Effect of neck exercise on sitting posture in patients with chronic neck pain

Falla, D., Jull, G., Russell, T., Vicenzino, G. and Hodges, P. (2007) Effect of neck exercise on sitting posture in patients with chronic neck pain. Physical Therapy, 87 4: 408-417. doi:10.2522/ptj.20060009

Author Falla, D.
Jull, G.
Russell, T.
Vicenzino, G.
Hodges, P.
Title Effect of neck exercise on sitting posture in patients with chronic neck pain
Journal name Physical Therapy   Check publisher's open access policy
ISSN 0031-9023
Publication date 2007-01-01
Sub-type Article (original research)
DOI 10.2522/ptj.20060009
Open Access Status DOI
Volume 87
Issue 4
Start page 408
End page 417
Total pages 10
Editor Dr. Jules Rothstein
Jan P Reynolds (Managing Editor)
Place of publication Alexandria
Publisher Amer Physical Therapy Assoc
Language eng
Subject 321024 Rehabilitation and Therapy - Occupational and Physical
321402 Biomechanics
321403 Motor Control
730303 Occupational, speech and physiotherapy
Abstract Background and Purpose Poor sitting posture has been implicated in the development and perpetuation of neck pain symptoms. This study had 2 purposes: (1) to compare change in cervical and thoracic posture during a distracting task between subjects with chronic neck pain and control subjects and (2) to compare the effects of 2 different neck exercise regimens on the ability of people with neck pain to maintain an upright cervical and thoracic posture during this task. Subjects Fifty-eight subjects with chronic, nonsevere neck pain and 10 control subjects participated in the study. Method Change in cervical and thoracic posture from an upright posture was measured every 2 minutes during a 10-minute computer task. Following baseline measurements, the subjects with neck pain were randomized into one of two 6-week exercise intervention groups: a group that received training of the craniocervical flexor muscles or a group that received endurance-strength training of the cervical flexor muscles. The primary outcomes following intervention were changes in the angle of cervical and thoracic posture during the computer task. Results Subjects with neck pain demonstrated a change in cervical angle across the duration of the task (mean=4.4 degrees; 95% confidence interval [CI]=3.3-5.4), consistent with a more forward head posture. No significant difference was observed for the change in cervical angle across the duration of the task for the control group subjects (mean=2.2 degrees; 95% CI=1.0-3.4). Following intervention, the craniocervical flexor training group demonstrated a significant reduction in the change of cervical angle across the duration of the computer task. Discussion and Conclusion This study showed that people with chronic neck pain demonstrate a reduced ability to maintain an upright posture when distracted. Following intervention with an exercise program targeted at training the craniocervical flexor muscles, subjects with neck pain demonstrated an improved ability to maintain a neutral cervical posture during prolonged sitting.
Keyword Orthopedics
Cervical Flexor Muscles
Cervicocephalic Kinesthetic Sensibility
Asymptomatic Office Workers
Craniocervical Flexion Test
Randomized Controlled-trial
Myoelectric Manifestations
Head Posture
Q-Index Code C1
Q-Index Status Confirmed Code

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Created: Tue, 19 Feb 2008, 02:43:43 EST