The effect of a rehabilitation exercise program on head repositioning accuracy and reported levels of pain in chronic neck pain subjects.
Objectives. Currently, there is limited research on the effectiveness of rehabilitative exercises for neck pain patients generally, and chronic neck pain patients in particular. Interestingly, recent evidence suggests that dysfunction of cervicocephalic kinesthesia, as measured by head repositioning...
| Publicado en: | Journal of Whiplash & Related Disorders Vol. 1; no. 1; pp. 99 - 113 |
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| Autores principales: | , |
| Formato: | clinical trial pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2002
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106680992&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106680992 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15332888 131H jtl: Journal of Whiplash & Related Disorders issn: 15332888 maglogo: N pubinfo: dt: 2002 vid: 1 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106680992 106680992 2004099533 10.1300/j180v01n01_09 106680992 ppf: 99 ppct: 14 formats: fmt: @attributes: type: P tig: atl: The effect of a rehabilitation exercise program on head repositioning accuracy and reported levels of pain in chronic neck pain subjects. aug: au: Humphreys BK Irgens PM affil: Anglo-European College of Chiropractic, Bournemouth, UK sug: subj: Chronic Pain Head Neck Pain Rehabilitation Range of Motion Adult Analysis of Variance Clinical Trials Convenience Sample Female Male Pain Measurement Prospective Studies Visual Analog Scaling Human Adult: 19-44 years Female Male ab: Objectives. Currently, there is limited research on the effectiveness of rehabilitative exercises for neck pain patients generally, and chronic neck pain patients in particular. Interestingly, recent evidence suggests that dysfunction of cervicocephalic kinesthesia, as measured by head repositioning accuracy (HRA), is present in many chronic patients, and that active eye-head-neck, co-ordination exercises, may be useful in terms of patients' rehabilitation. The purpose of this study was twofold: i. to determine if there was a difference in HRA in chronic neck pain subjects versus controls; ii. to assess the effect of a rehabilitative exercise program on chronic neck pain subjects' HRA and reported levels of pain. Method. A prospective, intervention study on a convenience sample of chronic neck pain subjects (> 3 months duration) versus age and gender matched, asymptomatic control subjects was conducted. Exclusion criteria included any form of active treatment (> 1 per month) for musculoskeletal complaints, including medication, as well as any arthritic, orthopaedic, or neurological disorder. Both symptomatic and asymptomatic subjects were assigned, via stratified, random allocation, to either a rehabilitative exercise or non-exercise group. This gave rise to 4 groups. Symptomatic and asymptomatic exercise subjects were given a training session as well as written and verbal instructions on how to perform the eye-head-neck, co-ordination exercises. Subjects were asked to perform the exercises twice daily over a 4-week period, and to keep a diary of exercise compliance and any associated symptomatology. Outcomes included HRA for all active cervical range-of-motion, measured by a helmet-mounted laser pointer on a paper target, and pain intensity as measured by a 100 mm visual analogue scale (VAS). Outcomes were measured in all subjects at baseline, end of week 2, and end of week 4. Results. Sixty-three subjects were recruited, of which 56 completed the 4-week study. Twenty-eight chronic neck pain subjects (14 males and 14 females; mean age 22.6 years, range 19-30 years), and 28 asymptomatic controls (14 males and 14 females; mean age 23.9 years, range 19-31 years) were assigned via stratified random allocation, to an exercise or non-exercise group. Each of the 4 groups contained 14 subjects. Active HRA was significantly reduced in neck pain subjects in comparison with control subjects (ANOVA, p < 0.001). Whiplash patients (N = 17) in particular, were significantly less precise (ANOVA, p < 0.001). A significant reduction in reported pain was experienced by the symptomatic exercise versus symptomatic non-exercise group (ANOVA, p < 0.001). At 4-weeks, the symptomatic exercise group demonstrated significantly improved HRA in all active movements compared to the other groups (ANOVA, p < 0.001). Conclusions. This study provides evidence that simple, eye-head-neck, co-ordination exercises, may be helpful in reducing functional impairment in terms of cervicocephalic kinesthesia, as well as reported levels of pain in chronic neck pain subjects. pubtype: Academic Journal doctype: clinical trial pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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