Acute neck pain: Cervical spine range of motion and position sense prior to and after joint mobilization

BACKGROUND: The cranio-cervical flexion exercise and sub-occipital muscle inhibition technique have been used to improve a forward head posture among neck pain patients with straight leg raise (SLR) limitation. However, little is known about the cranio-vertebral angle (CVA) and cervical spine range of motion (CROM) after applying stretching methods to the hamstring muscle. OBJECTIVE: To compare the immediate effects of static stretching and proprioceptive neuromuscular facilitation stretching on SLR, CVA, and CROM in neck pain patients with hamstring tightness. METHODS: 64 subjects were randomly allocated to the static stretching (n1= 32) or proprioceptive neuromuscular facilitation (n2= 32) stretching group. The SLR test was performed to measure the hamstring muscle’s flexibility and tightness between the two groups, with CROM and CVA also being measured. The paired t-test was used to compare all the variables within each group before and after the intervention. The independent t-test was used to compare the two groups before and after the stretching exercise. RESULTS: There were no between-group effects for any outcome variables (P> 0.05). However, all SLR, CVA, and CROM outcome variables were significantly improved within-group (P< 0.05). CONCLUSIONS: There were no between-group effects for any outcome variable; however, SLR, CVA, and CROM significantly improved within-group after the one-session intervention in neck pain patients with hamstring tightness.

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Immediate effects of thoracic manipulation on cervical joint position sense in individuals with mechanical neck pain: A randomized controlled trial

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-191798 ◽

2021 ◽

pp. 1-9

Author(s):

Emin Ulas Erdem ◽

Banu Ünver ◽

Eda Akbas ◽

Gizem Irem Kinikli

Keyword(s):

Neck Pain ◽

Range Of Motion ◽

Position Sense ◽

Joint Position Sense ◽

Position Error ◽

Cervical Region ◽

Joint Position ◽

Cervical Range Of Motion ◽

Arm Pain ◽

Neck Function

BACKGROUND: Performing thoracic manipulations for neck pain can result in immediate improvements in neck function. OBJECTIVE: The aim of this study was to investigate the immediate effects of thoracic manipulation on cervical joint position sense and cervical range of motion in individuals with chronic mechanical neck pain. METHODS: Eighty male volunteers between 18–25 years and having chronic or recurrent neck or shoulder pain of at least 3 months duration with or without arm pain were randomized into two groups: Thoracic Manipulation Group (TMG:50) and Control Group (CG:30), with a pretest-posttest experimental design. The TMG was treated with thoracic extension manipulation while the CG received no intervention. Cervical joint position error and cervical range of motion of the individuals were assessed at baseline and 5 minutes later. RESULTS: There was no difference in demographic variables such as age (p= 0.764), Body Mass Index (p= 0.917) and Neck Pain Disability Scale (NPDS) scores (p= 0.436) at baseline outcomes between TMG and CGs. Joint position error outcomes between the two groups following intervention were similar in all directions at 30 and 50 degrees. Differences in range of motion following intervention in neck flexion (p< 0.001) and right rotation (p= 0.004) were higher in TMG compared to CG. CONCLUSIONS: A single session of thoracic manipulation seems to be inefficient on joint position sense in individuals with mild mechanical neck pain. However, thoracic manipulation might be an effective option to increase flexion and rotation of the cervical region as an adjunctive to treatment.

