&lt;p&gt;Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial&lt;/p&gt;

Suvarnnato, Thavatchai; Puntumetakul, Rungthip; Uthaikhup, Sureeporn; Boucaut, Rose

doi:10.2147/jpr.s190125

Cited by 59 publications

(70 citation statements)

References 48 publications

(71 reference statements)

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“…Multiple reports of the same trial were collated for Waling et al, 2002 [48-50], Bobos PLOS ONE et al, 2016 [51,52], Ylinen et al, 2007 [53-56], and Chiu et al, 2005 [57, 58]. Data extraction was completed for 26 trials [13,14,49,51,54,57,[59][60][61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78]. https://doi.org/10.1371/journal.pone.0234511.g001 Table 1.…”

Section: Study Selectionmentioning

confidence: 99%

“…Table 2 provides a brief description of exercise training programmes and dosage. ET was delivered via supervised sessions [13,49,54,57,60,65,68,70,73,75,76], a home exercise programme [63,69,74] or a combination of the two [14,51,59,61,62,64,66,67,71,72,77,78], using a range of equipment including resistance bands [51,54,62,65,74,77], biofeedback pressure units [13,51,57,59,60,63,64,69,70,[72][73][74][75], dumbbells [14,54,61,…”

Section: Plos Onementioning

confidence: 99%

“…Short term pain and disability reduction was investigated in 8 trials with inconsistent findings (Fig 4 and Fig 5). Five trials (4 high RoB, 1 low RoB) found a moderate to very large effect on pain and disability compared to no treatment, usual care, general active range of movement (AROM) or pillar exercise [13,63,67,70,75]. Four trials (3 high RoB, 1 low RoB) found no effect on pain and disability compared to other ET and proprioceptive training [59,63,72,74].…”

Section: Study 1 2 3 4 5 6a 6b 7 Summary Risk Of Biasmentioning

confidence: 99%

“…One trial (high RoB) found MC exercise to be less effective reducing pain than combinations of MC and segmental exercise [63]. Another trial (high RoB) found MC exercise to be less effective than pillar exercises performed with therapist's resistance for pain and disability reductions [67]. Based on moderate level evidence (GRADE) MC exercises are not effective reducing short term pain or disability.…”

Section: Plos Onementioning

confidence: 99%

“…Data clarification was required for 24/26 trials with nine authors responding[49,51,54,[59][60][61][62][63]67]. Chiu et al reported conflicting results therefore data was extracted from the full trial report[57].…”

mentioning

confidence: 99%

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Effectiveness and optimal dosage of exercise training for chronic non-specific neck pain: A systematic review with a narrative synthesis

et al. 2020

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Background Clinical guidelines make vague recommendations as to exercise training (ET) type and dosage to manage chronic non-specific neck pain (CNSNP). Objective To synthesise evidence on the effectiveness of different ET programmes to reduce CNSNP and associated disability, and whether dosage affects outcomes. Methods A systematic review and data synthesis was conducted according to a published registered protocol (PROSPERO CRD42018096187). A sensitive topic-based search was conducted of CINAHL, MEDLINE, EMBASE, PEDro, grey literature sources and key journals from inception to 6 th January 2020 for randomised controlled trials, investigating ET for CNSNP or disability. Two reviewers independently completed eligibility screening, data extraction, risk of bias assessment (Cochrane Risk of Bias Tool) and rated the overall strength of evidence using Grading of Recommendations Assessment, Development and Evaluation. Data was tabulated for narrative synthesis and grouped by intervention, outcome and time point to compare across studies. Results Twenty-six trials from 3990 citations (n = 2288 participants) investigated fifteen ET programmes. High RoB and low sample sizes reduced evidence quality. Clinical heterogeneity prevented meta-analyses. A range of ET programmes reduce pain/disability in the short term (low to moderate evidence). Pillar exercises reduce pain/disability in the intermediate term (low level evidence). Moderate to very large pain reduction is found with ET packages

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Section: Study Selectionmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Study 1 2 3 4 5 6a 6b 7 Summary Risk Of Biasmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

mentioning

confidence: 99%

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Effectiveness and optimal dosage of exercise training for chronic non-specific neck pain: A systematic review with a narrative synthesis

et al. 2020

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Association of Vibrotactile Biofeedback With Reduced Ergonomic Risk for Surgeons During Tonsillectomy

