NDLI: Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: a systematic review

Content Provider	Springer Nature : BioMed Central
Author	Blomgren, Johannes Strandell, Erika Jull, Gwendolen Vikman, Irene Röijezon, Ulrik
Abstract	Background Neck pain is a major health issue with high rates of recurrence. It presents with a variety of altered sensorimotor functions. Exercise is a cornerstone of rehabilitation and many training methods are used. Exercise is evaluated in most randomized controlled trials on its pain relieving effects. No review has assessed the effect of exercise on the altered physiological functions or determined if there are differential effects of particular training methods. This review investigated the effects of deep cervical flexor (DCF) training, a training method commonly used for patients with neck pain, and compared it to other training methods or no training on outcomes of cervical neuromuscular function, muscle size, kinematics and kinetics. Methods Web of Science, Scopus, CINAHL, PubMed were searched from inception until January 2018. Twelve randomized controlled trials were included that compared DCF training as sole intervention to other training or no interventions in persons with neck pain. The Cochrane Risk of Bias tool was used to assess the method quality. All outcome measures were analysed descriptively and meta-analyses were performed for measures evaluated in three or more studies. Results DCF training was compared to cervical endurance, strength, proprioception and mobility training, muscle stretching, and no intervention control groups. Physiological outcome measures included neuromuscular co-ordination (craniocervical flexion test), functional tasks, muscle fatigability, muscle size, kinematics (joint position sense, posture and range of motion) and kinetics (strength, endurance and contraction accuracy). Strong evidence was found for effectiveness of DCF training on neuromuscular coordination, but it had no or small effects on strength and endurance at higher loads. DCF training improved head and cervical posture, while evidence was limited or contradictory for other measures. Conclusions DCF training can successfully address impaired neuromuscular coordination, but not cervical flexor strength and endurance at higher contraction intensities. A multimodal training regime is proposed when the aim is to specifically address various impaired physiological functions associated with neck pain.
Related Links	https://bmcmusculoskeletdisord.biomedcentral.com/counter/pdf/10.1186/s12891-018-2324-z.pdf
Ending Page	17
Page Count	17
Starting Page	1
File Format	HTM / HTML
ISSN	14712474
DOI	10.1186/s12891-018-2324-z
Journal	BMC Musculoskeletal Disorders
Issue Number	1
Volume Number	19
Language	English
Publisher	BioMed Central
Publisher Date	2018-11-28
Access Restriction	Open
Subject Keyword	Orthopedics Rehabilitation Rheumatology Sports Medicine Internal Medicine Epidemiology Neck pain Deep cervical flexor training Strength training Physiological outcome measures Systematic review
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rheumatology
Journal Impact Factor	2.2/2023
5-Year Journal Impact Factor	2.6/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review

Reliability and group differences in quantitative cervicothoracic measures among individuals with and without chronic neck pain

ICF components of corresponding outcome measures in flexor tendon rehabilitation – a systematic review

Summarizing the effects of different exercise types in chronic neck pain – a systematic review and meta-analysis of systematic reviews

The outcome of control groups in clinical trials of conservative treatments for chronic mechanical neck pain: a systematic review

Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review

The effects of deep neck muscle-specific training versus general exercises on deep neck muscle thickness, pain and disability in patients with chronic non-specific neck pain: protocol for a randomized clinical trial (RCT)

Kinematics of fast cervical rotations in persons with chronic neck pain: a cross-sectional and reliability study

Implementation of specific strength training among industrial laboratory technicians: long-term effects on back, neck and upper extremity pain

Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: a systematic review

Similar Documents

Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review

Reliability and group differences in quantitative cervicothoracic measures among individuals with and without chronic neck pain

ICF components of corresponding outcome measures in flexor tendon rehabilitation – a systematic review

Summarizing the effects of different exercise types in chronic neck pain – a systematic review and meta-analysis of systematic reviews

The outcome of control groups in clinical trials of conservative treatments for chronic mechanical neck pain: a systematic review

Pain intensity, neck pain and longer duration of complaints predict poorer outcome in patients with shoulder pain – a systematic review

The effects of deep neck muscle-specific training versus general exercises on deep neck muscle thickness, pain and disability in patients with chronic non-specific neck pain: protocol for a randomized clinical trial (RCT)

Kinematics of fast cervical rotations in persons with chronic neck pain: a cross-sectional and reliability study

Implementation of specific strength training among industrial laboratory technicians: long-term effects on back, neck and upper extremity pain

Effects of deep cervical flexor training on impaired physiological functions associated with chronic neck pain: a systematic review