2020
DOI: 10.3390/healthcare8040449
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The Importance of Optimal Gaze Direction on Deep Neck Flexor Activation in Chronic Neck Pain

Abstract: Chronic neck pain (CNP) patients have weak deep neck flexors (DNF) and a hyperactive sternocleidomastoid (SCM). The cranio-cervical flexion test (CCFT) promotes activation of the DNF and decreases activity of the SCM, promoting pain recovery, but research suggests SCM activation increases with increasing gaze direction. We aimed to investigate how DNF and SCM activation varies according to gaze direction in the CCFT, and to prescribe the appropriate gaze direction for CNP. Twenty-eight CNP subjects had their m… Show more

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Cited by 3 publications
(2 citation statements)
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References 52 publications
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“…This means that physiotherapy plays a vital role in the posture of the chest pattern related to neck pain. 17 This study has limitations on QEC assessments only through questionnaires. The weakness of the questionnaire is whether the respondent understands the content and fills in so seriously that the researcher does not monitor it.…”
Section: Discussionmentioning
confidence: 95%
See 1 more Smart Citation
“…This means that physiotherapy plays a vital role in the posture of the chest pattern related to neck pain. 17 This study has limitations on QEC assessments only through questionnaires. The weakness of the questionnaire is whether the respondent understands the content and fills in so seriously that the researcher does not monitor it.…”
Section: Discussionmentioning
confidence: 95%
“…15 Sitting upright is a good position because it reduces the load on the lumbar and efficiently distributes the contact of the neck muscles. 16, 17 The recline position at an angle of 135° reduces discus pressure by about 25%. 18 The bent position, when the neck or trunk is bent, makes the moment of extension necessary to maintain posture, and the spinal extensor needs to be activated.…”
Section: Introductionmentioning
confidence: 99%