Effects of Strength and Endurance Training of Superficial and Deep Neck Muscles on Muscle Activities and Pain Levels of Females with Chronic Neck Pain (original) (raw)
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Effects of Neck Muscle Training in Women with Chronic Neck Pain
Journal of Strength and Conditioning Research, 2006
Ylinen, J.J., A.H. Hä kkinen, E.-P. Takala, M.J. Nykä nen, H.J. Kautianen, E.A. Mä lkiä , T.H. Pohjolainen, S.-L. Karppi, and O.V.P. Airaksinen. Effects of neck muscle training in women with chronic neck pain: One-year follow-up study. J. Strength Cond. Res. 20(1):6-13. 2006.-Exercises are commonly recommended for chronic neck pain, but evidence-based guidelines do not explain what types of exercise. The aim of this randomized study was to evaluate the rate of change in neck strength following high-and low-intensity neck muscle training and their effects on pain and disability. One hundred eighty women with chronic neck pain were randomized into a highintensity strength training group (STG), local muscle endurance training group (ETG), or control group (CG). The neck training consisted of isometric exercises in the STG and dynamic exercises in the ETG. Both groups performed dynamic exercises for the upper extremities. Strength tests, neck pain, and disability indices were evaluated at the baseline, at the follow-ups after 2 and 6 months in the training groups, and after 12 months in all groups. In both groups the greatest gains in neck strength, as well as decrease in neck pain and disability, were achieved during the first 2 months. However, the improvements continued up to 12 months. The STG achieved the greatest strength gains at all follow-ups. The CG showed only minor changes, and significant differences were found in favor of the training groups in all measures. The change in neck pain and disability indices correlated with the isometric neck strength (r ϭ Ϫ0.22 [Ϫ0.36 to Ϫ 0.08] to Ϫ0.36 [Ϫ0.49 to Ϫ0.23]). Neck and shoulder muscle training was shown to be an effective therapy for chronic neck pain, resulting in early improvement in both the strength tests and subjective measures. The results can be maintained and even improved with long-term training.
Journal of Pain Research, 2019
Background: Exercise is known to be an important component of treatment programs for individuals with neck pain. The study aimed to compare the effects of semispinalis cervicis (extensor) training, deep cervical flexor (flexor) training, and usual care (control) on functional disability, pain intensity, craniovertebral (CV) angle, and neck-muscle strength in chronic mechanical neck pain. Methods: A total of 54 individuals with chronic mechanical neck pain were randomly allocated to three groups: extensor training, flexor training, or control. A Thai version of the Neck Disability Index, numeric pain scale (NPS), CV angle, and neck-muscle strength were measured at baseline, immediately after 6 weeks of training, and at 1-and 3-month follow-up. Results: Neck Disability Index scores improved significantly more in the exercise groups than in the control group after 6 weeks training and at 1-and 3-month follow-up in both the extensor (P=0.001) and flexor groups (P=0.003, P=0.001, P=0.004, respectively). NPS scores also improved significantly more in the exercise groups than in the control group after 6 weeks' training in both the extensor (P<0.0001) and flexor groups (P=0.029. In both exercise groups, the CV angle improved significantly compared with the control group at 6 weeks and 3 months (extensor group, P=0.008 and P=0.01, respectively; flexor group, P=0.002 and 0.009, respectively). At 1 month, the CV angle had improved significantly in the flexor group (P=0.006). Muscle strength in both exercise groups had improved significantly more than in the control group at 6 weeks and 1-and 3-month follow-up (extensor group, P=0.04, P=0.02, P=0.002, respectively; flexor group, P=0.002, P=0.001, and 0.001, respectively). The semispinalis group gained extensor strength and the deep cervical flexor group gained flexor strength. Conclusion: The results suggest that 6 weeks of training in both exercise groups can improve neck disability, pain intensity, CV angle, and neck-muscle strength in chronic mechanical neck pain.
