Effect of adding trunk core training exercise to conventional therapy on patients with chronic mechanical neck pain
Keywords:
mechanical neck pain, exercise, neck disability index, surface electromyography, core training program, cervical range of motionAbstract
Background: One of the most frequent causes of musculoskeletal pain in the general population is cervicalgia, sometimes known as neck pain. Its estimated prevalence ranges from 16.7% to 71.5 percent, and it should be noted that up to 50% of these cases may develop into chronic conditions. In this study, patients with persistent mechanical neck pain were examined to determine the effectiveness of trunk core training exercises on pain, range of motion, functional impairment, and muscle activity. Purpose: The goal of the study was to determine the impact of adding core training to patients' existing conventional treatments for chronic mechanical neck pain. Methods: Twenty male and twenty female patients with persistent mechanical neck pain, ranging in age from 18 to 40, participated in this study. The cases were classified into two equal groups randomly (A and B). Group A has got standard physiotherapy program (Passive stretching of the upper fibers of trapezius, sternocleidomastoid, and scalene muscles, Isometric strengthening exercises of neck muscles, hot pack). Group B has obtained standard physiotherapy program in addition to trunk core training program.
Downloads
References
Albornoz-Cabello, M., Pérez-Mármol, J. M., Barrios Quinta, C. J., Matarán-Peñarrocha, G. A., Castro-Sánchez, A. M., & de la Cruz Olivares, B. "Effect of adding interferential current stimulation to exercise on outcomes in primary care patients with chronic neck pain: A randomized controlled trial." Clinical Rehabilitation 33.9 (2019): 1458-1467.
Alsultan F, De Nunzio AM, Rushton A, Heneghan NR, Deep abdominal muscles in women with and without chronic neck pain Variability of neck and trunk movement during single- and dual-task gait in people with chronic neck pain. Clin Biomech 2020;72:31-36
Apoorva Phadke, Nilima Bedekar, Ashok Shyam, Parag Sancheti, Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial Hong Kong Physiotherapy Journal Volume 35, December (2016).
Areeudomwong, Pattanasin, and Vitsarut Buttagat. "Comparison of core stabilization exercise and proprioceptive neuromuscular facilitation training on pain-related and neuromuscular response outcomes for chronic low back pain: a randomized controlled trial." The Malaysian journal of medical sciences: MJMS 26.6 (2019): 77.
Björklund, Martin, Jern Hamberg, and Albert G. Crenshaw. "Sensory adaptation after a 2-week stretching regimen of the rectus femoris muscle." Archives of physical medicine and rehabilitation 82.9 (2001): 1245-1250.
Boonstra AM, Preuper HR and Reneman MF. Reliability and validity of visual analog scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res.2008; 31(2): 165-9.
Chang WD, Lin HY, Lai PT. Core strength training for patients with chronic low back pain. J Phys Ther Sci. (2015); 27(3):619–622.
Chiu, Thomas TW, Tai-Hing Lam, and Anthony J. Hedley. "A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain." (2005): E1-E7.
Coulombe BJ, Games KE, Neil ER, et al. Core stability exercise versus general exercise for chronic low back pain. J Athl Train (2017); 52:71–2.
Daniaty, T. O. W., Wardani, I. A. K., & Ariani, N. K. P. (2022). Psychiatric aspects and the role of consultation liaison psychiatry (CLP) in traumatic amputation due to electrical burns for adolescents. International Journal of Health & Medical Sciences, 5(4), 253-259. https://doi.org/10.21744/ijhms.v5n4.1947
de Araujo Cazotti, L., Jones, A., Roger-Silva, D., Ribeiro, L. H. C., & Natour, J. "Effectiveness of the Pilates method in the treatment of chronic mechanical neck pain: a randomized controlled trial." Archives of physical medicine and rehabilitation 99.9 (2018): 1740-1746.
Esha A. Bhadauria, Peeyoosha Gurudut, Comparative effectiveness of lumbar stabilization, dynamic strengthening, and Pilates on chronic low back pain: randomized clinical trial, J Exerc Rehabil. 2017 Aug; 13(4): 477–485.
Germaine Mallin, Susan Murphy, The effectiveness of a 6-week Pilates program on outcome measures in a population of chronic neck pain patients: A pilot study Journal of Bodywork & Movement Therapies (2013) 17, 376e384
Gross, A.; Kay, T.M.; Paquin, J.P.; Blanchette, S.; Lalonde, P.; Christie, T.; Dupont, G.; Graham, N.; Burnie, S.J.; Gelley, G. Exercises for mechanical neck disorders. Cochrane Database Syst. Rev. (2015), 1, Cd004250
Gross, Anita, et al. "Exercises for mechanical neck disorders." Cochrane Database of Systematic Reviews 1 (2015).
Häkkinen, A., Kautiainen, H., Hannonen, P., & Ylinen, J. "Strength training and stretching versus stretching only in the treatment of patients with chronic neck pain: a randomized one-year follow-up study." Clinical rehabilitation 22.7 (2008): 592-600.
