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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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European Journal of Physical and Rehabilitation Medicine 2017 Jul 17

DOI: 10.23736/S1973-9087.17.04658-5

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

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

I Hsien LIN 1, Kwang H. CHANG 1, 2, Tsan H. LIOU 2, 3, Chih M. TSOU 1, Yi C. HUANG 4

1 Department of Physical Medicine and Rehabilitation, Wang Fang Hospital, Taipei Medical University, Taipei, Taiwan; 2 Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan; 3 Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan; 4 Department of Health Promotion and Gerontological Care, Taipei College of Maritime Technology, New Taipei City, Taiwan


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BACKGROUNDː Although neck pain is a common musculoskeletal disorder, there is no consensus on suitable exercise methods for middle-aged and senior patients with chronic neck pain. Therefore, this study investigated the effectiveness of a 6-week shoulder-neck exercise intervention program on cervical muscle function improvement in ≥45-year old patients with chronic neck pain.
AIM: To evaluated the effects of progressive shoulder-neck exercise on cervical muscle functions of middle-aged and senior patients with chronic neck pain. DESING: A randomized controlled Single-blind trial.
SETTING: Rehabilitation department of a hospital.
POPULATIONː A total of 72 subjects aged ≥45 years with chronic neck pain were randomly allocated to either a experimental group (n = 36; age 57.3±8.74 years) or a control group (n = 36; age 58.15±8.17 years).
METHODS: The control group received only traditional physiotherapy, whereas the experimental group participated in a 6-week shoulder-neck exercise program consisting of cranio-cervical flexion and progressive resistance exercises in addition to receiving traditional physiotherapy. The muscle functions of subjects in both groups were tested before the experiment and also after the intervention program. The pretest and posttest measured the cranio-cervical flexion test (CCFT) and the superficial cervical muscle strength.
RESULTSː After the intervention, the experimental group had a 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), indicating that in 6-week intervention significantly influenced the improvement of cervical muscle functions.
CONCLUSIONSː This study confirmed that the 6-week progressive shoulder-neck exercise program can effectively improve cervical muscle function in middle-aged and senior patients with chronic neck pain.
CLINICAL REHABILITATION IMPACT: Progressive shoulder-neck exercise might provide positive effect on deep and superficial neck muscle strength in patients with chronic neck pain. Therefore, this study may serve as a reference for the clinical rehabilitation of patients with chronic neck pain.


KEY WORDS: Neck pain - Exercise - Rehabilitation - Muscle strength

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Publication History

Article first published online: July 17, 2017
Manuscript accepted: July 14, 2017
Manuscript revised: June 20, 2017
Manuscript received: January 21, 2017

Per citare questo articolo

Lin IH, Chang KH, Liou TH, Tsou CM, Huang YC. 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. Eur J Phys Rehabil Med 2017 Jul 17. DOI: 10.23736/S1973-9087.17.04658-5

Corresponding author e-mail

yiching@ntunhs.edu.tw