Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Backward Walking in Subjects with Mechanical Neck Pain


Affiliations
1 Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India
2 Department of Orthopaedic Manual Therapy, Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India
     

   Subscribe/Renew Journal


Background: Population based studies showed that a lifetime prevalence of neck pain was 70% and a point prevalence was between 12-34%. Most common causes of neck pain include:- myogenic positional faults, septic arthritis, osteomyelitis, ankylosing spondylitis, fractures, torticollis, paget’s disease, neurogenic causes as well as soft tissue injuries, vertebral tumor. Backward walking has shown potential benefits in lengthening of posterior muscular chain and stretching the posterior myofascial. There is greater amount of hip extension and knee flexion in backward walking as compared to forward walking. As there is greater amount of hip extension, there occurs greater amount of extension of lumbar spine which loads up the facet joint opening up the disc space. The unloading of the discs occurred may lead to reduction in the pain.

Objectives: To study the effect of backward walking in subjects with mechanical neck pain

Method: Ethical clearance was obtained from the Institutional Ethical Committee. 38 subjects were selected between the age group 20 to 40 years suffering from mechanical neck pain from 1 month. Male and female subjects were selected according to inclusion and exclusion criteria. Pre values of numeric pain rating scale and cervical lordotic index were taken. Study was carried out for 5 days for 1 week. Post data analysis was note and data analysis was done.

Result: A statistical analysis using paired t test within the group comparison was done and conclusions was estimated. Result found from analysis was significant.

Conclusion: There was a reduction in pain status and cervical curve between the values of pre study and post study. Hence, this study concludes that there is effectiveness in backward walking in subjects with mechanical neck pain


Keywords

Backward Walking, Neck Pain, Facet Joint, Posterior Fascia, Cervical Index.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Merskey HE. Classification of chronic pain: descriptions of chronic pain syndromes and definition of pain terms. Pain. 1986.

  • Hooper TL, Dunn DM, Props JE, Bruce BA, Sawyer SF, Daniel JA. The effects of graded forward and backward walking on heart rate and oxygen consumption. Journal of Orthopaedic & Sports Physical Therapy. 2004 Feb;34(2):65-71

  • Silbert PL, Mokri B, Schievink WI. Headache and neck pain in spontaneous internal carotid and vertebral artery dissections. Neurology 1995;45(8):1517-22

  • Bates BT, Morrison E. Hamill J. A comparison between forward and backward running. In the 1984 Olympic Scientific Congress Proceedings, Microform Pulications, Eugene;1986:127-35

  • Yang Y.R, Yen J.G, Wang R.Y, Yen L.L, Lieu F.K. Gait outcomes after additional backward walking training in patients with stroke: a randomized controlled trail. Clin Rehab 2005;19:264-273.

  • Heck JK, Sparano JM. A classification system for the assessment of lumbar pain in athletes. Journal of athletic training. 2000 Apr;35(2):204-11

  • Nikolai Bogduk. The anatomy and pathophysiology of neck pain. Phys Med Rehabil Clin N Am 2003;14: 455-472

  • Page P, Frank C, Ladner R. Assessment and treatment of muscle imbalance the Janda Approach.

  • Hibbs AE, Thompson KG, French D, Wrigley A, Spears I. Optimizing performance by improving core stability. Sports Med 2008, 38:995-1008

  • Young WB, Rath DA. Enhancing foot velocity in football kicking: the role of strength training. The Journal of Strength and Conditioning Research 2011, 25:561-566

  • O’Sullivan O. Diagnosis and classification of chronic low back pain disorder:Maladaptive movements and motor control impairments as underlying mechanism. Manual Therapy 2005, 10:242-255.


Abstract Views: 633

PDF Views: 0




  • Effect of Backward Walking in Subjects with Mechanical Neck Pain

Abstract Views: 633  |  PDF Views: 0

Authors

Anjali Yagnik
Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India
Radhika Chintamani
Department of Orthopaedic Manual Therapy, Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India

Abstract


Background: Population based studies showed that a lifetime prevalence of neck pain was 70% and a point prevalence was between 12-34%. Most common causes of neck pain include:- myogenic positional faults, septic arthritis, osteomyelitis, ankylosing spondylitis, fractures, torticollis, paget’s disease, neurogenic causes as well as soft tissue injuries, vertebral tumor. Backward walking has shown potential benefits in lengthening of posterior muscular chain and stretching the posterior myofascial. There is greater amount of hip extension and knee flexion in backward walking as compared to forward walking. As there is greater amount of hip extension, there occurs greater amount of extension of lumbar spine which loads up the facet joint opening up the disc space. The unloading of the discs occurred may lead to reduction in the pain.

Objectives: To study the effect of backward walking in subjects with mechanical neck pain

Method: Ethical clearance was obtained from the Institutional Ethical Committee. 38 subjects were selected between the age group 20 to 40 years suffering from mechanical neck pain from 1 month. Male and female subjects were selected according to inclusion and exclusion criteria. Pre values of numeric pain rating scale and cervical lordotic index were taken. Study was carried out for 5 days for 1 week. Post data analysis was note and data analysis was done.

Result: A statistical analysis using paired t test within the group comparison was done and conclusions was estimated. Result found from analysis was significant.

Conclusion: There was a reduction in pain status and cervical curve between the values of pre study and post study. Hence, this study concludes that there is effectiveness in backward walking in subjects with mechanical neck pain


Keywords


Backward Walking, Neck Pain, Facet Joint, Posterior Fascia, Cervical Index.

References