Hossein Ghapanchizadeh, Siti A Ahmad, Asner Juraiza Ishak, Maged S. Al-Quraishi Review of surface electrode placement for recording electromyography signals. Biomed Res- India (2017) Special Issue.
Javadian, Mohammad Akbari, Ghoadamali Talebi, Mohammad Taghipour-Darzi, and Naser Janmohammadi, Influence of core stability exercise on lumbar vertebral instability in patients presenting with chronic low back pain: A randomized clinical trial, Caspian J Intern Med. 2015 Spring; 6(2): 98–102.
Kisner, Carolyn, and L. A. Colby. "Therapeutic Exercise Foundations and Techniques. 4." FA Davis company (2007).
Lewis, Cara L., and Shirley A. Sahrmann. "Muscle activation and movement patterns during prone hip extension exercise in women." Journal of athletic training 44.3 (2009): 238-248.
Mahmoud S Mahmoud, Maher A El-Kablawyb, Alshaymaa S Abd El-Azeem Effect of Pilates Mat Exercise on Myoelectric Activity of Cervical Muscles in Patient with Chronic Mechanical Neck Pain: Randomized Clinical Trial, Egypt. J. Chem. Vol. 65, No. 3 pp. 191 - 201 (2022)
María Carmen Puerma-Castilloa, María Carmen García-Ríosb , Marta Eloisa Pérez-Gómeza ,María Encarnación Aguilar-Ferrándizc, and María Isabel Peralta-Ramírezd , Effectiveness of kinesio taping in addition to conventional rehabilitation treatment on pain, cervical range of motion and quality of life in patients with neck pain: A randomized controlled trial , Journal of Back and Musculoskeletal Rehabilitation -1 (2017) 1–121.
McPartland, John M., and Raymond R. Brodeur. "Rectus capitis posterior minor: a small but important suboccipital muscle." Journal of Bodywork and Movement Therapies 3.1 (1999): 30-35.
Neiva Pd, Kirkwood Rn, measurement of neck range of motion among mouth breathing children, ISSN 1413-3555 Rev. bras. faster., São Carlos, v. 11, n. 5, p. 355-60, Sept./Oct. 2007
Neiva, P. D., and R. N. Kirkwood. "Measurement of neck range of motion among mouth-breathing children." Brazilian Journal of Physical Therapy 11 (2007): 355-360.
Nikander, R., Malkia, E., Parkkari, J., Heinonen, A., Starck, H., & Ylinen, J. "Dose-response relationship of specific training to reduce chronic neck pain and disability." Medicine and science in sports and exercise 38.12 (2006): 2068.
Rodríguez-Fernández, Á. L., Garrido-Santofimia, V., Güeita-Rodríguez, J., & Fernández-de-Las-Peñas, C. "Effects of burst-type transcutaneous electrical nerve stimulation on cervical range of motion and latent myofascial trigger point pain sensitivity." Archives of physical medicine and rehabilitation 92.9 (2011): 1353-1358.
Saputra, I. P. A. J. S., Mahardika, I. G., & Suryani, N. N. (2022). The eating behaviour, feed consumption, and nutrient digestibility of Sumatran elephant (Elephas maximus sumatrensis). International Journal of Life Sciences, 6(2), 30–40. https://doi.org/10.53730/ijls.v6n2.9222
Selkow NM, Eck MR, Rivas S. Transversus abdominis activation and timing improve following core stability training: a randomized trial. Int J Sports Phys Ther. (2017); 12(7):1048 1056.
Seo, H. G., Bang, M. S., Chung, S. G., Jung, S. H., & Lee, S. U. "Effect of electrical stimulation on botulinum toxin a therapy in patients with chronic myofascial pain syndrome: a 16-week randomized double-blinded study." Archives of Physical Medicine and Rehabilitation 94.3 (2013): 412-418.
Shamsi MB, Sarrafzadeh J, Jamshidi A. Comparing core stability and traditional trunk exercise on chronic low back pain patients using three functional lumbopelvic stability tests. Physiotherapy Theory Prac. (2015); 31(2):89–98.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937
Thongprasert, Chattrachoo, and R. Kanlayanaphotporn. "Abnormal performance of cervical stabilizer muscles in individuals with low back pain." Journal of Manual & Manipulative Therapy 27.4 (2019): 215-221.
Vernon H. The neck disability index: state-of-the-art, 1991-2008. J Manipulative Physiol Ther 2008; 31:491-502.
Vernon, Howard, and Silvano Mior. "The Neck Disability Index: a study of reliability and validity." Journal of manipulative and physiological therapeutics (1991).
Waqqash, E., Adnan, R., Yusof, S. M., Sulaiman, N., & Ismail, S. Efficacy of core stability exercise and muscular stretching on chronic low- back pain. Paper presented at the Proceedings of the International Colloquium on Sports Science, Exercise, Engineering, and Technology 2014 (ICoSSEET 2014).
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.








