A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Tejwani, Nishant
- Effect of Deep Cranio-cervical Flexors Training over Isometric Neck Exercises in Chronic Neck Pain and Disability
Authors
1 South Gujarat Medical Education and Research Center, SPB Physiotherapy College, Ugat Bhesan Road, Near Mora Bhagal, Rander Road, Surat, Gujarat, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 48-53Abstract
Title: Effect of Deep Cranio-Cervical Flexor Training over Isometric Neck Exercise in Chronic Neck Pain and Disability
Objectives : The purpose of this study was to investigate whether a low load DCCF training program is effective in reduction of intensity of pain and perceived neck disability over conventional Isometric neck Exercise (INE) in subjects with chronic neck pain.
Methods: Fifty female between the ages of 17 to 25 years, with chronic non-severe neck pain were randomized into experimental or control group: a low load DCCF training plus conventional INE or only conventional INE respectively for 4 week exercise program. The outcome measures were VAS for intensity of neck pain and NDI for neck disability.
Results: At the end of 4th week follow-up assessment, the experimental group showed no statistical significant difference in reduction of pain intensity and percieved disability compared with the control group
Conclusion: There is no additional effectiveness of low load DCCF training over isometric neck strengthening exercise on chronic pain and disability.
Keywords
Dccf, Isometric Neck Exercises, Chronic Neck Pain, Neck DisabilityReferences
- Côté P, Cassidy J D, Caroll L, Kristman V. The annual incidence and course of neck pain in the general population: a population-based cohort study. Pain 2004; 112: 267-273.
- Gore D, Sepic S, Gardner G, et al. Neck pain: a long-term follow-up of 205 patients. Spine 1987;12:1–5.
- Michel G., Christer H. et al; “The prevalence of neck pain-A population-based study; Acta Orthop Scand 2002; 73 (4): 455–459
- Szeto GP, Straker LM, O’Sullivan PB. A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work, 2: neck and shoulder kinematics. Man Ther. 2005;10: 281-291
- Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine. 2002;27: 694-701.
- Conley MS, Meyer RA, Bloomberg JJ, et al. Noninvasive analysis of human neck muscle function. Spine. 1995;20:2505-2512.
- Mayoux-Benhamou MA, Revel M, Vallee C, et al. Longus colli has a postural function on cervical curvature. Surg Radiol Anat. 1994;16:367-371.
- Vasavada AN, Li S, Delp SL. Influence of muscle morphometry and moment arms on the momentgenerating capacity of human neck muscles. Spine. 1998;23: 412-422.
- Panjabi MM, Cholewicki J, Nibu K, Grauer J, Babat LB, Dvorak J. Critical load ofthe human cervical spine: an in vitro experimental study. Clinical Biomechanics 1998;13:11–7.
- Harms-Ringdahl K, Ekholm J, Schuldt K, Nemeth G, Arborelius UP. Load moments and myoelectric activity when the cervical spine is held in full flexion and extension. Ergonomics 1986;29(12):1539–52.
- Oatis CA. Kinesiology: The Mechanics and Pathomechanics of Human Movement. Philadelphia, Pa: Lippincott Williams & Wilkins; 2004
- Winters JM, Peles JD. Neck muscle activity and 3D head kinematics during quasistatic and dynamic tracking movements. In: Winters JM, Woo SLY, eds.
- Multiple Muscle Systems: Biomechanics and Movement Organization. New York, NY: Springer-Verlag; 1990:461-480.
- Janda V. Muscle and cervicogenic pain syndromes. In:Grant R.Physical therapy for cervical and thoracic spine.2ed.clinics in Physical Therapy. Vol.17,1988. Churchill Livingstone Inc. p195-216
- Falla D, Jull G, Hodges P. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine 2004;29:2108–14.
- Jull GA. Deep cervical neck flexor dysfunction in whiplash. J Musculoskelet Pain 2000;8:143–54.
- Falla DL, Jull GA, Hodges PW. Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine. 2004;29:2108-2114.
- Falla D, Jull G, Hodges PW. Feed-forward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res. 2004; 157:43-48.
- Darnell MW. A proposed chronology of events for forward head posture. J craniomandibular Pract, 1983: 1: 50-4.
- Gelb H. new concept in craniomandibular and chronic pain management. 1ed, 1994. Times mirror international Publishers Ltd, Mosby – Wolfe
- Falla D, full G, Russell T, et al. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther. 2007;87: 408-417.
- O’Leary, S., Falla, D., Hodges, P. W., Jull, G. and Vicenzino, B. (2007) Specific therapeutic exercise of the neck induces immediate local hypoalgesia. Journal of Pain, 8 11: 832-839.
- Jari Ylinen, Esa-Pekka Takala, Matti Nykänen, et al; Active Neck Muscle Training in the Treatment of Chronic Neck Pain in Women JAMA. 2003;289:2509-2516
- Jull, G, Barrett, C, et al: Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia 19:179–185, 1999.
