Effect of Pressure biofeedback training on deep cervical flexors endurance in patients with mechanical neck pain: A randomized controlled trial.

Rabia Ashfaq,Huma Riaz

doi:10.12669/pjms.37.2.2343

Abstract

Objective:To compare the effects of Cranio cervical flexion training with and without pressure biofeedback on deep cervical muscular endurance in patients with mechanical chronic neck pain.Methods:A randomized control trial was conducted at Railway General Hospital Rawalpindi, from May to December 2019. It consisted of thirty participants with the age ranging from 25 to 40 years, and having chronic mechanical neck pain. The participants were randomly allocated into two groups Group-A received Craniocervical flexion training with pressure biofeedback and Group-B received Craniocervical flexion training without pressure biofeedback. The intervention was applied for four weeks (3 sessions per week). Assessments were taken at Pre, Post intervention and after six weeks of follow up. Data analysis was done using SPSS-21 version.Results:The mean age of Group-A and Group-B was 29.40±3.08 and 31.33±4.95 respectively. Between-group analyses has shown statistically and clinically significant improvement in Group-A regarding deep neck muscles endurance (p<0.05). Whereas within group analysis of both groups A & B showed a statistical and clinically significant difference (p=0.00) for deep neck muscles endurance.Conclusions:Cranio-cervical flexion training with Pressure Biofeedback has proven to be more effective in improving endurance of deep cervical flexors in patients with mechanical neck pain.

Highlights

Neck pain affects approximately 70% of people at some point in their lifetime.[1]
Mechanical neck pain is described by IASP as the nonspecific pain experienced posteriorly to the neck which originates from the superior nuchal line and extends to the first thoracic spinous process.[3]
Friedman test was conducted for variables of pain and Endurance (Hold time in sec)

Summary

Introduction

Neck pain affects approximately 70% of people at some point in their lifetime.[1] Gender wise distribution is women (43%) and men (30%).[2] Mechanical neck pain is described by IASP as the nonspecific pain experienced posteriorly to the neck which originates from the superior nuchal line and extends to the first thoracic spinous process.[3] In Asia 1-year point prevalence of neck pain is 13%.4. Pak J Med Sci March - April 2021 Vol 37 No 2 www.pjms.org.pk 550 of cervical muscles.[5,6] It results in significant use of medication, work related absenteeism, impaired performance and poor quality of life. Neck pain is considered to be a problem which causes subsequent personal and financial loss.[7]

Methods

Results

Conclusion