The Effect of Swiss Ball Stabilisation Exercise on Deep and Superficial Cervical Muscle and Pain in Patients with Chronic Neck Pain

This study investigated the effect of Swiss Ball stabilisation exercise on deep and superficial cervical muscle and pain with chronic neck pain. Thirty subjects with chronic neck pain were randomly divided into the Swiss Ball Stabilisation Exercise Group (n = 10, SBEG), Craniocervical Flexion Exercise Group (n = 10, CFEG), and Conservative Therapy Group (n = 10, CTG). All patients performed 40-50 minutes a day, thrice a week for 8 weeks. The CSA (Cross-Sectional Area) of neck muscles, longuscolli, longuscapitis, Anterior scalene and Upper trapezius, was measured using functional MRI and VAS and NDI obtained from the subjects was analyzed. After 8-weeks intervention, two groups showed the significant improvement in CSA of deep and superficial muscles; CSA change of SBEG was the most significant among groups compared with CFEG and CTG (P<.001). Swiss Ball stabilisation exercise is likely to widen the CSA of deep and superficial muscles in patient with chronic neck pain, and can be an efficacious therapeutic method that can decrease numerical value of VAS and NDI.

[1]  Eric Achten,et al.  The use of functional MRI to evaluate cervical flexor activity during different cervical flexion exercises. , 2008, Journal of applied physiology.

[2]  S. O'Leary,et al.  Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. , 2008, Journal of manipulative and physiological therapeutics.

[3]  M. Patroncini The Effect of Therapeutic Exercise on Activation of the Deep Cervical Flexor Muscles in People with Chronic Neck Pain , 2011 .

[4]  Jari Ylinen,et al.  Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. , 2003, JAMA.

[5]  Brian C Clark,et al.  The Use of Magnetic Resonance Imaging to Evaluate Lumbar Muscle Activity During Trunk Extension Exercise at Varying Intensities , 2005, Spine.

[6]  S. A. Grubb,et al.  Cervical discography: clinical implications from 12 years of experience. , 2000, Spine.

[7]  H. Picavet,et al.  Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3-study , 2003, Pain.

[8]  Thomas T. W. Chiu,et al.  The Prevalence of and Risk Factors for Neck Pain and Upper Limb Pain among Secondary School Teachers in Hong Kong , 2007, Journal of Occupational Rehabilitation.

[9]  D. Farina,et al.  The Change in Deep Cervical Flexor Activity After Training Is Associated With the Degree of Pain Reduction in Patients With Chronic Neck Pain , 2012, The Clinical journal of pain.

[10]  Osmo Tervonen,et al.  MRI changes of cervical spine in asymptomatic and symptomatic young adults , 2002, European Spine Journal.

[11]  The effect of swiss ball stabilization exercise on pain and bone mineral density of patients with chronic low back pain. , 2013 .

[12]  J. David Cassidy,et al.  The annual incidence and course of neck pain in the general population: a population-based cohort study , 2004, Pain.

[13]  R. Vachalathiti,et al.  Effects of Strength and Endurance Training of Superficial and Deep Neck Muscles on Muscle Activities and Pain Levels of Females with Chronic Neck Pain , 2013, Journal of physical therapy science.

[14]  B. Vicenzino,et al.  The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. , 2009, Manual therapy.

[15]  B. Penninx,et al.  Neck and upper limb pain: more pain is associated with psychological distress and consultation rate in primary care. , 2002, The Journal of rheumatology.