Exercises for mechanical neck disorders

Kay, Theresa; Gross, Anita; Goldsmith, Charles H.; Rutherford, Sherrill; Voth, Sandra; Hoving, Jan L.; Brønfort, Gert; Santaguida, Pasqualina

doi:10.1002/14651858.cd004250.pub5

Cited by 272 publications

(245 citation statements)

References 224 publications

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“…The effect was similar after applying only stretching and stretching combined with muscle strengthening, 27 even though it is usually more effective to apply stretching with strengthening, a phenomenon revealed by researchers from Cochrane in 2015. 28 Patients suffering from low back pain (LBP) may also be significantly relieved after stretching. The result is comparable to the effectiveness of yoga and concerns 51% of the individuals subject to observation over 26 weeks, in whom the mitigation of symptoms was significant or complete.…”

Section: Application Of Stretching In Physiotherapymentioning

confidence: 99%

Efficacy of stretching in physiotherapy and sports

Michalski¹,

Michalik²,

Dąbrowska-Galas³

et al. 2018

Pol. Ann. Med.

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I n t r o d u c t i o n :Stretching constitutes an important element of therapeutic management in numerous disciplines, starting from neurology to motor training and orthodontic practice. Different models and approaches that apply stretching use their own terminology, and yet they are based on similar assumptions and purposes.A i m : The aim of this study was to establish scientific fundamentals of using different forms of stretching, and to determine areas of its effective application. M a t e r i a l a n d m e t h o d s : Medline searches were conducted in context of stretching, hold-relax technique, athletic injury prevention and physiotherapy.

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Section: Application Of Stretching In Physiotherapymentioning

confidence: 99%

Efficacy of stretching in physiotherapy and sports

Michalski¹,

Michalik²,

Dąbrowska-Galas³

et al. 2018

Pol. Ann. Med.

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“…Some evidence suggests that exercise may be beneficial for neck pain. 5 Studies supporting conservative management of neck pain with upper extremity radiation are even sparser, and randomized controlled trials are needed to examine the clinical effectiveness of conservative treatments. 6 One conservative treatment approach is called directional preference therapy.…”

mentioning

confidence: 99%

Factors in Patient Responsiveness to Directional Preference-Matched Treatment of Neck Pain With or Without Upper Extremity Radiation

Holmes

Brazauskas

Cassidy

et al. 2017

Journal of Patient-Centered Research and Reviews

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Journal of Patient-Centered Research and Reviews ( JPCRR) is a peerreviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality of human health, the care of the individual patient, and the care of populations. Recommended CitationHolmes B, Brazauskas R, Cassidy LD, Wiegand RA. Factors in patient responsiveness to directional preference-matched treatment of neck pain with or without upper extremity radiation. J Patient Cent Res Rev. 2017;4:60-8.

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“…There is moderate quality evidence that strengthening and endurance exercises for cervical-and shoulder muscles are of value to reduce pain and disability in idiopathic neck pain (65). Despite reported altered neck muscle pattern and muscle morphology changes in persistent WAD (20,21,29,66,67) and the advantage of biopsychosocial approaches in the management of persistent pain (52), randomized controlled trails (RCT) examining exercise or behavioral approaches have reported no or only modest improvement.…”

Section: Exercises and Behavioral Approaches In Wadmentioning

confidence: 99%

“…For extensor muscles, training was performed during active cervical flexion and extension where the load of the head may provoke pain from facet joints. Current evidence for idiopathic mechanical neck pain indicates strengthening and endurance neck exercises (65). An exercise regimen including endurance exercise for deep flexor and dorsal rotatores muscles was effective to reduce the prevalence of neck pain in air force helicopter pilots (77).…”

Section: Exercise Regimens In Wadmentioning

confidence: 99%

“…This is especially so for individuals with more severe symptoms and pain, as is the case in WAD grade III. Exercises (65,80) and biopsychosocial interventions (52) are of benefit in idiopathic neck pain and in chronic pain. The present RCT-study is the first to evaluate the effectiveness of neck-specific exercises with or with-out behavioral approaches or general physical activity in ventral and dorsal neck muscle endurance in persistent WAD grades II and III.…”

Section: Rationale Of the Thesismentioning

confidence: 99%

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Neck muscle function in individuals with persistent pain and disability after whiplash injury

Peterson¹

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Background: Neck pain and disability are common after whiplash injury. One year after the accident up to 50 % still have symptoms called whiplash associated disorders (WAD). Despite decades of research the cause of persistent pain and disability are largely unknown and effective treatment and diagnostic tools are lacking. Altered neck muscle function may cause pain and disability, and real-time non-invasive methods that investigate both superficial and deep neck muscle function need to be evaluated. Aim: The general aim of the work presented in this thesis was to investigate mechanical neck muscle function and evaluate effects of three different exercise interventions related to neck muscle function in individuals with persistent pain and disability after whiplash injury. Method: The thesis comprised two studies, reported in four papers. Study A was a prospective randomized controlled trail with 216 participants. The effects of three exercise interventions; neck-specific exercises, neck-specific exercises with behavioral approach and prescription of physical activity were evaluated. Neck muscle endurance, perceived pain following testing, kinesiophobia and satisfaction with treatment were compared between the three groups (paper I). Study B was an experimental case-control study with participants consecutively recruited from the randomized controlled trial. Deformation and deformation rates in the neck muscles were investigated with real-time ultrasound imaging during ten repetitive arm elevations (paper II-IV). To investigate ventral neck muscles, 26 individuals with WAD were compared with 26 healthy controls (paper II). The dorsal neck muscles were investigated in paper III, including 40 individuals with WAD and 40 controls. In total 46 individuals, 23 with WAD and 23 healthy controls were included in paper IV to develop ventral neck muscle interaction models. Results: Paper I: Participants in the two neck-specific exercise groups (with and without behavioral approach) showed increased dorsal neck muscle endurance (p = 0.003), decreased pain intensity following testing (p = 0.04) and were more satisfied with treatment (p < 0.001) than participants in the prescribed physical activity group. Kinesiophobia did not significantly differ between groups (p > 0.12). Paper II: Deformation and deformation rate showed linear positive relationship between ventral muscle pairs in healthy controls, especially between superficial and deep neck muscles. This relationship was weaker or absent in the WAD group. Paper III: The WAD group had higher deformation rates in the deepest dorsal neck muscles during the first and tenth (only women) arm elevations compared to the control group (p < 0.04). Women in the WAD group showed a weaker linear relationship between the two deepest dorsal neck muscles compared to women in the control group. Paper IV: The results revealed two different ventral neck muscle models in individuals with WAD and healthy controls (R2Y = 0.72, Q2Y = 0.59). The models were capable to detect different ne...

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Exercises for mechanical neck disorders

Cited by 272 publications

References 224 publications

Efficacy of stretching in physiotherapy and sports

Efficacy of stretching in physiotherapy and sports

Factors in Patient Responsiveness to Directional Preference-Matched Treatment of Neck Pain With or Without Upper Extremity Radiation

Neck muscle function in individuals with persistent pain and disability after whiplash injury

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