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Effect of craniocervical flexor training on pain, strength, and quality of life in subjects with chronic neck pain |
Gorajiya K, Nagaraj S |
Indian Journal of Physical Therapy and Research 2023 Jul-Dec;5(2):140-147 |
clinical trial |
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
BACKGROUND: In context, neck pain is the most prevalent musculoskeletal complaint. Common causes of neck pain include poor posture at work, nervousness, stress, strain, carrying heavy objects, and strenuous physical activity. To enhance a patient's functional status and quality of life (QOL), knowledge of the structures that can cause pain impairment is essential. It was found that a craniocervical flexor training course provides an improved method of isolating the deep cervical flexors. OBJECTIVE: The purpose of this training was to assess the effectiveness of craniocervical flexion training in reducing pain, increasing strength, and enhancing well-being in those with persisting neck pain. METHODOLOGY: Two sets of 20 subjects were used in this study. The treatment (craniocervical flexion training) was administered 5 days a week for 4 weeks. Pain was evaluated using a Visual Analog Scale (VAS), strength was assessed using the craniocervical flexor test, and QOL was measured with the short form 36 before and after treatment. RESULTS: Both groups improved their strength and QOL from pretreatment levels, and the VAS scores of both groups decreased from pretreatment levels. In contrast, both pain and QOL improved more in Group A. CONCLUSION: This study concludes that, when it comes to managing chronic neck pain, craniocervical flexion exercise is more effective than isometric exercise, scapulothoracic exercise, and transcutaneous electrical nerve stimulation alone.
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