Efficacy on Pressure-Biofeedback Guided Craniocervical Flexion Exercise in Neck Pain: A Randomized Controlled Trial

Abstract

Objective: Neck pain is a common cause of disability and costly problem, especially in the working population. However, there is a paucity of studies examining the efficacy of pressure-biofeedback guided craniocervical flexion exercise (CCFE) in neck pain. Therefore, this study aims to find out the efficacy of Pressure-Biofeedback guided CCFE on the treatment of neck pain. Methods: This randomized controlled trial included 60 participants with neck pain who were randomly assigned to the experimental group ([Formula: see text]) and control group ([Formula: see text]). The experimental group received pressure-biofeedback guided CCFE for four times per week for four weeks, whereas the control group received physical therapy agents (PTA) (radiant heat and transcutaneous electrical nerve stimulation). Outcome measures included the Visual Analogue Scale (VAS) and Neck Disability Index (NDI). Results: The baseline demographics and outcome measurements were not significantly different between the two groups. More significant reduction in VAS of the experimental group was found in comparison with control group at week 2 and week 4, respectively ([Formula: see text]). Regarding the NDI, there was a more significant reduction in the experimental group than the control group at week 4 ([Formula: see text]). Conclusion: Pressure-biofeedback guided CCFE was useful for improving pain and functional disability of neck for the management of neck pain.

Intra-Examiner Reliability and Validity of Sagittal Cervical Spine Mensuration Methods Using Deep Convolutional Neural Networks

“…However, these interventions typically do not have high-quality, long-term studies demonstrating successful improvements in HRQoL or patient-reported outcomes. Physical medicine and rehabilitation investigations have reported some positive pain outcomes but do not often report improvements in coronal and sagittal postural and spine balance parameters with the long-term stability of the successful intervention [30][31][32][33][34][35].…”

Comparison of three different exercise trainings in patients with chronic neck pain: a randomized controlled study

“…Karthi et al [ 16 ] concluded that endurance exercises with pressure feedback for deep cervical flexor muscles in mechanical neck pain was significantly effective in reducing pain compared to deep cervical flexor exercises with visual biofeedback. Lwin et al [ 17 ] conducted a study of 60 people having neck pain randomly divided into 2 groups, experimental and control. While the experimental group received pressure-biofeedback guided cranio-cervical flexion exercise four times per week for four weeks, the control group received electrotherapy agents (TENS and radiant heat).…”

“…There was a more significant reduction in the NDI scores in the experimental group than the control group at week 4. The pressure-biofeedback guided cranio-cervical flexion exercise found useful for improving pain and functional disability on neck pain [ 17 ]. In the present study, the group in which the exercises were performed with a stabilizer was found to have better results than the conventional group.…”