Effectiveness of adding rehabilitation of cervical related sensorimotor control to manual therapy and exercise for neck pain: A randomized controlled trial

Sremakaew, Munlika; Jull, Gwendolen; Treleaven, Julia; Uthaikhup, Sureeporn

doi:10.1016/j.msksp.2022.102690

Cited by 8 publications

(17 citation statements)

References 37 publications

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“…The year of publication ranged from 1998 41 to 2023. 42,43 The number of participants ranged from 25 44 to 218, 45 and the mean age of the participants ranged from 20 46 to 50 years. 43,47 Eight studies included only female participants.…”

Section: Resultsmentioning

confidence: 99%

“…The 27 studies included a total of 2409 participants with neck pain, either of non-traumatic onset, 41–43,46,47,51,52,54–59 traumatic onset (whiplash related), 44,60–64 a mix of traumatic and non-traumatic onset 65 or work-related neck pain 48,50 ; the cause was not reported in four studies. 49,53,66,67 All randomised controlled trials included people with chronic symptoms, except one that included people with subacute whiplash-associated disorders.…”

Section: Resultsmentioning

confidence: 99%

“…63,65 The total duration of supervised rehabilitation ranged from 1 h 66 to 40 h, 43,59 spread out over 2 weeks 51,71,72 to 16 weeks. 65 Home exercises, used either as the main intervention 51 or in combination with supervised exercises, were included in the programme in 16 studies 42,44,46–48,51–53,55,56,60–62,65,66,74 and were performed from twice per week 74 to two to five times per day, 47 over 3 weeks 66 to 1 year. 51…”

Section: Resultsmentioning

confidence: 99%

“…; 47,58,74 and (5) interventions involving cervical extensor muscle exercises combined with other active and passive interventions. 41–43,51,54,59–65,67–69,71–73,75 Whereas most studies compared a neck pain rehabilitation programme involving cervical extensor muscle exercises to an intervention without cervical extensor muscle exercises or to a control group (no, or minimal, intervention), some studies compared two cervical extensor muscle intervention groups classified within a same category 42–44,48,50,53,54,56,59,67 or different categories. 47,61…”

Section: Resultsmentioning

confidence: 99%

“…Among the 27 studies, nine interventions consisted of a low load programme 41,44,53,55,56,58,60,63,66 and eight of a high load programme. 44,50,51,53,56,57,67,74 In 21 interventions, 42–44,46–50,52,54,57–59,61,62,67,74 the cervical extensor muscle exercises were progressive; in 16 interventions, the programme progressed from a low load to a high load programme. 42,43,47–50,52,54,59,61,62,67 In three studies, the intensity of the cervical extensor muscle exercises was unclear.…”

Section: Resultsmentioning

confidence: 99%

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Exercise therapy including the cervical extensor muscles in individuals with neck pain: A systematic review

et al. 2023

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Objective To review the use (dosage parameters and combination with other therapeutic interventions) of cervical extensor muscle exercises and their effect on pain, disability (primary outcomes), range of motion, endurance and strength (secondary outcomes) in people with neck pain. Data sources An extensive literature search was conducted through MEDLINE (Ovid), Scopus (Elsevier) and Physiotherapy Evidence Database (PEDro) up to May 2023. The reference lists of all included studies and relevant reviews were screened for additional studies. Review methods Randomised controlled trials reporting the use of cervical extensor muscle exercises (alone or combined) applied to adults with idiopathic or traumatic neck pain were included. Study selection, data extraction and critical appraisal (PEDro assessment scale) were performed by two blinded reviewers. Data extraction included dosage parameters, other modalities combined with these exercises and outcomes. Results Thirty-five randomised controlled trails (eight of which were complementary analyses) with 2409 participants fulfilled the inclusion criteria. Twenty-six were of moderate to high quality. In most studies, cervical extensor muscle exercises were combined with various other therapeutic modalities and applied at different dosages. Only two studies (one high and one low quality) specifically assessed their effectiveness. The high-quality study showed significant improvements in neck pain and disability, pressure point threshold and neck mobility after both low load and high load training for 6 weeks. Conclusion The results suggest cervical extensor muscle exercises may reduce neck pain and disability; however firm conclusions cannot be drawn because of the few studies that addressed this question and the heterogeneity of the dosage parameters.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Exercise therapy including the cervical extensor muscles in individuals with neck pain: A systematic review

