Browse > Article
http://dx.doi.org/10.13066/kspm.2019.14.2.29

Comparison of Sensorimotor Training using Chin-Tuck Exercise with Therapeutic Stretching Training on Neck Pain and Mobility in Individuals with Chronic Non-Specific Neck Pain: A pilot randomized controlled trial  

Kim, Chang-Yong (Scientific Instruments Reliability Assessment Center, Korea Basic Science Institute)
Kim, Hyeong-Dong (Department of Physical Therapy and School of Health and Environmental Science, College of Health Science, Korea University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.14, no.2, 2019 , pp. 29-40 More about this Journal
Abstract
PURPOSE: Despite the widespread occurrence in the general population, few studies have directly evaluated the effects of shingles on non-specific neck pain (NSNP). This study investigated whether sensory training or therapeutic stretching exercises are more effective in increasing neck mobility and reducing neck pain in chronic NSNP patients. METHODS: Eighty-one subjects aged between 20 and 32 years with chronic neck pain (> six months), were allocated randomly to three groups: sensorimotor training group (STG), therapeutic stretching group (TSG), and home exercise group (HEG). All participants received a half-hour training session, three times weekly for six weeks. The outcomes were evaluated using the neck disability index for measuring neck pain, and a universal goniometer to measure the cervical passive range of motion before and after the six-week intervention. RESULTS: The post-test neck disability index scores in the STG (t = 4.86) and TSG (t = 3.24) were decreased significantly (p < .05). The passive range of motion changes in all cervical movements in the STG was increased significantly (p < .05) after intervention compared to those in the other two groups. CONCLUSION: Sensorimotor training using chin tuck exercises may improve neck pain and mobility in subjects with chronic NSNP.
Keywords
Chin tuck exercise; Neck mobility; Non-specific neck pain; Therapeutic stretching training; Sensorimotor training;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Jull G, Falla D, Treleaven J, et al. A therapeutic exercise approach for cervical disorders. In J. G. Boyling & G. Jull. Grieve's modern manual herapy: The vertebral column. Edinburgh, Scotland: Churchill Livingstone. 2004;451-70.
2 Revel M, Minguet M, Gregoy P, et al. Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study. Arch Phys Med Rehabil. 1994;75(8):895-9.   DOI
3 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;23(5):5-36.
4 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.   DOI
5 Boudreau SA, Farina D, Falla D. The role of motor learning and neuroplasticity in designing rehabilitation approaches for musculoskeletal pain disorders. Man Ther. 2010;15(5):410-4.   DOI
6 Andersen LL, Andersen CH, Zebis MK, et al. Effect of physical training on function of chronically painful muscles: a randomized controlled trial. J Appl Physiol. 2008;105(6):1796-801.   DOI
7 Anderson I. Stretching and sports. In O. Appenzeller & R. Atkinson. Sports medicine(2nd ed). Baltimore: Urban and Schwarzenberg. 1983;25-120.
8 Nouwen A, Bush C. The relationship between paraspinal EMG and chronic low back pain. Pain. 1984;20(2):109-23.   DOI
9 Urbscheit NL. Reflexes evoked by group II afferent fibers from muscle spindles. Phys Ther. 1979;59(9):1083-7.   DOI
10 Tjell C, Rosenhall U. Smooth pursuit neck torsion test: a specific test for cervical dizziness. Am J Otol. 1998;19(1):76-81.
11 Faul F, Erdfelder E, Lang AG, et al. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91.   DOI
12 Falla D, Jull G, Hodges P, et al. An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Clin Neurophysiol. 2006;117(4):828-37.   DOI
13 Falla D, Jull G, Russell T, et al. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007;87(4):408-17.   DOI
14 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.   DOI
15 Stratford PW, Riddle DL, Binkley JM. Using the Neck Disability Index to make decisions concerning individual patients. Physiother Can. 1999;51(4):107-12.
16 Eliasziw M, Young SL, Woodbury MG, et al. Statistical methodology for the concurrent assessment of interrater and intrarater reliability: using goniometric measurements as an example. Phys Ther. 1994;74(8):777-88.   DOI
17 Uthaikhup S, Paungmali A, Pirunsan U. Validation of Thai versions of the neck disability index and neck pain and disability scale in patients with neck pain. Spine (Phila Pa 1976). 2011;36(21):1415e21.
