The Investigation of the Effect of Proprioceptive Training on Balance in Patients with Chronic Neck Pain

Duray, Mehmet; Şimşek, Şule; Altuğ, Fi̇li̇z; Cavlak, Uğur

doi:10.5505/agri.2018.61214

Cited by 11 publications

(13 citation statements)

References 19 publications

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“…A randomized clinical trial evaluated the impact of balance training on JPS in patients with chronic neck pain, and found that joint repositioning accuracy was improved and pain was reduced in the intervention group, while no effect was observed in the control group [97]. Another randomized control trial revealed that proprioceptive training with a gaze direction recognition exercise combined with conventional physical therapy was more effective than conventional physical therapy for patients with chronic neck pain in improving neck disability and balance [98]. In a doubleblind, randomized controlled trial, Saadat et al [99] demonstrated that sensorimotor training combined with traditional physical therapy exercises could be more effective than traditional exercise alone in improving JPS, endurance, dynamic balance, and walking speed in patients with chronic neck pain (Table 2).…”

Section: Proprioceptive Retrainingmentioning

confidence: 99%

Cervical Proprioception Impairment in Neck Pain-Pathophysiology, Clinical Evaluation, and Management: A Narrative Review

Peng

Yang

et al. 2021

Pain Ther

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Neck pain is a common cause of disability worldwide, but its basic pathology and pathophysiology are still unclear.Cervical spine has a very delicate proprioceptive system that plays a crucial role in controlling posture and balance.One of the main problems of patients with neck pain is that the alteration of cervical proprioception leads to the disturbance of cervical sensorimotor control.To date, eight neck sensorimotor control tests have been reported to evaluate patients with chronic neck pain, with the most commonly used test being the JPE test.Studies support the effectiveness of exercises targeting different aspects of sensorimotor function, in particular retraining aimed at improving cervical proprioception and muscle coordination. DIGITAL FEATURESThis article is published with digital features, including a summary slide, to facilitate understanding of the article. To view digital features for this article go to https://doi.org/10.6084/ m9.figshare.13379681.

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Section: Proprioceptive Retrainingmentioning

confidence: 99%

Cervical Proprioception Impairment in Neck Pain-Pathophysiology, Clinical Evaluation, and Management: A Narrative Review

Peng

Yang

et al. 2021

Pain Ther

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“…Exploring the effective treatment of neck pain has long been a challenge. For the importance of the sensorimotor control system, treatments aiming to restore sensorimotor function have been proposed as important managements of neck pain, including balance exercise, joint position and movement sense training, gaze direction recognition exercise, sensory discrimination training, and coordinative exercises (Beinert and Taube, 2013;Kälin et al, 2016;Duray et al, 2018;Saadat et al, 2019). These treatments, in essence, either enhance position/motion sense by repeatedly provoking the proprioceptors or correct motor patterns by increasing the targeted muscle activity (Peng et al, 2021).…”

Section: Interventions Sensorimotor Control System Trainingmentioning

confidence: 99%

“…These treatments, in essence, either enhance position/motion sense by repeatedly provoking the proprioceptors or correct motor patterns by increasing the targeted muscle activity (Peng et al, 2021). Abundant evidence has revealed that the proprioceptive training and motor control exercises could improve the joint reposition accuracy and neck disability, and reduce the pain intensity in patients with neck pain, although treatment methods vary among studies (Beinert and Taube, 2013;Sarig Bahat et al, 2015;Duray et al, 2018;Saadat et al, 2019). In a balance exercise, subjects typically need to keep their head upright when standing by a single leg or on a wobble board with/without visual feedback.…”

Section: Interventions Sensorimotor Control System Trainingmentioning

confidence: 99%

“…Beinert and Taube et al found that the balance exercise can reduce pain intensity and improve the JPE in patients with neck pain (Beinert and Taube, 2013). Gaze direction recognition exercise is able to enhance the beneficial effect of conventional physical therapy on pain reduction, functionality recovery and balance performance (Duray et al, 2018). Deep cervical flexor and extensor training are reported to reduce pain intensity and functional disability in patients with chronic mechanical neck pain, but the effect on strength and endurance remain conflicting (Blomgren et al, 2018;Suvarnnato et al, 2019).…”

Section: Interventions Sensorimotor Control System Trainingmentioning

confidence: 99%

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Neck Pain: Do We Know Enough About the Sensorimotor Control System?

