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Effects of the Neck Stabilization Exercises with Vibratory Stimulation on the Neck Disability Index and Thickness of Deep Neck Flexor in Neck Pain Patient

  • Kim, Se-Hun (Department of Physical Therapy, College of Health Science, Dongshin University) ;
  • Park, Jang-Sung (Department of Physical Therapy, Seonam University)
  • Received : 2017.09.11
  • Accepted : 2017.10.30
  • Published : 2017.10.31

Abstract

Purpose: This study examined the effects of neck stabilization exercises with vibratory stimulation on the neck disability index and thickness of the deep neck flexor. Methods: Thirty subjects (control group=15, experimental group=15) with mild neck pain were enrolled in the study. The control group underwent craniocervical flexion exercise (control group, CG) and the experimental group was given craniocervical flexion exercise with vibratory stimulus (experimental group, EG) (3 sets, 3 times per week for 6 weeks). To examine the effects of exercise, the subjects were evaluated using the neck disability index (NDI), the thickness of the deep neck flexor muscle, and muscle strength. An independent and paired t-test were used to compare the effects of the exercise between the groups. Results: The NDI score of the two groups increased significantly after 6 weeks of treatment (p<0.001) and there was a significant difference between the EG group at 3 weeks (p<0.05) and 6 weeks (p<0.01). The thickness of the deep neck flexor in the CG group increased significantly after 6 weeks of treatment in all pressure stages (p<0.001). The EG group showed a significant increase after 3 and 6 weeks of treatment in all pressure stage (p<0.001), and 22 mmHg, a significant difference between 3 and 6 weeks (p<0.05) and among 24, 28, and 30 mmHg at 6 weeks (p<0.05). The maximum muscle strength of the deep neck flexion muscles increased significantly in the two groups after 6 weeks of treatment (p<0.001) and there was significant difference between the EG group at 6 weeks (p<0.01). Conclusion: Craniocervical flexion exercise with vibratory stimulus decreases the NDI, and increases the thickness of the deep neck flexor and maximum muscle strength of the deep neck flexion muscles in patients with mild neck pain.