Effect of two contrasting types of physical exercise on chronic neck muscle pain
Arthritis & Rheumatism, 2008
Objective. The prevalence of neck muscle pain has steadily increased and especially pain from the descending part of the trapezius muscle has been associated with monotonous work tasks such as computer work. Physical exercise is generally recommended as treatment, but it is unclear which type of training is most effective. Our objective was to determine the effectiveness of specific strength training of the painful muscle versus general fitness training without direct involvement of the painful muscle (leg bicycling) on work-related neck muscle pain. Methods. We conducted a randomized controlled trial and recruited subjects from 7 workplaces characterized by monotonous jobs (e.g., computer-intensive work). Forty-eight employed women with chronic neck muscle pain (defined as a clinical diagnosis of trapezius myalgia) were randomly assigned to 10 weeks of specific strength training locally for the affected muscle, general fitness training performed as leg bicycling with relaxed shoulders, or a reference intervention without physical activity. The main outcome measure was an acute and prolonged change in intensity of neck muscle pain (100-mm visual analog scale [VAS]). Results. A decrease of 35 mm (ϳ79%; P < 0.001) in the worst VAS pain score over a 10-week period was seen with specific strength training, whereas an acute and transient decrease in pain (5 mm; P < 0.05) was found with general fitness training. Conclusion. Specific strength training had high clinical relevance and led to marked prolonged relief in neck muscle pain. General fitness training showed only a small yet statistically significant acute pain reduction. ISRCTN: 87055459.
European Journal of Pain, 2004
Several studies have reported lower neck muscle strength in patients with chronic neck pain compared to healthy controls. The aim of the present study was to evaluate the association between the severity of neck pain and disability with neck strength and range of movement in women suffering from chronic neck pain. One hundred and seventy-nine female office workers with chronic neck pain were selected to the study. The outcome was assessed by the self-rating questionnaires on neck pain (visual analogue scale, VernonÕs disability index, Neck pain and disability index) and by measures of the passive range of movement (ROM) and maximal isometric neck muscle strength. No statistically significant correlation was found between perceived neck pain and the disability indices and the maximal isometric neck strength and ROM measures. However, the pain values reported during the strength tests were inversely correlated with the results of strength tests (r ¼ À0:24 to )0.46), showing that pain was associated with decreased force production. About two-thirds of the patients felt pain during test efforts. Pain may prevent full effort during strength tests and hence the production of maximal force. Thus in patients with chronic neck pain the results do not always describe true maximal strength, but rather the patientsÕ ability to bear strain, which may be considerably influenced by their painful condition. The results of the present study suggest that rehabilitation in cases of chronic neck pain should aim at raising tolerance to mechanical strain.
Effect of the Cervical Endurance Training Programme in Mechanical Neck Pain
International Journal of Physiotherapy, 2015
Background: Mechanical neck pain commonly arises insidiously and is generally multifactorial in origin. Regardless of the primary source of pain, the prognosis for individual experiencing chronic neck pain is poor. Exercise interventions are important for effective management of patients with neck pain.the objective of the study is to compare the efficacy of cervical endurance training programme with cervical isometric exercise in alleviating symptoms of mechanical neck pain. Methods: 40 subjects were assessed and identified with Mechanical Neck Pain and recruited for the study and were randomly divided into two groups. In one group endurance training for cervical muscles and in another group resisted isometric had been given for 3 weeks. The post treatment scores regarding endurance, pain intensity, disability, Range of motion and muscle power were compared with the pre treatment scores. Results: Paired't' test was done to compare the pretreatment scores with the post treatment scores .Unpaired 't' test was done to compare the post treatment scores of both the groups. The pain intensity, disability were found to be significantly decreased in experimental group than the control group (p<0.001). While the endurance was found to be significantly increased in experimental group than the control group (p < 0.001). The muscle power was found to be slightly increased in the control group than the experimental group .The post treatment cervical range of motion does not have significant difference in between the groups (Flexion-p=0.35 and Extension-p=0.40). Conclusion: This study showed that the progressive endurance exercise is beneficial in alleviating mechanical neck pain and should be incorporated along with the conventional physiotherapy treatment for mechanical neck pain.