Tian

Martino

et al. 2022

Front. Comput. Neurosci.

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Neck pain is a worldwide health problem. Clarifying the etiology and providing effective interventions are challenging for the multifactorial nature of neck pain. As an essential component of cervical spine function, the sensorimotor control system has been extensively studied in both healthy and pathological conditions. Proprioceptive signals generated from cervical structures are crucial to normal cervical functions, and abnormal proprioception caused by neck pain leads to alterations in neural plasticity, cervical muscle recruitment and cervical kinematics. The long-term sensorimotor disturbance and maladaptive neural plasticity are supposed to contribute to the recurrence and chronicity of neck pain. Therefore, multiple clinical evaluations and treatments aiming at restoring the sensorimotor control system and neural plasticity have been proposed. This paper provides a short review on neck pain from perspectives of proprioception, sensorimotor control system, neural plasticity and potential interventions. Future research may need to clarify the molecular mechanism underlying proprioception and pain. The existing assessment methods of cervical proprioceptive impairment and corresponding treatments may need to be systematically reevaluated and standardized. Additionally, new precise motor parameters reflecting sensorimotor deficit and more effective interventions targeting the sensorimotor control system or neural plasticity are encouraged to be proposed.

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“…Kim and Kwag (2016) and Chung and Jeong (2018) have reported that deep cervical flexor activation exercises alleviated pain and improved CNP function. Gallego Izquierdo et al (2016) and Duray et al (2018) described pain reduction and improved function in patients with CNP after neck proprioception training.…”

Section: Introductionmentioning

confidence: 99%

Pain neuroscience education for reducing pain and kinesiophobia in patients with chronic neck pain: A systematic review and meta‐analysis of randomized controlled trials

Lin,

Chang

et al. 2023

European Journal of Pain

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BackgroundChronic neck pain (CNP) is a common musculoskeletal disorder. Pain neuroscience education (PNE) is a promising nonpharmacological intervention for CNP, however, its effectiveness remains unclear. This systematic review and meta‐analysis aimed to evaluate the effectiveness of PNE in treating CNP.MethodsElectronic databases from inception to February 2023 were searched for randomized controlled trials (RCTs) on the effects of PNE on CNP. The primary outcome was the change in pain intensity, and the secondary outcome was improvement in kinesiophobia, standardized using Hedges' g. Two authors independently scrutinized eligible articles, extracted data and assessed quality; a random‐effects model was employed for data pooling.ResultsIn total, seven RCTs comprising 479 participants were included and demonstrated that PNE significantly reduced pain intensity (Hedges' g = −0.730, 95% CI = −1.340 to −0.119, p = 0.019, I2 = 89.288%). Subgroup analysis revealed that the adult group experienced significant pain reduction after PNE, whereas the adolescent group did not. PNE also reduced kinesiophobia which was evaluated in four of seven RCTs (Hedges' g = −0.444, 95% CI = −0.735 to −0.154, p = 0.003, I2 = 36.822%). The meta‐regression analysis indicated that an increased intervention duration contributed to greater pain reduction. No adverse events were reported following PNE or the control treatment.ConclusionsPNE effectively reduced pain intensity and kinesiophobia in patients with CNP. A longer PNE time leads to greater pain reduction and is more effective in adults than in adolescents. Further studies are required to examine the long‐term effects on CNP management.SignificanceThis is the first meta‐analysis evaluating the effectiveness of treating chronic neck pain with pain neuroscience education. Pain neuroscience education is successful in reducing pain and decreasing kinesiophobia in the chronic neck pain population. Longer treatment time leads to greater pain reduction.

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The Investigation of the Effect of Proprioceptive Training on Balance in Patients with Chronic Neck Pain

Abstract: Proprioceptive training should be included in physiotherapy programs to improve balance; it decreases the disability level in patients with CNP.

Cited by 11 publications

References 19 publications

Cervical Proprioception Impairment in Neck Pain-Pathophysiology, Clinical Evaluation, and Management: A Narrative Review

Cervical Proprioception Impairment in Neck Pain-Pathophysiology, Clinical Evaluation, and Management: A Narrative Review

Neck Pain: Do We Know Enough About the Sensorimotor Control System?

Pain neuroscience education for reducing pain and kinesiophobia in patients with chronic neck pain: A systematic review and meta‐analysis of randomized controlled trials

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