Browse > Article

The Effects of Cervical Stabilization Exercise on Neck Pain, Range of Motion, and Deep Cervical Muscle Strength in Patients With Chronic Neck Pain  

Lee, Ho-jong (Dep. of Physical Therapy, Cho Hyung Jun Orthopedics Clinic)
Park, Hyun-sik (Dep. of Physical Therapy, Naeun Hospital)
Park, Jae-myung (Dep. of Physical Therapy, Seoul Medical Center)
Publication Information
The Journal of Korean Academy of Orthopedic Manual Physical Therapy / v.25, no.1, 2019 , pp. 9-19 More about this Journal
Abstract
Background: This study was planned to assess and compare the effectiveness of cervical region stabilization exercise and strengthening exercise on pain and range of motion in patient with chronic neck pain. Methods: Fifty-one patient with chronic neck pain were randomly allocated into strengthening and stabilization exercise (SSE) group (n=27) and Strengthening exercise (SE) group (n=24). The program was carried for 12 sessions, 3 days/week in 4weeks. Pain intensity with visual analog scale (VAS), cervical range of motion, deep cervical flexor strengthening were evaluated before and after the intervention. Results: After the program, pain intensity decreased in group SE and SSE were found (p<.05). Range of motion and deep cervical muscle strength increased in group SE and SSE were found(p<.05). The intergroup comparison showed that significant difference in range of motion and deep cervical muscle strength (p<.05). Conclusions: The study suggest that both SSE program and SE program might be a useful treatment for patients with chronic neck pain. However SSE program might be superior in improving cervical range of motion and deep cervical flexor strength compare to SE program.
Keywords
Chronic Neck pain; Cervical range of motion; Stabilization exercise;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Amr A, Amira HD. Efficacy of deep neck flexor exercise for neck pain: Randomized controlled study. Turk J Phys Med Rehab. 2016;62(2):107-115. https://doi.org/10.5606/tftrd.2016.84565   DOI
2 Asha SE, Pryor R. Validation of a method to assess range of motion of the cervical spine using a tape measure. J manipulative Physio Ther. 2013;36(8):529-545. https://doi.org/10.1016/j.jmpt.2013.07.005
3 Barrand AE, Barbe MF. Pathophysiological tissue changes associated with repetitive movement: are view of the evidence. Physical Therapy. 2002;82(2):173-187. https://doi.org/10.1093/ptj/82.2.173   DOI
4 Bashir K, Omoyemi OO, Samuel OO, et al. Effect of neck stabilization and dynamic exercises on pain, disability and fear avoidance beliefs in patients with non-specific neck pain; A randomized clinical trial. Arch Physiother Glob Res. 2015;19(3):17-29. https://doi.org/10.15442/apgr.19.2.14   DOI
5 Clarkson HM, Musculoskeletal Assessment: Joint range of motion and manual muscle strength (2nd ed), Head, Neck, and Trunk(pp.40-42). Philadelphia, Pennsylvania: Lippincott Williams & Wilkins. 2000.
