim WH, Kim SG. Correlations among visual analogue scale, neck disability index, shoulder joint range of motion, and muscle strength in young women with forward head posture. J Exerc Rehabil 2017; 13: 413-7. https://doi.org/10.12965/jer.1734956.478
  13. Sullivan GM, Feinn R. Using effect size-or why the P value is not enough. J Grad Med Educ 2012; 4: 279-82. https://doi.org/10.4300/JGME-D-12-00156.1
  14. McLean SM, May S, Klaber-Moffett J, Sharp DM, Gardiner E. Risk factors for the onset of non-specific neck pain: a systematic review. J Epidemiol Community Health 2010; 64: 565-72. https://doi.org/10.1136/jech.2009.090720
  15. Gupta BD, Aggarwal S, Gupta B, Gupta M, Gupta N. Effect of deep cervical flexor training vs. conventional isometric training on forward head posture, pain, neck disability index in dentists suffering from chronic neck pain. J Clin Diagn Res 2013; 7: 2261-4.
  16. Karthi M, Gopalswami AD, Aseer AL. Efficacy of endurance training on deep cervical flexor muscles using pressure feedback in mechanical neck pain. Int J Physiother 2019; 6: 95-101. https://doi.org/10.15621/ijphy/2019/v6i3/183878
  17. Lwin NN, Myint T, Oo WM, San HH, Tun MT. Efficacy on pressure-biofeedback guided craniocervical flexion exercise in neck pain: a randomized controlled trial. J Musculoskelet Res 2021. doi: 10.1142/S0218957721500135
  18. Kim JY, Kwag KI. Clinical effects of deep cervical flexor muscle activation in patients with chronic neck pain. J Phys Ther Sci 2016; 28: 269-73. https://doi.org/10.1589/jpts.28.269
  19. Shah N, Gill MA, Singal SK, Payla M. Effect of core stability exercise in patients with neckpain. Indian J Physiother Occup Ther 2020; 14: 102-7.
  20. Abdel-aziem AA, Draz AH. Efficacy of deep neck flexor exercise for neck pain: a randomized controlled study. Turk J Phys Med Rehabil 2016; 62: 107-15. https://doi.org/10.5606/tftrd.2016.84565
  21. Kim EY, Kim KJ, Park HR. Comparison of the effects of deep neck flexor strengthening exercises and Mackenzie neck exercises on head forward postures due to the use of smartphones. Indian J Sci Technol 2015; 8(Suppl 7): 569-75. https://doi.org/10.17485/ijst/2015/v8iS7/70462
  22. Kang DY. Deep cervical flexor training with a pressure biofeedback unit is an effective method for maintaining neck mobility and muscular endurance in college students with forward head posture. J Phys Ther Sci 2015; 27: 3207-10. https://doi.org/10.1589/jpts.27.3207
  23. Lee JD, Shin WS. Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain. Phys Ther Rehabil Sci 2020; 9: 1-9. https://doi.org/10.14474/ptrs.2020.9.1.1
  24. Raju AS, Apparao P, Swamy G, Chaturvadi P, Mounika RG. A comparative study on deep cervical flexors training and neck stabilization exercises in subjects with chronic neck pain. Indian J Physiother Occup Ther 2019; 13: 1-5. https://doi.org/10.5958/0973-5674.2019.00035.2