Journal of Research in Rehabilitation Sciences

The Effect of Neck Movement Pattern Modifications on Pain and Function in Employed Women with Nonspecific Chronic Neck Pain: A Randomized Clinical Trial

Document Type : Original Articles

Authors

1 PhD Candidate, Department of Sport Injury and Corrective Exercises, School of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran

2 Assistant Professor, Department of Sport Injury and Corrective Exercises, School of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran

3 Assistant Professor, Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

10.22122/jrrs.v15i3.3405

Abstract

Introduction: Uncontrolled movement has a significant impact on the development of movement disorders and pain. The purpose of this research was to investigate the effect of neck movement pattern modifications on pain and function in women with nonspecific chronic neck pain. Materials and Methods: For this purpose, women (36.5 ± 5.7 years) with nonspecific chronic neck pain were randomly assigned in the experimental (n = 15) and control (n = 15) groups. Pain and function of the participants were measured before and after the intervention, using visual analog scale (VAS) and Progressive Isoinertial Lifting Evaluation, respectively. The repeated measure analysis of variance and paired t tests were used for data analysis.Results: The neck movement pattern modifications had significant effects on pain (P = 0.001) and function (P = 0.004) in the experimental group.Conclusion: Due to the high reported effect size for neck movement pattern modifications, it is suggested to be used as a supplementary method in improvement of pain and function in women with nonspecific chronic neck pain.

Keywords

  1. Andersen LL, Kjaer M, Sogaard K, Hansen L, Kryger AI, Sjogaard G. Effect of two contrasting types of physical exercise on chronic neck muscle pain. Arthritis Rheum 2008; 59(1): 84-91.
  2. Yun S, Kim YL, Lee SM. The effect of neurac training in patients with chronic neck pain. J Phys Ther Sci 2015; 27(5): 1303-7.
  3. Malfliet A, Nijs J, Meeus M, Roussels N, Danneels L, Cagnie B, et al. The modern neuroscience approach to chronic spinal pain: Results from a large randomized controlled trial of a new physiotherapy approach. Musculoskelet Sci Pract 2017; 28: e10.
  4. Saadat M, Shaterzadeh Yazdi M, Arastoo A, Zahednegad S, Negahban Seuki H, Bigdeli AH. Indicators of changes in postural stability with chronic nonspecific neck pain. Jundishapur J Microbiol 2012; 11(3 (78)): 277-83. [In Persian].
  5. Roijezon U. Sensorimotor function in chronic neck pain: Objective assessments and a novel method for neck coordination exercise [PhD Thesis]. Umea, Sweden: Umea University; 2009.
  6. Lindstrom R, Schomacher J, Farina D, Rechter L, Falla D. Association between neck muscle coactivation, pain, and strength in women with neck pain. Man Ther 2011; 16(1): 80-6.
  7. Hoy DG, Smith E, Cross M, Sanchez-Riera L, Buchbinder R, Blyth FM, et al. The global burden of musculoskeletal conditions for 2010: An overview of methods. Ann Rheum Dis 2014; 73(6): 982-9.
  8. Kang JH, Park RY, Lee SJ, Kim JY, Yoon SR, Jung KI. The effect of the forward head posture on postural balance in long time computer based worker. Ann Rehabil Med 2012; 36(1): 98-104.
  9. Szeto GP, Straker LM, O'Sullivan PB. Neck-shoulder muscle activity in general and task-specific resting postures of symptomatic computer users with chronic neck pain. Man Ther 2009; 14(3): 338-45.
  10. Lindman R, Eriksson A, Thornell LE. Fiber type composition of the human female trapezius muscle: Enzyme-histochemical characteristics. Am J Anat 1991; 190(4): 385-92.
  11. Falla D, Farina D. Neural and muscular factors associated with motor impairment in neck pain. Curr Rheumatol Rep 2007; 9(6): 497-502.
  12. Verhagen AP, Karels C, Bierma-Zeinstra SM, Feleus A, Dahaghin S, Burdorf A, et al. Ergonomic and physiotherapeutic interventions for treating work-related complaints of the arm, neck or shoulder in adults. A Cochrane systematic review. Eura Medicophys 2007; 43(3): 391-405.
  13. Silva LS, Pinheiro TM, Sakurai E. Economic restructuring and impacts on health and mental distress: The case of a state-owned bank in Minas Gerais State, Brazil. Cad Saude Publica 2007; 23(12): 2949-58. [In Portuguese].
  14. Marik TL, Roll SC. Effectiveness of occupational therapy interventions for musculoskeletal shoulder conditions: A systematic review. Am J Occup Ther 2017; 71(1): 7101180020p1-7101180020p11.
  15. Verhagen AP, Bierma-Zeinstra SM, Feleus A, Karels C, Dahaghin S, Burdorf L, et al. Ergonomic and physiotherapeutic interventions for treating upper extremity work related disorders in adults. Cochrane Database Syst Rev 2004; (1): CD003471.
  16. Comerford M, Mottram S. Kinetic control: The management of uncontrolled movement. Elsevier Health Sciences; 2012.
  17. Chung S, Jeong YG. Effects of the craniocervical flexion and isometric neck exercise compared in patients with chronic neck pain: A randomized controlled trial. Physiother Theory Pract 2018; 34(12): 916-25.
  18. Khosrokiani Z, Letafatkar A, Sokhanguei Y. Long-term effect of direction-movement control training on female patients with chronic neck pain. J Bodyw Mov Ther 2018; 22(1): 217-24.
  19. Shiravi S, Letafatkar A, Bertozzi L, Pillastrini P, Khaleghi TM. Efficacy of Abdominal Control Feedback and Scapula Stabilization Exercises in Participants with Forward Head, Round Shoulder Postures and Neck Movement Impairment. Sports Health 2019; 11(3): 272-9.
  20. Ferraz MB, Quaresma MR, Aquino LR, Atra E, Tugwell P, Goldsmith CH. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheumatol 1990; 17(8): 1022-4.
  21. Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990; 13(4): 227-36.
  22. Mayer TG, Barnes D, Kishino ND, Nichols G, Gatchel RJ, Mayer H, et al. Progressive isoinertial lifting evaluation. I. A standardized protocol and normative database. Spine (Phila Pa 1976) 1988; 13(9): 993-7.
  23. Ris I, Sogaard K, Gram B, Agerbo K, Boyle E, Juul-Kristensen B. Does a combination of physical training, specific exercises and pain education improve health-related quality of life in patients with chronic neck pain? A randomised control trial with a 4-month follow up. Man Ther 2016; 26: 132-40.
  24. Moseley GL, Hodges PW. Are the changes in postural control associated with low back pain caused by pain interference? Clin J Pain 2005; 21(4): 323-9.
  25. Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol 2003; 13(4): 361-70.
  26. Jull GA, Falla D, Vicenzino B, Hodges PW. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther 2009; 14(6): 696-701.
  27. Falla D, Jull G, Russell T, Vicenzino B, Hodges P. Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther 2007; 87(4): 408-17.
  28. Peolsson A, Marstein E, McNamara T, Nolan D, Sjaaberg E, Peolsson M, et al. Does posture of the cervical spine influence dorsal neck muscle activity when lifting? Man Ther 2014; 19(1): 32-6.
Journal of Research in Rehabilitation Sciences
Volume 15, Issue 3 - Serial Number 3
August 2019
Pages 123-129