TY - JOUR
T1 - Comparison of cranio-cervical flexion training versus cervical proprioception training in patients with chronic neck pain
T2 - A randomized controlled clinical trial
AU - Gallego Izquierdo, Tomás
AU - Pecos-Martin, Daniel
AU - Lluch Girbés, Enrique
AU - Plaza-Manzano, Gustavo
AU - Rodríguez Caldentey, Ricardo
AU - Mayor Melús, Rodrigo
AU - Blanco Mariscal, Diego
AU - Falla, Deborah
PY - 2016/1
Y1 - 2016/1
N2 - OBJECTIVE: To compare the effects of cranio-cervical flexion vs cervical proprioception training on neuromuscular control, pressure pain sensitivity and perceived pain and disability in patients with chronic neck pain.METHODS: Twenty-eight volunteers with chronic non-specific neck pain were randomly assigned to 1 of 2 interventions and undertook 6 physiotherapist-supervised sessions over a period of 2 months. Both groups performed daily home exercise. Performance on the cranio-cervical flexion test, pressure pain thresholds and reported levels of pain and disability were measured before and immediately after the first treatment session, 1 month after starting treatment and 2 months after starting treatment (at completion of the intervention).RESULTS: At 2 months, both groups improved their performance on the cranio-cervical flexion test (p < 0.05), but this did not differ between groups (p > 0.05). Both groups showed a reduction in their pain at rest and disability at 2 months, but this was also not different between groups (p > 0.05). Pressure pain sensitivity did not change for either group.CONCLUSION: Both specific cranio-cervical flexion training and proprioception training had a comparable effect on performance on the cranio-cervical flexion test, a test of the neuromuscular control of the deep cervical flexors. These results indicate that proprioception training may have positive effects on the function of the deep cervical flexors.
AB - OBJECTIVE: To compare the effects of cranio-cervical flexion vs cervical proprioception training on neuromuscular control, pressure pain sensitivity and perceived pain and disability in patients with chronic neck pain.METHODS: Twenty-eight volunteers with chronic non-specific neck pain were randomly assigned to 1 of 2 interventions and undertook 6 physiotherapist-supervised sessions over a period of 2 months. Both groups performed daily home exercise. Performance on the cranio-cervical flexion test, pressure pain thresholds and reported levels of pain and disability were measured before and immediately after the first treatment session, 1 month after starting treatment and 2 months after starting treatment (at completion of the intervention).RESULTS: At 2 months, both groups improved their performance on the cranio-cervical flexion test (p < 0.05), but this did not differ between groups (p > 0.05). Both groups showed a reduction in their pain at rest and disability at 2 months, but this was also not different between groups (p > 0.05). Pressure pain sensitivity did not change for either group.CONCLUSION: Both specific cranio-cervical flexion training and proprioception training had a comparable effect on performance on the cranio-cervical flexion test, a test of the neuromuscular control of the deep cervical flexors. These results indicate that proprioception training may have positive effects on the function of the deep cervical flexors.
U2 - 10.2340/16501977-2034
DO - 10.2340/16501977-2034
M3 - Article
C2 - 26659920
SN - 1650-1977
VL - 48
SP - 48
EP - 55
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
IS - 1
ER -