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Short-term effects of the suboccipital muscle inhibition technique and cranio-cervical flexion exercise on hamstring flexibility, cranio-vertebral angle, and range of motion of the cervical spine in subjects with neck pain: A randomized controlled trial

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-171016 ◽

2018 ◽

Vol 31 (6) ◽

pp. 1025-1034 ◽

Cited By ~ 3

Author(s):

Eun-Dong Jeong ◽

Chang-Yong Kim ◽

Seung-Min Kim ◽

Seok-Jun Lee ◽

Hyeong-Dong Kim

Keyword(s):

Randomized Controlled Trial ◽

Cervical Spine ◽

Neck Pain ◽

Range Of Motion ◽

Controlled Trial ◽

Short Term ◽

Randomized Controlled ◽

Muscle Inhibition ◽

Hamstring Flexibility ◽

Inhibition Technique

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Evidence-Based Diagnosis and Physiotherapy Management of Musculoskeletal Disorders of Cervical Spine

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20211018 ◽

2021 ◽

Vol 11 (10) ◽

pp. 145-157

Author(s):

Jibran Ahmed Khan ◽

Vipin Kumar Pandey

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Musculoskeletal Disorders ◽

Musculoskeletal Disorder ◽

Review Article ◽

Evidence Based ◽

Common Cause ◽

Joint Mobilization ◽

Spine Disorders ◽

Upper Extremity Symptoms

The main aim of this review article is to identify the evidence-based diagnosis and physiotherapy management of musculoskeletal disorder of cervical spine. Neck pain from cervical spine disorders is the most common cause of musculoskeletal disorders. Neck pain can exist alone or with the presence of upper-extremity symptoms. Key words: Neck Pain, Cervical Spine, Joint mobilization, Massage.

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Effects of Self-stretching Exercise and Upper Thoracic Joint Mobilization on Range of Motion and Pain of the Patients with Chronic Neck Pain

Journal of the Korean Society of Physical Medicine ◽

10.13066/kspm.2012.7.4.509 ◽

2012 ◽

Vol 7 (4) ◽

pp. 509-514 ◽

Cited By ~ 4

Author(s):

Bo-Gak Hwang ◽

Gi-Chul Kim ◽

Youn-Ki Park

Keyword(s):

Neck Pain ◽

Range Of Motion ◽

Chronic Neck Pain ◽

Joint Mobilization ◽

Upper Thoracic

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Associations of neck muscle strength and cervical spine mobility with future neck pain and disability: a prospective 16-year study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04807-3 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Juhani Multanen ◽

Arja Häkkinen ◽

Hannu Kautiainen ◽

Jari Ylinen

Keyword(s):

Regression Analysis ◽

Cervical Spine ◽

Muscle Strength ◽

Neck Pain ◽

Prospective Study ◽

Range Of Motion ◽

Neck Muscle ◽

Spine Mobility ◽

Neck Strength ◽

Neck Disability

Abstract Background Neck pain has been associated with weaker neck muscle strength and decreased cervical spine range of motion. However, whether neck muscle strength or cervical spine mobility predict later neck disability has not been demonstrated. In this 16-year prospective study, we investigated whether neck muscle strength and cervical spine mobility are associated with future neck pain and related disability in women pain-free at baseline. Methods Maximal isometric neck muscle strength and passive range of motion (PROM) of the cervical spine of 220 women (mean age 40, standard deviation (SD) 12 years) were measured at baseline between 2000 and 2002. We conducted a postal survey 16 years later to determine whether any subjects had experienced neck pain and related disability. Linear regression analysis adjusted for age and body mass index was used to determine to what extent baseline neck strength and PROM values were associated with future neck pain and related disability assessed using the Neck Disability Index (NDI). Results The regression analysis Beta coefficient remained below 0.1 for all the neck strength and PROM values, indicating no association between neck pain and related disability. Of the 149 (68%) responders, mean NDI was lowest (3.3, SD 3.8) in participants who had experienced no neck pain (n = 50), second lowest (7.7, SD 7.1) in those who had experienced occasional neck pain (n = 94), and highest (19.6, SD 22.0) in those who had experienced chronic neck pain (n = 5). Conclusions This 16-year prospective study found no evidence for an association between either neck muscle strength or mobility and the occurrence in later life of neck pain and disability. Therefore, screening healthy subjects for weaker neck muscle strength or poorer cervical spine mobility cannot be recommended for preventive purposes.

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