Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting

Falla, D., O'Leary, S., Fagan, A. and Jull, G. (2007) Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Manual Therapy, 12 2: 139-143. doi:10.1016/j.math.2006.06.003

Author Falla, D.
O'Leary, S.
Fagan, A.
Jull, G.
Title Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1356-689X
Publication date 2007-01-01
Year available 2006
Sub-type Article (original research)
DOI 10.1016/j.math.2006.06.003
Volume 12
Issue 2
Start page 139
End page 143
Total pages 5
Editor Ann Moore
Gwendolen A Jull
Place of publication Edinburgh
Publisher Churchill Livingstone
Language eng
Subject 321024 Rehabilitation and Therapy - Occupational and Physical
321403 Motor Control
730303 Occupational, speech and physiotherapy
Abstract Specific strategies to optimally facilitate postural muscles to retrain postural form are advocated in the clinical management of neck pain. The purpose of this study was to compare the activation of selected cervical, thoracic and lumbar muscles during independent and facilitated postural correction in sitting in 10 subjects with chronic neck pain. Deep cervical flexor(DCF) muscle activity was recorded with custom electrodes inserted via the nose and fixed by suction to the posterior mucosa of the oropharynx. Surface electrodes were placed over the thoracic erector spinae and lumbar multifidus muscles. Root-mean-square EMG amplitude was measured for each muscle across two conditions. In the first condition, subjects were instructed to spontaneously "sit up straight" from a slumped posture without any other guidance from the therapist. In the second condition the therapist provided specific manual and verbal facilitation to assist the patient to correct to an upright pelvic position with a neutral spinal lumbo-pelvic position. Activation of the DCF and lumbar multifidus muscles (P < 0.05) were significantly greater when the therapist facilitated postural correction compared to independent sitting correction. Specific postural-correction strategies result in better facilitation of key postural muscles compared to non-specific postural advice. The results of this study highlight the need for clinical skill and precision in postural training of patients with neck pain. (c) 2006 Elsevier Ltd. All rights reserved.
Keyword Rehabilitation
Neck Pain
Craniocervical Flexion
Q-Index Code C1
Q-Index Status Confirmed Code
Additional Notes Available online 8 August 2006

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 56 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 19 Feb 2008, 03:17:19 EST