Kelly

Althubaiti

Katapadi

et al. 2023

JAMA Otolaryngol Head Neck Surg

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ImportanceWork-related musculoskeletal disorders are common among otolaryngologists and can be associated with decreased productivity, missed workdays, and reduced quality of life. Ergonomic risk for surgeons is elevated during common otolaryngology procedures; current ergonomic interventions lack the ability to provide real-time feedback. The ability to quantify and mitigate ergonomic risk during surgery may reduce work-related musculoskeletal disorders.ObjectiveTo quantify the association of vibrotactile biofeedback with intraoperative ergonomic risk to surgeons during tonsillectomy.Design, Setting, and ParticipantsThis cross-sectional study was conducted between June 2021 and October 2021 at a freestanding tertiary care children’s hospital and included 11 attending pediatric otolaryngologists. Data analysis was conducted from August to October 2021.InterventionsReal-time quantification of ergonomic risk during tonsillectomy and the use of a vibrotactile biofeedback posture monitor.Main Outcomes and MeasuresAssociation of vibrotactile biofeedback with objective measures of ergonomic risk. Assessment tools included the Rapid Upper Limb Assessment, craniovertebral angle, and time spent in an at-risk posture.ResultsEleven surgeons (mean [SD] age 42 [7] years; 2 women [18%]) performed 126 procedures with continuous posture monitoring in the presence (80 [63%]) and absence (46 [37%]) of vibrotactile biofeedback. No complications or delays associated with the device were reported. Intraoperative vibrotactile biofeedback was associated with improved Rapid Upper Limit Assessment neck, trunk, and leg scores by 0.15 (95% CI, 0.05-0.25), improved craniovertebral angle by 1.9 (95% CI, 0.32-3.40), and decreased overall time spent in an at-risk posture by 30% (95% CI, 22%-39%).Conclusions and RelevanceThe results of this cross-sectional study suggest that use of a vibrotactile biofeedback device to quantify and mitigate ergonomic risk for surgeons is feasible and safe while performing surgery. Vibrotactile biofeedback was associated with reduced ergonomic risk during tonsillectomy and may have a role in improving surgical ergonomics and preventing work-related musculoskeletal disorders.

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Changes in deep neck muscle length from the neutral to forward head posture. A cadaveric study using Thiel cadavers

2022

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Forward head posture (FHP) is one of the most common postural deviations. Deep neck muscle imbalance of individuals with FHP is of primary concern in clinical rehabilitation. However, there is scarce quantitative research on changes in deep neck muscle length with the head moving forward. This study aimed to investigate changes in deep neck muscle length with different severity levels of FHP. Six Thiel‐embalmed cadavers (four males and two females) were dissected, and 16 deep neck muscles in each cadaver were modeled by a MicroScribe 3D Digitizer in the neutral head posture, slight FHP, and severe FHP. The craniovertebral angle was used to evaluate the degrees of FHP. Quantitative length change of the deep neck muscles was analyzed using Rhinoceros 3D. In slight FHP significant changes in length occurred in four muscles: two shortened (upper semispinalis capitis, rectus capitis posterior minor) and two lengthened (longus capitis, splenius cervicis). In severe FHP all occipital extensors were significantly shortened (10.6 ± 6.4%), except for obliquus capitis superior, and all cervical extensors were significantly lengthened (4.8 ± 3.4%), while longus capitis (occipital flexor) and the superior oblique part of the longus colli (cervical flexor) were lengthened by 8.8 ± 3.8% and 4.2 ± 3.1%, respectively. No significant length change was observed for the axial rotator. This study presents an alternate anatomical insight into the clinical rehabilitation of FHP. Six muscles appear to be important in restoring optimal head posture, with improvements in FHP being related to interventions associated with the occipital and cervical extensors.

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<p>Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial</p>

Cited by 59 publications

References 48 publications

Effectiveness and optimal dosage of exercise training for chronic non-specific neck pain: A systematic review with a narrative synthesis

Effectiveness and optimal dosage of exercise training for chronic non-specific neck pain: A systematic review with a narrative synthesis

Association of Vibrotactile Biofeedback With Reduced Ergonomic Risk for Surgeons During Tonsillectomy

Changes in deep neck muscle length from the neutral to forward head posture. A cadaveric study using Thiel cadavers

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