Comparison of cervical muscles endurance in young people with and without neck pain

Abstract Cervical muscles have numerous connections with vestibular, visual and higher centres, and their interactions can produce effective proprioceptive input. Dysfunction of the cervical proprioception because of various neck problems can alter orientation in space and cause a sensation of disequilibrium. Cervicogenic dizziness (CGD) is a clinical syndrome characterized by the presence of dizziness and associated neck pain in patients with cervical pathology. Here, we report a 24-year-old female, who was diagnosed with CGD based on the correlating episodes of neck pain and dizziness. Both symptoms improved with targeted chiropractic adjustment and ultrasound therapy. CGD is a seemingly simple complaint for patients, but tends to be a controversial diagnosis because there are no specific tests to confirm its causality. For CGD to be considered, an appropriate management for the neck pain should not be denied any patient.

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Altered Co-contraction of Cervical Muscles in Young Adults with Chronic Neck Pain during Voluntary Neck Motions

Journal of Physical Therapy Science ◽

10.1589/jpts.26.587 ◽

2014 ◽

Vol 26 (4) ◽

pp. 587-590 ◽

Cited By ~ 19

Author(s):

Chih-Hsiu Cheng ◽

Hsin-Yi Kathy Cheng ◽

Carl Pai-Chu Chen ◽

Kwan-Hwa Lin ◽

Wen-Yu Liu ◽

...

Keyword(s):

Young Adults ◽

Neck Pain ◽

Chronic Neck Pain ◽

Cervical Muscles

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Effect of Pilates Mat Exercise on Myoelectric activity of cervical Muscles in Patient with Chronic Mechanical Neck Pain: Randomized Clinical Trial

Egyptian Journal of Chemistry ◽

10.21608/ejchem.2021.92268.4371 ◽

2021 ◽

Vol 0 (0) ◽

pp. 0-0

Author(s):

Mahmoud Mahmoud ◽

maher el kablawy ◽

Al shaymaa abd el azeim

Keyword(s):

Clinical Trial ◽

Neck Pain ◽

Randomized Clinical Trial ◽

Myoelectric Activity ◽

Cervical Muscles

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Short Term Effects of Mobilization Techniques on Neck Pain and Deep Neck Flexor Muscle Endurance in Patients with Mechanical Chronic Neck Pain

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967114s00277 ◽

2014 ◽

Vol 2 (11_suppl3) ◽

pp. 2325967114S0027 ◽

Cited By ~ 1

Author(s):

Hasan Erkan Kılınç ◽

Gülcan Harput ◽

Gül Baltacı ◽

Deniz İnal İnce

Keyword(s):

Neck Pain ◽

Visual Analog Scale ◽

Muscle Endurance ◽

Pain Level ◽

Flexor Muscle ◽

Analog Scale ◽

Short Term ◽

Cervical Muscles ◽

Flexor Muscles ◽

Pain Patients

Objectives: The aim of the study was to investigate short term effects of cervical and scapular mobilization techniques on neck pain and deep cervical muscles endurance in chronical mechanical neck pain patients. Methods: 22 chronical mechanic neck pain patients four male 18 female (mean age: mean±sd 35.59± 15.85) were included. Before treatment, neck pain level (visual analog scale) and deep neck flexor muscles endurance (in supine position with digital chronometer) of all patients were evaluated. Cyriax cervical mobilization for 10 minutes and scapular mobilization for 10 repetition 10 sets were performed to patients as treatment protocol. After treatment, 24 hours after and a week after evaluations of neck pain and deep cervical muscles endurance were repeated. Results: Before treatment Neck pain Visual Analog Scale scores was 5.78±1.43 point, 2.80±1.99 point after treatment, 24 hours later 3.36±2.12 point, one week later 3.91±2.24 point. This alteration was found significant statistically (p<0.01). Before treatment deep cervical flexor muscle endurance score was 27.25±17.74 sec, after treatment 39.46±25.20 sec, 24 hours later 38.67±28.43 and one week later 40.11±27.82 sec. This alteration was also found significant statistically (p=0.01). Conclusion: Initially neck pain scores in our subjects decreased quickly, after 24 hours these scores increased but last scores were below first neck pain level in a week follow-up. Deep neck cervical flexor muscles test scores also increased quickly, after 24 hours later this scores were stable along a week. Mobilization techniques are effective methods on neck pain and endurance in chronical mechanic neck pain patients.

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Expert consensus on the important chronic non-specific neck pain motor control and segmental exercise and dosage variables: An international e-Delphi study

PLoS ONE ◽

10.1371/journal.pone.0253523 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0253523

Author(s):

Jonathan Price ◽

Alison Rushton ◽

Vasileios Tyros ◽

Nicola R. Heneghan

Keyword(s):

Clinical Trial ◽

Motor Control ◽

Neck Pain ◽

Delphi Study ◽

Exercise Prescription ◽

Evaluation Criteria ◽

Clinical Trial Data ◽

Trial Data ◽

Future Research ◽

Cervical Muscles

Background Chronic non-specific neck pain is highly prevalent, resulting in significant disability. Despite exercise being a mainstay treatment, guidance on optimal exercise and dosage variables is lacking. Combining submaximal effort deep cervical muscles exercise (motor control) and superficial cervical muscles exercise (segmental) reduces chronic non-specific neck pain, but evaluation of optimal exercise and dosage variables is prevented by clinical heterogeneity. Objective To gain consensus on important motor control and segmental exercise and dosage variables for chronic non-specific neck pain. Methods An international 3-round e-Delphi study, was conducted with experts in neck pain management (academic and clinical). In round 1, exercise and dosage variables were obtained from expert opinion and clinical trial data, then analysed thematically (two independent researchers) to develop themes and statements. In rounds 2 and 3, participants rated their agreement with statements (1–5 Likert scale). Statement consensus was evaluated using progressively increased a priori criteria using descriptive statistics. Results Thirty-seven experts participated (10 countries). Twenty-nine responded to round 1 (79%), 26 round 2 (70%) and 24 round 3 (65%). Round 1 generated 79 statements outlining the interacting components of exercise prescription. Following rounds 2 and 3, consensus was achieved for 46 important components of exercise and dosage prescription across 5 themes (clinical reasoning, dosage variables, exercise variables, evaluation criteria and progression) and 2 subthemes (progression criteria and progression variables). Excellent agreement and qualitative data supports exercise prescription complexity and the need for individualised, acceptable, and feasible exercise. Only 37% of important exercise components were generated from clinical trial data. Agreement was highest (88%-96%) for 3 dosage variables: intensity of effort, frequency, and repetitions. Conclusion Multiple exercise and dosage variables are important, resulting in complex and individualised exercise prescription not found in clinical trials. Future research should use these important variables to prescribe an evidence-informed approach to exercise.

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