Keywords

References

  1. Seo SC, Choi JY, Joo MY et al. Effects of sling exercise and McKenzie exercise program on neck disability, pain, muscle strength and range of motion in chronic neck pain. Phys Rehabil Sci. 2012;1(1):40-8.
  2. Kwon HC, Jeong DH. Comparison of electromyographic activities in the neck region according to the screen height and document holder position. J Kor Phys Ther. 2001;13(3):829-37.
  3. Lee HJ. Neck pain and functioning in daily activities associated with smartphone usage. J Kor Phys Ther. 2016;28(3):183-8. https://doi.org/10.18857/jkpt.2016.28.3.183
  4. Lee MH, Song JM, Kim JS. The effect of neck exercises on neck and shoulder posture and pain in high school students. J Kor Phys Ther. 2011;23(1):29-35. https://doi.org/10.1589/jpts.23.29
  5. Kong YS, Kim YM, Shim JM. Effects of modified cervical exercise on respiratory functions in smartphone users with forward head posture. J Kor Phys Ther. 2016;28(5):292-6. https://doi.org/10.18857/jkpt.2016.28.5.292
  6. Hanten WP, Lucio RM, Russell JL et al. Assessment of total head excursion and resting head posture. Arch Phys Med Rehabil. 1991;72(11):877-80. https://doi.org/10.1016/0003-9993(91)90003-2
  7. Falla D, Jull G, Dall'Alba P et al. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Phys Ther. 2003;83(10):899-906.
  8. Jull GA. Deep cervical flexor muscle dysfunction in whiplash. J Musculoskelet Pain. 2000;8(1-2):143-54. https://doi.org/10.1300/J094v08n01_12
  9. Park JS, Song SJ, Jung HS et al. Effect of the head support on a change in muscle thickness for longus colli and sternocleidomastoid during cranio- cervical flexion test in subjects with forward head posture. Phys Ther Korea. 2016;23(3):11-20. https://doi.org/10.12674/ptk.2016.23.3.011
  10. Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine. 2010;27(7):694-701. https://doi.org/10.1097/00007632-200204010-00005
  11. Jull GA, O'leary SP, Falla DL. Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. J Manipulative Physiol Ther. 2008;31(7):525-33. https://doi.org/10.1016/j.jmpt.2008.08.003
  12. Jull G, Falla D, Treleaven J et al. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res. 2007;25(3):404-12. https://doi.org/10.1002/jor.20220
  13. O'Leary S, Jull G, Kim M et al. Cranio-cervical flexor muscle impairment at maximal, moderate, and low loads is a feature of neck pain. Man Ther. 2007;12(1):34-9. https://doi.org/10.1016/j.math.2006.02.010
  14. Falla D, Farina D. Neural and muscular factors associated with motor impairment in neck pain. Curr Rheumatol Rep. 2007;9(6):497-502. https://doi.org/10.1007/s11926-007-0080-4
  15. Kim GH, Choe HS, Lee HI et al. The effects of scapular stabilization exercise on dynamic standing balance in stroke patients. J Korean Soc Phy Ther. 2014;26(1):15-20.
  16. Yun KH. The effects of closed chain exercise of the neck using vibrations on the thicknesses of normal adults. Daegu University. Dissertation of Doctorate Degree. 2014.
  17. Zheng A, Sakari R, Cheng SM et al. Effects of a low-frequency sound wave therapy programme on functional capacity, blood circulation and bone metabolism in frail old men and women. Clin rehabil. 2009;23(10):897-908. https://doi.org/10.1177/0269215509337273
  18. Rittweger J. Vibration as an exercise modality: how it may work, and what its potential might be. Eur J Appl Physiol. 2010;108(5):877-904. https://doi.org/10.1007/s00421-009-1303-3
  19. Fredrik H. Neural seminer workbook: prone cervical setting test procedure. Kilsundveien, Redcord AS, 2010:91.
  20. Vernon H., Mior S. The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther. 1991;14(7):409-15.
  21. Lee EW, Shin WS, Jung KS et al. Reliability and validity of the neck disability index in neck pain patients. Phys Ther Korea. 2007;14(3):97-103.
  22. Jesus FM, Ferreira PH, Ferreira ML. Ultrasonographic measurement of neck muscle recruitment: a preliminary investigation. J Manual & Manipulative Therapy. 2008;16(2):89-92. https://doi.org/10.1179/106698108790818486
  23. Gong WT, Kim CS, Lee YM. Correlations between cervical lordosis, forward head posture, cervical ROM and the strength and endurance of the deep neck flexor muscles in college students. J Phys Ther Sci. 2012;24(3):275-7. https://doi.org/10.1589/jpts.24.275
  24. Falla D, Jull G, Hodges P et al. An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue n females with chronic neck pain. Clin Neurophysiol. 2006;117(4):828-37. https://doi.org/10.1016/j.clinph.2005.12.025
  25. Ha YS, Lee JS, Kim SS et al. The effect of sling exercise therapy and motor control exercise on pain, ADL performance and trunk muscle strength in patients with chronic low back pain. J Orient Rehabil Med. 2012;22(3):151-62.
  26. Brumagne S, Cordo P, Lysens R et al. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine. 2000;25(8):989-94. https://doi.org/10.1097/00007632-200004150-00015
  27. Rittweger J, Just K, Kautzsch K et al. Treatment of chronic lower back pain with lumbar extension and whole-body vibration exercise: a randomized controlled trial. Spine. 2002;27(17): 1829-34. https://doi.org/10.1097/00007632-200209010-00003
  28. Fabianna MR, Ferreira PH, Manuela HF. Ultrasonographic measurement of neck muscle recruitment: a preliminar investigation. J Man Manip Ther. 2008;16(2):89-92. https://doi.org/10.1179/106698108790818486
  29. Chiu TT, Law ET, Chiu TH. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. J Orthop Sports Phys Ther. 2005;35(9):567-71. https://doi.org/10.2519/jospt.2005.35.9.567
  30. Jull G, Amiri M, Bullock-Saxton J et al. Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: subjects with single headaches. Cephalalgia. 2007;27(7):793-802. https://doi.org/10.1111/j.1468-2982.2007.01345.x
  31. Heo JG. Effects of neck stabilization exercise to the patients with chronic neck pain. KSR. 2006;17(1):121-33.
  32. Muceli S, Farina D, Kirkesola G et al. Reduced force steadiness in women with neck pain and the effect of short term vibration. J Electromyogr Kinesiol. 2011;21(2):283-90. https://doi.org/10.1016/j.jelekin.2010.11.011

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