Chronic neck pain is a common source of disability in society. Majority of cases resulting in inability to do daily work and frequent absentism from work. Neck pain may alter proprioceptive function, and cervical repositioning sense is impaired in patients with neck pain. Proprioceptive exercise have an inhibitory effect on pain and discomfort in patients with chronic neck pain. Proprioceptive training programs are used to improve the cervical repositioning sense and eventually relieve the neck pain. This book aims to find out the effects of two different types of proprioceptive training programs, namely; Proprioceptive Neuromuscular Facilitation technique and Deep Cervical Flexors strengthening on subjects with chronic non specific neck pain. The analysis sheds some light on advanced methods used to overcome neck pain and provides evidence for the newer clinical techniques.
The job of secondary school teachers involves a lot of head down posture as frequent reading, assignment correction, computer use and writing on a board put them at risk of developing occupational related neck pain. Available studies of neck pain experienced by teachers are limited. The purpose of this study was to determine whether training of deep cervical flexor muscles with pressure biofeedback has any significant advantage over conventional training for pain and disability experienced by school teachers with neck pain. The data analysis revealed that there was significant improvement in pain and disability in both the groups and the results were better in the experimental group. The article for this study has been accepted for publication in Journal of Physical therapy Science and due to appear in volume 24, issue 7 (August 2012).
Optimal function of the scapular stability system is considered to be an important feature in neck pain and the recurrence of neck pain. This study investigates the scapular stability system in patients with insidious onset neck pain and whiplash associated disorders by assessing whether there is a pattern of altered scapular orientation when the arm is resting by the side and during arm elevation. The onset of muscle activation of the scapular stability muscles; trapezius and serratus anterior, when the arm is elevated was also evaluated as well as the cervical-thoracic alignment. A control group was selected for comparison. The results revealed altered scapular orientation, altered cervical alignment and altered onset of muscle activation in the scapular stability muscles in the symptomatic groups. A different manifestation was revealed between the two symptomatic groups in scapular orientation. These changes in the scapular stability system and the alignment of the cervical spine may be an important mechanism for maintenance, recurrence or exacerbation of symptoms in patients with neck pain.
Neck pain is a common musculoskeletal disorder. It can be disabling, and constitutes a high health and economic burden. A large majority of neck pains are of mechanical origin. There has been a growing research interest on optimal interventions but there are no ‘gold standards’. Spinal manipulation a form of manual therapy is often used in clinical practice to treat individuals with neck pain.However, in recent time manipulation applied directly to the cervical region has come under close scrutiny because of the potential risk of cervical arterial dysfunction. On the other hand, there is growing evidence for the use of thoracic spine manipulation in treating neck pain. Despite the relatively large number of randomized controlled trials carried on its effectiveness, the evidence of the effectiveness of thoracic manipulation in treating neck pain has been described as inconsistent and inconclusive. Therefore, this systematic review critically appraised, synthesized, and provides a clearer and more accurate overall assessment on the effectiveness of thoracic manipulation in reducing pain and disability in adults with mechanical neck pain.
Nearly 70 percent of the people in the World have significant back pain at some time or the other in their lives. Non-specific Low Back Pain is one of the most common conditions for which individuals seek the advice of a Physiotherapist. Despite being one of the most commonly treated disorders in outpatient physical therapy practice, the management of low back pain (LBP) continues to be a challenge. Therapists must be able to identify those attributes that contribute to disabling LBP and recognize interventions that prevent or minimize the progression to chronicity. The analysis in this book will be helpful to the physiotherapist practitioners to formulate the most appropriate treatment protocol for patients with chronic non-specific low back. The author has highlighted the need to separate specific from non-specific low back pain (NSLBP); that psychological factors impact greatly on the outcomes of treatment and disability; and the treatment of LBP should focus on the prevention of disability. Also, educating patients on the natural course of Low Back Pain and recommending the continuation of tolerable physical activity should be incorporated as well.