18 Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15.
19 Fairbank JC, Couper J, Davies JB, et al. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-3.
20 Youdas JW, Carey JR, Garrett TR. Reliability of measurements of cervical spine range of motion: comparison of three methods. Phys Ther. 1991;71(2):98-106.   DOI
21 Ervilha UF, Farina D, Arendt-Nielsen L, et al. Experimental muscle pain changes motor control strategies in dynamic contractions. Exp Brain Res. 2005;164(2):215-24.   DOI
22 Abrahams VC. The physiology of neck muscles; their role in head movement and maintenance of posture. Can J Physiol Pharmacol. 1977;55(3):332-8.   DOI
23 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.   DOI
24 Irnich D, Behrens N, Molzen H, et al. Randomised trial of acupuncture compared with conventional massage and "sham" laser acupuncture for treatment of chronic neck pain. BMJ. 2001;322(7302):1574-8.   DOI
25 Levoska S, Keinanen-Kiukanniemi S, Hamalainen O, et al. Reliability of a simple method of measuring isometric neck muscle force. Clin Biomech. 1992;7(1):33-7.   DOI
26 Eriksen W. Linking work factors to neck myalgia: The nitric oxide/oxygen ratio hypothesis. Medical Hypotheses. 2004;62(5):721-6.   DOI
27 Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol. 2003;13(4):361-70.   DOI
28 Jordan A, Bendix T, Nielsen H, et al. Intensive training, physiotherapy, or manipulation for patients with chronic neck pain. A prospective, single-blinded, randomized clinical trial. Spine. 1998;23(3):311-18.   DOI
29 Beard DJ, Dodd CA, Trundle HR, et al. Proprioception enhancement for anterior cruciate ligament deficiency. A prospective randomised trial of two physiotherapy regimes. J Bone Joint Surg Br. 1994;76(4):654-9.
30 Cleland JA, Childs JD, McRae M, et al. Immediate effects of thoracic manipulation in patients with neck pain: a randomized clinical trial. Man Ther. 2005;10(2):127-35.   DOI
31 Falla D, Farina D. Neuromuscular adaptation in experimental and clinical neck pain. J Electromyogr Kinesiol. 2008;18(2):255-61.   DOI
32 Merskey H, Bogduk N. Classification of chronic pain, second edition. IASP Task Force on Taxonomy. Seattle: IASP Press; 1994.
33 Farina S, Tinazzi M, Le Pera D, et al. Pain-related modulation of the human motor cortex. Neurol Res. 2003;25(2):130-42.   DOI
34 Peyron R, Laurent B, Garcia-Larrea L. Functional imaging of brain responses to pain. A review and meta-analysis. Neurophysiol Clin. 2000;30(5):263-88.   DOI
35 Ihara H, Nakayama A. Dynamic joint control training for knee ligament injuries. Am J Sports Med. 1986; 14(4):309-15.   DOI
36 Childs JD, Cleland JA, Elliott JM, et al. American Physical Therapy Association. Neck pain: Clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008;38(9):A1-34.
37 Hogg-Johnson S, van der Velde G, Carroll LJ, et al. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976). 2008;33(4 Suppl):S39-51.   DOI
38 Miller J, Gross A, D'Sylva J, et al. Manual therapy and exercise for neck pain: A systematic review. Man Ther. 2010;15(4):334-54.   DOI
39 Martin BI, Deyo RA, Mirza SK, et al. Expenditures and health status among adults with back and neck problems. JAMA. 2008;299(6):656-64.   DOI
40 Field S, Treleaven J, Jull G. Standing balance: a comparison between idiopathic and whiplash-induced neck pain. Man Ther. 2008;13(3):183-91.   DOI
41 Stapley PJ, Beretta MV, Dalla Toffola E, et al. Neck muscle fatigue and postural control in patients with whiplash injury. Clin Neurophysiol. 2006;117(3):610-22.   DOI
42 Armstrong B, McNair P, Taylor D. Head and neck position sense. Sports Med. 2008;38(2):101-17.   DOI
43 Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil. 1991;72(5):288-91.
44 Treleaven J, Jull G, Lowchoy N. Standing balance in persistent whiplash: a comparison between subjects with and without dizziness. J Rehabil Med. 2005;37(4):224-9.   DOI