Comparison of cranio-cervical flexion training versus cervical proprioception training in patients with chronic neck pain: A randomized controlled clinical trial.

Abstract:

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.

journal_name

J Rehabil Med

authors

Gallego Izquierdo T,Pecos-Martin D,Lluch Girbés E,Plaza-Manzano G,Rodríguez Caldentey R,Mayor Melús R,Blanco Mariscal D,Falla D

doi

10.2340/16501977-2034

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

48-55

issue

1

eissn

1650-1977

issn

1651-2081

journal_volume

48

pub_type

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