Investigation of the effectiveness of neck stabilization exercises in patients with chronic neck pain: A randomized, single-blind clinical, controlled study

Objectives This study aims to compare the efficacy of neck stabilization exercises versus a conventional exercise program on pain, range of motion, disability, and depression in patients with chronic neck pain. Patients and methods This prospective, single-blind, randomized controlled study included 60 patients with chronic neck pain, 58 (21 males, 37 females; mean age: 36.7±8.5 years; range, 18 to 55 years) of whom completed the study. The patients were randomized into two groups. Patients in one group were given neck stabilization exercises, while the patients in the other group were given conventional neck exercises. Neck pain due to activities of daily living (Visual Analog Scale), neck range of motion in sagittal, transverse, and frontal planes, disability (Neck Disability Index), and depression (Beck Depression Inventory) were evaluated at the beginning, at the end of the treatment, and at the first and third months after the end of treatment. Results Significant improvement was achieved in both groups in terms of Visual Analog Scale, Neck Disability Index, neck range of motion in the sagittal, transverse, and frontal planes, and Beck Depression Inventory compared to the beginning of treatment (p<0.05). In the stabilization exercise group, statistically significant improvement was found in the range of motion of the neck in the transverse plane (p<0.05). Conclusion Stabilization exercise programs, which show their effect by maintaining segmental stabilization, postural control, and balance between the superficial and deep muscles of the neck region, contribute to reduced pain in daily activities and improved function similar to conventional exercise programs.

[1]  S. Hepguler,et al.  Does the Use of Electrotherapies Increase the Effectiveness of Neck Stabilization Exercises for Improving Pain, Disability, Mood, and Quality of Life in Chronic Neck Pain?: A Randomized, Controlled, Single-Blind Study , 2018, Spine.

[2]  O. Ogwumike,et al.  Effectiveness of neck stabilisation and dynamic exercises on pain intensity, depression and anxiety among patients with non-specific neck pain: a randomised controlled trial , 2018, Scandinavian journal of pain.

[3]  S. Chung,et al.  Effects of the craniocervical flexion and isometric neck exercise compared in patients with chronic neck pain: A randomized controlled trial , 2018, Physiotherapy theory and practice.

[4]  G Bronfort,et al.  Exercises for mechanical neck disorders: A Cochrane review update. , 2016, Manual therapy.

[5]  A. Abdel-aziem,et al.  Efficacy of deep neck flexor exercise for neck pain: a randomized controlled study , 2016 .

[6]  R. Abouqal,et al.  Chronic neck pain and anxiety-depression: prevalence and associated risk factors , 2016, The Pan African medical journal.

[7]  U. Held,et al.  Obesity is associated with more disability at presentation and after treatment in low back pain but not in neck pain: findings from the OIOC registry , 2016, BMC Musculoskeletal Disorders.

[8]  K. Maluf,et al.  Differential effects of mental concentration and acute psychosocial stress on cervical muscle activity and posture. , 2013, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[9]  S. Aggarwal,et al.  Effect of Deep Cervical Flexor Training vs. Conventional Isometric Training on Forward Head Posture, Pain, Neck Disability Index In Dentists Suffering from Chronic Neck Pain. , 2013, Journal of clinical and diagnostic research : JCDR.

[10]  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.

[11]  L. Holm,et al.  Do physical activity level and body mass index predict recovery from persistent neck pain in men and women of working age? A population-based cohort study , 2013, European Spine Journal.

[12]  H. Vernon,et al.  Clinimetric properties of the Turkish translation of a modified neck disability index , 2012, BMC Musculoskeletal Disorders.

[13]  Andreas Holtermann,et al.  Physical exercise, body mass index, and risk of chronic pain in the low back and neck/shoulders: longitudinal data from the Nord-Trondelag Health Study. , 2011, American journal of epidemiology.

[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]  S. Hepguler,et al.  Efficacy of neck stabilization exercises for neck pain: a randomized controlled study. , 2009, Journal of rehabilitation medicine.

[16]  J. Sim,et al.  Effectiveness of Specific Neck Stabilization Exercises or a General Neck Exercise Program for Chronic Neck Disorders: A Randomized Controlled Trial , 2009, The Journal of Rheumatology.

[17]  M. Nordin,et al.  Course and prognostic factors for neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. , 2009, Journal of manipulative and physiological therapeutics.

[18]  M. Nordin,et al.  Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. , 2009, Journal of manipulative and physiological therapeutics.

[19]  M. Kochen,et al.  Depression and anxiety as major determinants of neck pain: a cross-sectional study in general practice , 2009, BMC musculoskeletal disorders.

[20]  M. Nordin,et al.  Course and Prognostic Factors for Neck Pain in the General Population , 2008, European Spine Journal.

[21]  P. Santaguida,et al.  Conservative management of mechanical neck disorders: a systematic review. , 2007, The Journal of rheumatology.

[22]  H. Kautiainen,et al.  Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements. , 2004, Archives of physical medicine and rehabilitation.

[23]  D. Falla,et al.  Unravelling the complexity of muscle impairment in chronic neck pain. , 2004, Manual therapy.

[24]  P Laippala,et al.  Effect of work with visual display units on musculo-skeletal disorders in the office environment. , 2003, Occupational medicine.

[25]  M. Berk,et al.  A randomized controlled single blind study of the efficacy of clonazepam and lithium in the treatment of acute mania , 1997 .

[26]  S. Mior,et al.  The Neck Disability Index: a study of reliability and validity. , 1991, Journal of manipulative and physiological therapeutics.

[27]  J. Turner,et al.  Self-report screening measures for depression in chronic pain patients. , 1984, Journal of clinical psychology.

[28]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[29]  M. Jafarabadi,et al.  The clinical and EMG assessment of the effects of stabilization exercise on nonspecific chronic neck pain: A randomized controlled trial. , 2017, Journal of back and musculoskeletal rehabilitation.

[30]  J. Stephenson,et al.  Discharge rate modulation of trapezius motor units differs for voluntary contractions and instructed muscle rest , 2010, Experimental Brain Research.