2012
INTRODUCTION : Neck disorders remain a common problem in modern, industrialized countries. Neck pain is common ailment occurring in all age groups affecting 50-70% people prevalence of neck pain are diagnosed and is common for women 45% than men 38%. Neck pain is the most common among computer professionals. Neck disorders are common and costly problem in the community, affecting 70% of people at some point in their life. Literature shows there is strong relationship between the cervical posture and neck pain. PURPOSE OF THE STUDY: The purpose of study is to find the efficacy of neck stabilization exercises in the improvement of muscle endurance and function in subjects with chronic neck pain. OBJECTIVE OF THE STUDY: • To find out the effect of Conventional neck exercises in the improvement of muscle endurance and function in subjects with chronic neck pain. • To find out the effect of Craniocervical flexion exercises in the improvement of muscle endurance and function in subjects w...
2017
Background: Neck pain is considered to be a very frequent and disabling complaint among the general population. Purpose: To study the effect of strength training of Lower Trapezius and Serratus Anterior muscles on pain and function in patients with chronic mechanical neck pain. Method: 24 chronic mechanical neck pain samples (12 experimental and 12 control groups)participated.The pre and post-assessment was done with Numerical Rating Scale (NRS), Algometer, Push-Pull Dynamometer and Neck Disability Index Scale (NDI)for Pain, Pain Pressure Threshold (PPT), Muscle Strength and Function respectively. The experimental group was given strength training along with conventional physiotherapy whereas the control group underwent only conventional physiotherapy. Results: The results showed a statistically significant difference in PPT (p value: 0.04), Lower Trapezius strength (p value: 0.02), Serratus Anterior strength(p value: 0.003) and NDI (p value: 0.04). Conclusion: Strength training for...
International Journal of Human Movement and Sports Sciences, 2022
This study was conducted to investigate the effects of cervical mobilization and deep cervical flexor training on muscle tone and pain in adults with non-specific neck pain. Using the Neck Disorder Index (NDI), 30 patients in the normal group and 30 patients in the neck pain group were classified, and comparisons were made between groups to clearly select subjects and identify the characteristics of non-specific neck pain. For 30 adults with non-specific neck pain, each was classified into the joint mobilization group, the deep cervical flexor training group, or the mixed group, and training was conducted twice a week for 10 minutes each for 4 weeks. As a result of comparing normal subjects with adults with non-specific neck pain, there was a significant difference only in the sternocleidomastoid muscle (p<.05). As a result of comparing the tone between groups, there was a significant difference in upper trapezius, sternocleidomastoid, levator scapulae (p<.05). And there was no significant in all three groups in the comparison of pain (p>.05). As a result of comparing the tone between groups, there was a significant difference in all muscles (p<.05), and there was no significant difference in all three groups in the comparison of pain between groups (p>.05).
Journal of Islamic International Medical College, 2017
Objective: The purpose of this study was to compare the effects of endurance vs strength training in improving functional status of women with chronic neck pain. Study Design: Experimental, Randomized control study. Place and Duration of Study: The study was conducted at Kulsoom International Hospital, Islamabad from February to July 2014. Materials and Methods: Sample of 40 patients with chronic neck pain of age limit 20- 50 years were collected using purposive sampling technique and were randomly divided into two groups i.e. Endurance training and Strength training. Female patients having chronic neck pain (≥ 3 Months) were included in the study. Male patients, any pathology of neck and acute pain were excluded. Standardized treatment protocol including ultrasonic therapy, hot pack, shoulder dynamic exercises and postural education, was implemented to both groups. The improvement was measured by Shoulder Pain & Disability Index and Vernon Neck Disability Index. Data was analyzed o...