6 Cote P, Van der Velde G, Cassidy JD, et al. The burden and determinants of neck pain in workers: results of the bone and joint decade 2000-2010 task force on neck pain and its association disorders. Spine. 2008;33(4):60-74. https://doi.org/10.1097/brs.0b013e3181643 ee4   DOI
7 Criso JJ, Panjabi MM. Postural biomechanical stability and gross muscular architecture in the spine. In: Winters JM, WooSLY, eds. Multiple Muscle System. New York: Springer-Verlag. 1990;438-450. https://doi.org/10.1007/978-1-4613-9030-5_26
8 Gonzalez LJ, Fernandez-de-llas-penas C, Cleland JA, et al. Thoracic spine manipulation for the management of patients with neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2009;39(1):20-27. https://doi.org/10.2519/jospt.2009.2914   DOI
9 Falla D, Oleary S, Farina D, et al. The change in deep cervical flexor activity after training is associated with the degree of pain reduction in patients with chronic neck pain. Clin J Pain. 2012;28(6):28-34. https://doi.org/10.1097/ajp.0b013e31823e9378
10 Gert B, Roni E, Brian N, et al. A Randomized Clinical Trial of Exercise and Spinal Manipulation for Patients With Chronic Neck Pain. Spine. 2001;26(7):788-799. https://doi.org/10.1016/s1443-8461(01)80069-1   DOI
11 Hsieh CY, Bradley WY. Active neck motion measurements with a tape measure. JOSPT. 1986;88-92. https://doi.org/10.2519/jospt.1986.8.2.88
12 Jull. GA, Falla D, Vicenzinoa B, et al. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther 2009;14:696-701. https://doi.org/10.1016/j.math.2009.05.004
13 Kindler L, Jones K, Perrin N, et al. Risk factors predicting the development of widespread pain from chronic back and neck pain. J Pain. 2010;11:1320-1328. https://doi.org/10.1016/j.jpain.2010.03.007   DOI
14 Larsson B, Sogaard k, Rosendal L. Work related neck shoulder pain: are view on magnitude risk factors biochemical characteristics, clinical picture and preventive interventions. Best Practice and Research: Clinical Rheumatology. 2007;21(3):447-463. https://doi.org/10.1016/j.berh.2007.02.015   DOI
15 Rempel DM, Harrison RJ, Barnhart S. Work related cumulative trauma disorders of the upper extremity. JAMA. 1992;(267):838-842. https://doi.org/10.1001/jama.1992.03480060084035
16 Linn K, Esa-Pekka T, BjornGerdle BL. Evaluation of pain and function after two home exercise programs in a clinical trial on women with chronic neck pain - with special emphasizes on completers and responders. BMC Musculoskeletal disorders. 2014;15(6):1-13. https://doi.org/10.1186/1471-2474-15-6   DOI
17 Mark L, Rene BJ, Christooffer HA, et al. Effect of brief daily resistance training on occupational neck/shoulder muscle activity in office workers with chronic pain. BioMed Research International. 2013;1-12. https://doi.org/10.1155/2013/262386
18 Mayoux-Benhamou MA, Revel M, Vallee C. Longus colli has postural function on cervical curvature. Surg Radiol Anat. 1994;(16):367-371. https://doi.org/10.1007/bf01627655
19 McPartland JM, Brodeur RR. Rectus capitis posterior minor: A small but important suboccipital muscle. J Bodywork Movement Ther. 1999;(3):30-35. https://doi.org/10.1016/s1360-8592(99)80040-0
20 Pavlos B, Evdokia B, Dimitra-tania P, et al. Does deep cervical flexor muscle trainig affect pain pressure thresholds of myofascial trigger points in patients with chronic neck pain? a prospective randomized controlled trial. Rehabilitation Research and Practice. 2016;ID6480826-8. https://doi.org/10.1155/2016/6480826
21 Theresa MK., Anita G, Gharles HG, et al. Exercises for mechanical neck disorders. The Cochrane review, 2012;28(1):1-103. https://doi.org/10.1002/14651858.cd004250.pub3
22 Thomas TW, Tai-hing L, Anthony JH. A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine. 2004;(30):E1-E7. https://doi.org/10.1097/01.brs.0000149082.68262.b1
23 Wendy R, Brenda A, Chris B, et al. Intertester Reliability of the Cervical Range of Motion Device. JOSPT. 1992;15(3):147-150. https://doi.org/10.2519/jospt.1992.15.3.147   DOI
24 Ylinen J, Takala EP, Nykanen M, et al. Active neck muscle training in the treatment of chronic neck pain in women. JAMA. 2003;289(19):2509-2516. https://doi.org/10.1001/jama.289.19.2509   DOI
25 Yesim D, Cihat O, Funda A, et al. Efficacy of neck stabilization exercises for neck pain. Journal of Rehabilitation Medicine. 2009;41(8):626-631. https://doi.org/10.2340/16501977-0392   DOI