Effectiveness of the Gaze Direction Recognition Task for Chronic Neck Pain and Cervical Range of Motion: A Randomized Controlled Pilot Study

Background: Flexion-rotation test predominantly measures rotation in C1-2 segment. Restriction in flexion-rotation may be due to direct limitation in C1-2, but also to a premature tightening of the alar ligament as a result of lack of movement in C0-1 or C2-3. The aim of this study was to compare the effect of a 20-min single cervical exercise session, with or without manual therapy of C0-1 and C2-3 segment in flexion-rotation test, in patients with chronic neck pain and positive flexion-rotation test. Methods: Randomized controlled clinical trial in 48 subjects (24 manual therapy+exercise/24 exercise). Range of motion and pain during flexion-rotation test, neck pain intensity and active cervical range of motion were measured before and after the intervention. Results: Significant differences were found in favour of the manual therapy group in the flexion-rotation test: right (p < 0.001) and left rotation (p < 0.001); pain during the flexion-rotation test: right (p < 0.001) and left rotation (p < 0.001); neck pain intensity: (p < 0.001); cervical flexion (p < 0.038), extension (p < 0.010), right side-bending (p < 0.035), left side-bending (p < 0.002), right rotation (p < 0.001), and left rotation (p < 0.006). Conclusions: Addition of one C0-C1 and C2-C3 manual therapy session to cervical exercise can immediately improve flexion-rotation test and cervical range of motion and reduce pain intensity.

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EFFECT OF THE GAZE DIRECTION TASK ON PAIN INTENSITY, RANGE OF MOTION AND ISOMETRIC MUSCLE ENDURANCE IN CHRONIC NECK PAIN

10.26226/morressier.598b05d9d462b80290b538b4 ◽

2017 ◽

Author(s):

Filiz Altug

Keyword(s):

Neck Pain ◽

Pain Intensity ◽

Range Of Motion ◽

Chronic Neck Pain ◽

Gaze Direction ◽

Muscle Endurance ◽

The Gaze ◽

Intensity Range ◽

Isometric Muscle

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Quantitative sensory testing in patients with chronic neck pain before and after the application of the acupressure pad—A randomized, controlled pilot study

European Journal of Integrative Medicine ◽

10.1016/j.eujim.2009.08.130 ◽

2009 ◽

Vol 1 (4) ◽

pp. 212-213 ◽

Cited By ~ 2

Author(s):

C. Hohmann ◽

R. Lauche ◽

K.-E. Choi ◽

F. Saha ◽

T. Rampp ◽

...

Keyword(s):

Pilot Study ◽

Neck Pain ◽

Quantitative Sensory Testing ◽

Chronic Neck Pain ◽

Sensory Testing ◽

Randomized Controlled ◽

Before And After

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Prognostic Factors for Improvement in Pain and Disability after Multidisciplinary Rehabilitation in Patients with Chronic Neck Pain

10.21203/rs.3.rs-76170/v1 ◽

2020 ◽

Author(s):

Martin Weigl ◽

Josefine Letzel ◽

Felix Angst

Keyword(s):

Mental Health ◽

Prognostic Factors ◽

Neck Pain ◽

Range Of Motion ◽

Psychological Treatment ◽

Short Form ◽

Chronic Neck Pain ◽

Rehabilitation Programme ◽

Cervical Range Of Motion ◽

Pain Disability

Abstract Background: Recent clinical studies support the effectiveness of chronic neck pain specific multidisciplinary biopsychosocial rehabilitation programmes, but prognostic factors for improvement in pain and disability are unknown. The aim of this study was to identify predictors of improvement in patients with chronic neck pain after participation in a three-week multidisciplinary biopsychosocial rehabilitation programme. Methods: In this observational prospective cohort study patients were assessed at the beginning and the end of a multidisciplinary biopsychosocial rehabilitation programme. Inclusion for participation in the rehabilitation programme depended upon an interdisciplinary pain assessment. Consecutive patients who fulfilled the inclusion criteria were invited to participate in the study. A total of 112 patients participated. The primary outcomes, pain and disability, were measured by the Northern American Spine Society questionnaire (NASS), quantified by effect sizes (ES), and modelled with various co-factors. Secondary outcomes were mental health measured by the Short-Form 36 and total cervical active range of motion measured by a reliable, validated cervical range of motion instrument.Results: Patients’ mean age was 59.7 years (standard deviation=10.8); 70.5% were female. Patients improved significantly (p<0.001) in pain+disability (ES=0.56), mental health (ES=0.45) and cervical range of motion (ES=0.39). Prognostic factors for improvement in pain+disability were worse baseline scores (partial, adjusted correlation r=0.41, p<0.001), higher age (r=0.22, p=0.024), higher improvement in cervical range of motion (r=0.21, p=0.033) and higher improvement in mental health scale (r=0.20; p=0.047). Conclusions: Better outcomes for patients with improvement in neck range of motion, improvement of mental health, and higher age support the use of multidisciplinary biopsychosocial rehabilitation that combines physical and psychological treatment components. Furthermore, the results suggest that older patients may improve more compared to younger patients.

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