EFFICACY OF ENDURANCE TRAINING ON DEEP CERVICAL FLEXOR MUSCLES USING PRESSURE FEEDBACK IN MECHANICAL NECK PAIN

Authors

  • M Karthi Post graduate student, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Porur, Chennai – 600116.
  • A D Gopalswami Associate Professor, Faculty of Physiotherapy, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Porur, Chennai – 600116.
  • Antony Leo Aseer Professor, faculty of Physiotherapy, Sri Ramachandra Institute of higher education and research, Porur, Chennai 600116.

DOI:

https://doi.org/10.15621/ijphy/2019/v6i3/183878

Keywords:

mechanical neck pain, deep cervical flexor training, bubble inclinometer, range of motion

Abstract

Background: Mechanical neck pain is most prevalent in middle age and a common condition affecting 22 % to 70% of the general population. While the exact aetiology of the pain is unknown, most of the mechanical pain is due to mechanical factors such as sprains and strains of the neck muscles or ligaments.
Methods: 60 subjects (male 33, female 27) with mechanical neck pain who fulfilled the inclusion criteria were chosen. After baseline evaluation of history, NPRS, cervical range of motion and Deep Cervical Flexor Endurance (DCF), the
subjects were allocated into three groups which received DCF training by modifying the use of pressure biofeedback. Group 1 received DCF Training with Visual Pressure Biofeedback 10 repetition for three sets. Group 2 received DCF training without Visual Pressure Biofeedback 10 repetition three sets. And Group 3 received DCF training with Pressure Biofeedback (without visual input) 3 set of 10 repetitions. After 15 days of intervention, post-intervention measures of the variables were obtained.
Results: Data were analyzed using SPSS 1 version. Between-group analyses showed that subjects in Group 1 have a statistically and clinically significant improvement (p-value< .005), pain (NPRS), cervical ROM, DCF endurance and
Neck Disability Index when compared to the Group 2 and 3. The pre and post values for all the three groups within the group analysis showed a statistical and clinically significant difference.
Conclusion: Deep Cervical Flexor Training with Visual Pressure Biofeedback provides better clinical improvement in terms of pain reduction, cervical flexion and extension ROM, DCF endurance, and Neck Disability Index score.

References

Cleland JA, Childs JD, Fritz JM, Whitman JM. Interrater reliability of the history and physical examination in patients with mechanical neck pain. Archives of physical medicine and rehabilitation. 2006;87(10):1388-95.

Guzman J, Hurwitz EL, Carroll LJ, Haldeman S, Côté P, Carragee EJ, Peloso PM, van der Velde G, Holm LW, Hogg-Johnson S, Nordin M. A new conceptual model of neck pain: linking onset, course, and care: The Bone and Joint Decade 2000–2010 Task Force on Neck Pain and Its Associated Disorders. Journal of manipulative and physiological therapeutics. 2009 Feb 1;32(2): S17-28.

Childs, J. D., Cleland, J. A., Elliott, J. M., Teyhen, D. S., Wainner, R. S., Whitman, J. M., ... & Dyriw, G. M. Neck pain: clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy. 2008;38(9): A1-A34.

Borisut, S., Vongsirinavarat, M., Vachalathiti, R., & Sakulsriprasert, P. Effects of strength and endurance training of superficial and deep neck muscles on muscle activities and pain levels of females with chronic neck pain. Journal of physical therapy science. 2013; 25(9): 1157-1162.

Jull, G. A., O'leary, S. P., & Falla, D. L. Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. Journal of Manipulative & Physiological Therapeutics. 2008;31(7): 525-533.

Macdermid, J. C., Walton, D. M., Avery, S., Blanchard, A., Etruw, E., Mcalpine, C., & Goldsmith, C. H. Measurement properties of the neck disability index: a systematic review. Journal of orthopaedic & sports physical therapy. 2009; 39(5): 400-C12.

