Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 28 (1), 175-80

Effect of Thoracic Manipulation and Deep Craniocervical Flexor Training on Pain, Mobility, Strength, and Disability of the Neck of Patients With Chronic Nonspecific Neck Pain: A Randomized Clinical Trial

Affiliations

Effect of Thoracic Manipulation and Deep Craniocervical Flexor Training on Pain, Mobility, Strength, and Disability of the Neck of Patients With Chronic Nonspecific Neck Pain: A Randomized Clinical Trial

Kwan-Woo Lee et al. J Phys Ther Sci.

Abstract

[Purpose] To investigate the effects of thoracic manipulation and deep craniocervical flexor training on the muscle strength and endurance, range of motion, and the disability index of the neck of patients with chronic nonspecific neck pain. [Subjects and Methods] Forty-six patients with chronic neck pain participated. They received an intervention for 35 minutes a day, three times a week for 10 weeks. Subjects were randomly assigned to one control and two experimental groups: group A (thoracic manipulation combined with deep craniocervical flexor training, n=16), group B (deep craniocervical flexor training, n=15), and group C (active self-exercise as a control group, n=15). Muscle strength and endurance, pain, neck disability index, and range of motion of the cervical and thoracic spine were measured before and after the intervention. [Results] Group A showed significant increases in muscle strength, endurance, and cervical and thoracic range of motion, and significant decreases in the pain and neck disability index, compared with groups B and C. [Conclusion] Although deep craniocervical flexor training is effective at improving neck function, thoracic manipulation combined with deep craniocervical flexor training was a more effective intervention for pain relief and improving the range of motion, muscle function, and neck disability of patients with nonspecific chronic neck pain.

Keywords: Deep craniocervical flexor; Neck pain; Thoracic manipulation.

Similar articles

See all similar articles

Cited by 2 articles

References

    1. Cassidy JD, Carroll LJ, Côté P: The Saskatchewan health and back pain survey. The prevalence of low back pain and related disability in Saskatchewan adults. Spine, 1998, 23: 1860–1866, discussion 1867. - PubMed
    1. Sillanpää J, Huikko S, Nyberg M, et al. : Effect of work with visual display units on musculo-skeletal disorders in the office environment. Occup Med (Lond), 2003, 53: 443–451. - PubMed
    1. Kim JH, Lee HS, Park SW: Effects of the active release technique on pain and range of motion of patients with chronic neck pain. J Phys Ther Sci, 2015, 27: 2461–2464. - PMC - PubMed
    1. Barnsley L, Lord S, Bogduk N: Comparative local anaesthetic blocks in the diagnosis of cervical zygapophysial joint pain. Pain, 1993, 55: 99–106. - PubMed
    1. Falla D: Unravelling the complexity of muscle impairment in chronic neck pain. Man Ther, 2004, 9: 125–133. - PubMed
Feedback