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Publication
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Title of Article |
Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck muscle strength in chronic mechanical neck pain: A randomized controlled trial. |
Date of Acceptance |
25 February 2019 |
Journal |
Title of Journal |
่journal of pain research |
Standard |
ISI |
Institute of Journal |
Dove medical press |
ISBN/ISSN |
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Volume |
2019 |
Issue |
12 |
Month |
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Year of Publication |
2019 |
Page |
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Abstract |
Background: Exercise is known to be an important component of treatment programs for individuals with neck pain. The study aimed to compare the effects of semispinalis cervicis (extensor) training, deep cervical flexor (flexor) training, and usual care (control) on functional disability, pain intensity, craniovertebral (CV) angle, and neck muscle strength in chronic mechanical neck pain.
Methods: Fifty-four individuals with chronic mechanical neck pain were randomly allocated to 3 groups: extensor training, flexor training, or control. A Thai version of the Neck Disability Index (NDI-TH), Numeric Pain Scale (NPS), CV angle, and neck muscle strength were measured at baseline, immediately after 6 weeks of training, and at 1- and 3-months follow-up.
Results: The NDI-TH improved significantly more in the exercise groups than in the control group after 6 weeks training, 1- and 3months follow-ups in both the extensor (p=0.001) and flexor groups (p=0.003, p=0.001, p=0.004, respectively). The NPS also improved significantly more in the exercise groups than in the control group after 6 weeks training in both the extensor (p<0.0001) and flexor groups (p=0.029. In both exercise groups, the CV angle improved significantly compared with the control group at 6 weeks and 3 months (extensor group: p=0.008 and p=0.01, respectively; flexor group : p=0.002 and 0.009, respectively). At 1 month, the CV angle improved significantly in the flexor group (p=0.006). Muscle strength in both exercise groups improved significantly more than in the control group at 6 weeks, 1- and 3-months follow-up (extensor group: p=0.04, p=0.02, p=0.002, respectively; flexor group: p=0.002, p=0.001, and 0.001, respectively). The semispinalis group gained extensor strength and the deep cervical flexor group gained flexor strength.
Conclusion: The results suggest that 6 weeks of training in both exercise groups can improve neck disability, pain intensity, CV angle, and neck muscle strength in chronic mechanical neck pain. |
Keyword |
specific training, deep neck muscles, chronic neck pain |
Author |
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Reviewing Status |
ไม่มีผู้ประเมินอิสระ |
Status |
ได้รับการตอบรับให้ตีพิมพ์ |
Level of Publication |
นานาชาติ |
citation |
false |
Part of thesis |
true |
ใช้สำหรับสำเร็จการศึกษา |
ไม่เป็น |
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Citation |
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