P017 Effect of exercise training on dynamic posture performance of the head, neck, and shoulder in subjects with chronic neck pain

Neck pain is a very common problem that creates a socio-economic burden. One of the most common causes of neck pain is disc herniation and often causes the pain to become chronic. Factors such as poor posture, long working hours, and psychological stress exacerbate the symptoms related to the cervical region. Surgical nurses are also at high risk for neck pain. Also, due to the Covid-19 pandemic, many patients, especially healthcare professionals, cannot access physiotherapy and rehabilitation services both due to their busy work and to reduce the risk of contamination. Therefore, this study aimed to examine the effectiveness of remote spinal stabilization exercises in a patient with chronic neck pain. Pain, disability, kinesophobia, grip strength, and quality of life of a 26-year-old female patient who was an operating room nurse were evaluated. Architectural features of the muscles were evaluated by ultrasonography. 3 days a week, 5 weeks of distance exercise training was given. As a result, it was observed that pain, kinesiophobia, and disability levels decreased, quality of life and grip strength increased in this case. M. Longus Colli thickness was found to be increased. Also, the patient stated that her symptoms were reduced and she was less tired at work. This study is the first to provide remote exercise training for a surgical nurse with chronic neck pain. It is thought that the results of this study will shed light on more comprehensive studies on surgical nurses.

Download Full-text

Neck proprioception assessment with a laser beam device: reliability in participants without neck pain and differences between participants with and without neck pain

Bulletin of Faculty of Physical Therapy ◽

10.1186/s43161-021-00056-6 ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Nikolaos Ntenezakos ◽

Michail Makrogkikas ◽

Zacharias Dimitriadis ◽

George A. Koumantakis

Keyword(s):

Neck Pain ◽

Laser Beam ◽

Intraclass Correlation ◽

Random Order ◽

Chronic Neck Pain ◽

Movement Direction ◽

Group Differences ◽

Target Movement ◽

Good Reliability ◽

Head Neck

Abstract Background Proprioception deficits have previously been reported in patients with non-specific chronic neck pain (NSCNP), with a comprehensive and valid battery of tests still required. This study aimed to investigate the test-retest and inter-rater reliability of cervical proprioception in participants without NSCNP and to examine differences in proprioception between participants with and without NSCNP. Twenty participants without NSCNP and 20 age- and sex-matched participants with NSCNP were recruited. Proprioception tests were sequentially performed in random order, in four head-to-neutral movement directions (starting positions at mid-flexion, mid-extension and mid-right/mid-left rotation head-neck positions and end position at neutral head-neck posture) and two head-to-target movement directions (starting position from neutral head-neck posture and end positions at right and left 45° rotation), with a laser beam device secured onto their forehead. Participants performed all tests in sitting at a 1-m distance from a whiteboard. The average deviations of the laser beam mark from set targets marked on the whiteboard represented proprioception deficits. The two-way random, absolute agreement model of the intraclass correlation coefficient (ICC), the standard error of the measurement (SEM) and the smallest detectable difference (SDD) were used as measures of reliability. Between-group differences were examined with the independent samples t test. Results The reliability of the laser beam device in participants without neck pain varied from poor to good. The following tests demonstrated good reliability: test-retest ‘Head-to-neutral from flexion’ (ICC: 0.77–0.78; SDD: 5.73–6.84 cm), inter-rater ‘Head-to-neutral from flexion’ (ICC: 0.80–0.82; SDD: 6.20–6.45 cm) and inter-rater ‘Head-to-neutral from right/left rotation’ (ICC: 0.80–0.84; SDD: 5.92–6.81 cm). Differences between participants with and without NSCNP were found only in head-to-neutral from flexion (4.10–4.70 cm); however, those were within the limits of the SDD values of the HtN from flexion test. Conclusions The laser beam device can be reliably used in clinical practice only in the aforementioned head-neck movement directions, based on the findings of the present study. The between-group differences noted involved only the head mid-flexion to neutral test, possibly denoting proprioception deficits only in this movement direction, for reasons that require further evaluation.

Download Full-text

Effects of Movement Control Biofeedback Exercise Training on Joint Position Sense and Dysfunction in Patients with Chronic Neck Pain

The Asian Journal of Kinesiology ◽

10.15758/ajk.2019.21.3.23 ◽

2019 ◽

Vol 21 (3) ◽

pp. 23-30

Author(s):

Dong- Il Seol ◽

Hyung -Min Yoon

Keyword(s):

Exercise Training ◽

Neck Pain ◽

Movement Control ◽

Chronic Neck Pain ◽

Position Sense ◽

Joint Position Sense ◽

Joint Position

Download Full-text

Focus on the Scapular Region in the Rehabilitation of Chronic Neck Pain Is Effective in Improving the Symptoms: A Randomized Controlled Trial

Journal of Clinical Medicine ◽

10.3390/jcm10163495 ◽

2021 ◽

Vol 10 (16) ◽

pp. 3495

Author(s):

Norollah Javdaneh ◽

Tadeusz Ambroży ◽

Amir Hossein Barati ◽

Esmaeil Mozafaripour ◽

Łukasz Rydzik

Keyword(s):

Exercise Training ◽

Neck Pain ◽

Pain Intensity ◽

Muscle Activation ◽

Rating Scale ◽

Intervention Group ◽

Chronic Neck Pain ◽

Control Group ◽

Significant Difference ◽

Scapular Dyskinesia

Chronic neck pain is a common human health problem. Changes in scapular posture and alteration of muscle activation patterns of scapulothoracic muscles are cited as potential risk factors for neck pain. The purpose of this study was to compare the effects of neck exercise training (NET) with and without scapular stabilization training (SST) on pain intensity, the scapula downward rotation index (SDRI), forward head angle (FHA) and neck range of motion (ROM) in patients with chronic neck pain and scapular dyskinesia. A total of sixty-six subjects with chronic neck pain and scapular dyskinesia were randomly divided into three groups: neck exercise training, n = 24, combined training (NET + SST), n = 24 and a control group, n = 24. Pain intensity, SDRI, FHA and ROM were measured by the numerical rating scale, caliper, photogrammetry and IMU sensor, respectively. When the combined intervention group consisting of NET and SST was compared with NET alone at six weeks, there was a statistically significant difference in pain intensity, SDRI, FHA and cervical ROM for flexion and extension (p ≤ 0.05). Adding scapular exercises to neck exercises had a more significant effect in decreasing pain intensity, SDRI, FHA and increased cervical ROM than neck exercises alone in patients with chronic neck pain. These findings indicate that focus on the scapular posture in the rehabilitation of chronic neck pain effectively improves the symptoms.

Download Full-text