The Impact of Progressive Shoulder-Neck Exercise on Cervical Muscle Functions of Patients with Chronic Neck Pain

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SCIENCE
The Impact of Progressive Shoulder-Neck Exercise on Cervical Muscle Functions of Patients with Chronic Neck Pain
Key Take-Away: 

Musculoskeletal disorders like neck and shoulder pains are ranked at the top among the most prevalent health complaints. A suitable exercise program can reduce the problem of severe neck pain. This study examined the effect of a 6-week shoulder-neck exercise intervention program on muscle pain and motility and recommended that this exercise program can improve patient pain outcomes.

Neck pain is a prevalent musculoskeletal disorder, but there is a lack of evidence regarding the suitable exercise methods for middle-aged and senior patients with chronic neck pain. 

ABSTRACT: 
Background: 

Neck pain is a prevalent musculoskeletal disorder, but there is a lack of evidence regarding the suitable exercise methods for middle-aged and senior patients with chronic neck pain.

Thus, the study was conducted to evaluate the efficacy of a 6-week shoulder-neck exercise intervention program on cervical muscle function improvement in chronic neck pain patients aged 45 years or older. 72 patients were randomly assigned to experimental (n=36) and control group (n = 36).

Methods: 

The traditional physiotherapy was received by the control group only while the experimental group participated in a 6-week shoulder-neck exercise program consisting of craniocervical flexion and progressive resistance exercises along with traditional physiotherapy.

The muscle functions of patients in the experimental and control group were tested before and after the intervention program. The pretest and posttest measured the cranio-cervical flexion test (CCFT) and the superficial cervical muscle strength.

Results: 

After the intervention, there was 56.48point improvement in the performance index of the CCFT (P<0.001), a 1.71-kg improvement in superficial neck flexor strength (P<0.001), and a 2.52-kg improvement in superficial neck extensor

strength (P<0.001) in the experimental group, symbolizing that 6-week intervention significantly affected the recovery of cervical muscle functions.

Conclusion: 

The study concluded that 6-week progressive shoulder-neck exercise program could efficiently improve cervical muscle function in chronic neck pain patients aged 45 years or older. Continuous shoulder-neck exercise might provide a positive effect on deep and superficial neck muscle strength in patients with chronic neck pain. Hence, this study may serve as a source for the clinical rehabilitation of patients with chronic neck pain.

 

Source:

Eur J Phys Rehabil Med. 2017 Jul 17.

Link to the source:

http://www.ncbi.nlm.nih.gov/pubmed/28714658

The original title of the article:

The effect of progressive shoulder-neck exercise on cervical muscle functions of middle-aged and senior patients with chronic neck pain: a randomized controlled trial.

Authors:

Lin IH et al.

Therapeutic, Neck Pain, Neck, Randomized Controlled Single-Blind Trial, Efficacy, CCFT, Superficial Cervical Muscle Strength
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