Young, B. A., Walker, M. J., Strunce, J. B., Boyles, R. E., Whitman, J. M., & Childs, J. D. Responsiveness of the Neck Disability Index in patients with mechanical neck disorders. The Spine Journal. 2009; 9(10): 802-808.

Williams MA, McCarthy CJ, Chorti A, Cooke MW, Gates S. A systematic review of reliability and validity studies of methods for measuring active and Passive cervical range of motion. Journal of manipulative and physiological therapeutics. 2010 Feb 1;33(2):138-55

Guidetti, L., Placentino, U., & Baldari, C. Reliability and criterion validity of the smartphone inclinometer application to quantify cervical spine mobility. Clinical spine surgery. 2017; 30(10): E1359-E1366.

Young, I. A., Cleland, J. A., Michener, L. A., & Brown, C. Reliability, construct validity, and responsiveness of the neck disability index, patient-specific functional scale, and numeric pain rating scale in patients with cervical radiculopathy. American journal of physical medicine & rehabilitation. 2010; 89(10): 831-839.

Tousignant, M., de Bellefeuille, L., O’donoughue, S., & Grahovac, S. Criterion validity of the cervical range of motion (CROM) goniometer for cervical flexion and extension. Spine,. 2000; 25(3): 324-330.

Wing Chiu, T. T., Hung Law, E. Y., & Fai Chiu, T. H. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. Journal of Orthopaedic & Sports Physical Therapy. 2005; 35(9): 567-571.

Domenech, M. A., Sizer, P. S., Dedrick, G. S., McGalliard, M. K., & Brismee, J. M. (The deep neck flexor endurance test: normative data scores in healthy adults. PM&R. 2011; 3(2): 105-110.

Hudswell, S., Von Mengersen, M., & Lucas, N. The cranio-cervical flexion test using pressure biofeedback: A useful measure of cervical dysfunction in the clinical setting? International Journal of Osteopathic Medicine. 2005; 8(3): 98-105.

Iqbal, Z. A., Rajan, R., Khan, S. A., & Alghadir, A. H. Effect of deep cervical flexor muscles training using pressure biofeedback on pain and disability of school teachers with neck pain. Journal of physical therapy science. 2013; 25(6): 657-661.

Kang, D. Y. 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. Journal of physical therapy science. 2015; 27(10): 3207-3210.

Bogduk N, McGuirk B. Management of acute and chronic neck pain: an evidence-based approach. Elsevier Health Sciences; 2006.

Nezamuddin, M., Anwer, S., Khan, S. A., & Equebal, A. Efficacy of pressure-biofeedback guided deep cervical flexor training on neck pain and muscle performance in visual display terminal operators. Journal of Musculoskeletal Research. 2013; 16(03): 1350011-5.

Aquino RL, Caires PM, Furtado FC, Loureiro AV, Ferreira PH, Ferreira ML. Applying joint mobilization at different cervical vertebral levels does not influence immediate pain reduction in patients with chronic neck pain: a randomized clinical trial. Journal of Manual & Manipulative Therapy. 2009 Apr 1;17(2):95-100.

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. Journal of physical therapy science. 2015;27(10):3207-10.

Lluch E, Arguisuelas MD, Coloma PS, Palma F, Rey A, Falla D. Effects of deep cervical flexor training on pressure pain thresholds over myofascial trigger points in patients with chronic neck pain. Journal of manipulative and physiological therapeutics. 2013 Nov 1;36(9):604-11.

Basmajian JV. Control and training of individual motor units. Science. 1963 Aug 2;141(3579):440-1.

Published

09-06-2019
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How to Cite

M Karthi, A D Gopalswami, & Antony Leo Aseer. (2019). EFFICACY OF ENDURANCE TRAINING ON DEEP CERVICAL FLEXOR MUSCLES USING PRESSURE FEEDBACK IN MECHANICAL NECK PAIN. International Journal of Physiotherapy, 6(3), 95–101. https://doi.org/10.15621/ijphy/2019/v6i3/183878

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Original Articles