et al. 2023

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A novel multiagent system for cervical motor control evaluation and individualized therapy: integrating gamification and portable solutions

Sales Mendes,

Sánchez San Blas,

Pérez Robledo

et al. 2024

Multimedia Systems

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The study focused on designing a portable, objective device for assessing and addressing Cervical Motor Control (CMC) impairments. This device is based on a proposed architecture that employs advanced technology to evaluate and enhance patients’ CMC. During a pilot study with 10 participants, the device’s feasibility and usability were verified, including an initial assessment using the Head Relocation Test and a 12-session intervention over 4 weeks. The architecture of the proposed system is responsible for gathering pertinent data concerning patients’ cervical motor control. It employs advanced algorithms to process this data and objectively assess CMC function. Furthermore, the system tailors the therapy to each patient’s individual needs. Preliminary results indicate that the device and the proposed architecture positively impact assessment test performance accuracy. While additional validation tests are required to confirm their effectiveness, this device emerges as a promising and valuable alternative for assessing and treating patients with CMC impairments. Its focus on advanced technology and personalized adaptation aligns with previous research in telerehabilitation and classroom physical activity promotion.

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Changes in Multiple Aspects of Pain Outcomes After Rehabilitation

Uthaikhup,

Sremakaew,

Treleaven

et al. 2024

The Clinical Journal of Pain

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Objectives: To examine changes in pain outcomes to fully evaluate the effect of adding sensorimotor training to manual therapy and exercise in patients with chronic neck pain and sensorimotor deficits. Concordance was examined between pain distribution and pain intensity and patient-reported outcomes. Methods: Participants (n=152) were randomly allocated into four intervention groups: One group received local neck treatment (NT) comprising manual therapy and exercise and the other three groups received additional sensorimotor training (either joint position sense/oculomotor exercises, balance exercises or both). Treatment was delivered twice a week for six weeks. Pain and patient-reported outcomes were measured at baseline, post-treatment and 3-, 6- and 12-month follow-ups. Results: There were greater changes in pain location, extent and intensity at 6- and 12-month follow-ups in the sensorimotor training groups compared to the NT group (P<0.05). A greater number of patients in the sensorimotor training groups gained ≥ 50% reduction in pain extent and intensity relative to the NT group at 6- and 12-months (P<0.05). Clinical improvement in pain extent was concordant with pain intensity (adjusted kappa=056-0.66, %agreement=78.3-82.9, P<0.001) and disability (adjusted kappa=0.47-0.58, %agreement=73.7-79.0, P<0.01) at 3-, 6- and 12-month follow-ups, but not with function and well-being. The concordance tended to decline with time. Discussion: Multiple aspects of the pain experience improved in the longer term by adding sensorimotor training to NT for patients with neck pain and sensorimotor deficits. The concordance between pain and patient-reported outcomes was not always evident and varied over time, suggesting the need for multidimensional assessments of pain.

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Effectiveness of adding rehabilitation of cervical related sensorimotor control to manual therapy and exercise for neck pain: A randomized controlled trial

Cited by 8 publications

References 37 publications

Exercise therapy including the cervical extensor muscles in individuals with neck pain: A systematic review

Exercise therapy including the cervical extensor muscles in individuals with neck pain: A systematic review

A novel multiagent system for cervical motor control evaluation and individualized therapy: integrating gamification and portable solutions

Changes in Multiple Aspects of Pain Outcomes After Rehabilitation

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