- Inter and Intra-rater Reliability of the Craniocervical Flexion Test by Using Modified Sphygmomanometer as a Pressure Bio-feedback
Authors
1 South Gujarat Medical Education and Research Center, SPB Physiotherapy College, Ugat Bhesan Road, Near Mora Bhagal, Rander Road, Surat, Gujarat, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 6, No 4 (2012), Pagination: 54-58Abstract
Background and Objective: The Cranio-Cervical Flexion Test (CCFT) is a reliable clinical and research test to measure the endurance of the Deep Cranio-Cervical Flexors (DCCF) muscles via Activation Score (AS) and Performance Index (PI) by using Chattanooga Pressure Biofeedback unit (CPBU). In India, we use modified sphygmomanometer instead of CPBU for this test, but the data on reliability of the instrument is scarce. So present study was carried out to check inter and intra-rater reliability of the CCFT by using modified sphygmomanometer.
Methods: 50 subjects were selected from the age group of 17 to 22 years. For inter-rater reliability the AS and PI were measured on each subject by two different experienced Physiotherapists and For intrarater reliability the same was measured on two occasions with 7 days gape by the same therapist. ICCPearson was calculated to check inter and intra-rater reliability.
Results: For AS and PI good inter-rater reliability determined by the ICC= 0.709 and 0.752 respectively and excellent intra-rater reliability determined by the ICC=0.820 and 0.885 respectively.
Conclusion: The CCFT by using modified sphygmomanometer showed good inter-rater and excellent intra-rater reliability.
Keywords
Cranio-cervical Flexion Test, Modified Sphygmomanometer, Deep Cranio-cervical Flexors, ReliabilityReferences
- G, S.O’Leary, D Falla. Clinical Assessment of the Deep Cervical Flexor Muscles: The Craniocervical Flexion Test. J Manipulative Physiol Ther. 2008;31:525-533
- Fountain FP, Minear WL, Allison PD. Function of longus colli and longissimus cervicis muscles in man. Arch Phys Med Rehabil. 1966;47:665-9.
- Kamibayashi LK, Richmond FJR. Morphometry of human neck muscles. Spine 1998;23:1314-23.
- Mayoux-Benhamou MA, Revel M, Vallee C, Roudier R, Barbet JP, Bargy F. Longus colli has a postural function on cervical curvature. Surg Radiol Anat. 1994;16:367-71.
- Vitti M, Fujiwara M, Basmajian JV, Iida M. The integrated roles of longus colli and sternocleidomastoid muscles: an electromyographic study. Anat Rec. 1973;177: 471-484.
- Marta Pérez-de-Heredia, Alberto Molero-Sánchez, Juan C. Miangolarra-Page, César Fernández-delas-Peñas. Performance of the Craniocervical Flexion Test, Forward Head Posture, and Headache Clinical Parameters in Patients With Chronic Tension-Type Headache: A Pilot Study. J Orthop Sports Phys Ther. 2007;37(2):33-39
- James G, Doe T. The craniocervical flexion test: intra-tester reliability in asymptomatic subjects. Physiother Res Int. 2010 Sep;15(3):144-9.
- Chiu TT, Law EY, Chiu TH. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. J Orthop Sports Phys Ther. 2005 Sep;35(9):567-571.
- Sue Hudswell, Michael von Mengersen, Nicholas Lucas. The cranio-cervical flexion test using pressure biofeedback: A useful measure of cervical dysfunction in the clinical setting? Int J of Osteopathic Medi. 2005;8(3):98-105.
- Parminder Kaur et al. Relationship of cervicothoracic curvature with muscle strength and endurance in subjects with neck pain. Abstract presented in WCPT-AWP and IAP CONGRESS 2009 – Mumbai.106
- Akash Chopra et al. Comparative study of multimodel approach and applied relaxation in computer users with intermittent chronic neck pain. Abstract presented in WCPT-AWP and IAP CONGRESS 2009 – Mumbai. 116
- Patil S P, Torne Pratibha. Effect of endurance training of deep cervical short flexors on correction of forward head posture. Abstract presented in 45th Annual Conference of IAP 2007 – Kolkata.
- Singh Smita, P Dakshinamurth. Effect of weak core stabilizers on functional reach performance and dynamic reach test. Abstract presented in 45th Annual Conference of IAP 2007 – Kolkata.
- Vernon HT, Aker P, Aramenko M, Battershill D, Alepin A, Penner T. Evaluation of neck muscle strength with a modified sphygmomanometer dynamometer: reliability and validity. J Manipulative Physiol Ther. 1992 Jul-Aug;15(6):343-349.
- Li Lu, Nawar Shara: Reliability analysis: Calculate and Compare Intra-class Correlation Coefficients (ICC) in SAS. Statistics and Data Analysis; NESUG 2007:1-4.
- Jull G, Barrett C, Magee R, Ho P. Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia 1999;19(3):179–85.
- Landis JR, Koch GG. The measurement of examiners agreement for categorical data. Biometrics 1977;33:159-171.