Abstract
Objectives Proprioceptive training is popularly applied as a therapeutic exercise method in physiotherapy. Its effects on pain and range of motion are only poorly evaluated. Therefore, this study assesses the effectiveness of proprioceptive training with an Eye-Cervical Re-education Program to decrease pain and increase the joint range in chronic neck pain patients. Material and Methods. Design A randomized, no-blinded, controlled clinical trial. Setting. Physiotherapy consultation. Participants. 44 people were divided into two groups. Interventions. All patients were treated with a multimodal physiotherapy intervention. The experimental group was supplemented with an exercise program that included eye-cervical proprioception. Outcomes. The primary outcomes included pain pressure thresholds (upper trapezius, levator scapulae, and splenius capitis) and cervical range of motion. The secondary outcomes included pain measured by the Visual Analogical Scale and the McGillSpv Questionnaire. Results The proprioception treatment was effective in reducing the pain pressure threshold in the right upper trapezius (p=0.001), left upper trapezius (p=0.001), left upper trapezius (p=0.001), left upper trapezius (p=0.001), left upper trapezius (p=0.001), left upper trapezius (Conclusions The Eye-Cervical Re-education Program is effective at relieving pain pressure thresholds in the upper trapezius, right levator scapula, and left splenius capitis and especially effective for increasing the cervical range of motion. This trial is registered with NCT03197285 (retrospective registration).
Highlights
Conclusions. e Eye-Cervical Re-education Program is effective at relieving pain pressure thresholds in the upper trapezius, right levator scapula, and left splenius capitis and especially effective for increasing the cervical range of motion. is trial is registered with NCT03197285
In the pressure pain threshold (PPT), significant differences were identified between the groups in the right (p 0.001) and left (p 0.014) upper trapezius, right levator scapula (p 0.040), and the left splenius capitis (p 0.021), whereas for the left levator scapulae and the right splenius capitis, our results indicated no significant differences (p ≥ 0.05)
Only three studies have investigated the effects of proprioceptive exercises on hyperalgesia of the superficial cervical musculature [17, 26, 27]. e results obtained in our study regarding the sensation of pain in the myofascial trigger points (MTrPs) do not coincide with the findings of Llunch et al [26] and Bobos et al [27] is discrepancy may be because proprioceptive exercises, which consist of craniocervical flexion training, did not have an eye-neck coordination component
Summary
Proprioceptive training is popularly applied as a therapeutic exercise method in physiotherapy. Erefore, this study assesses the effectiveness of proprioceptive training with an EyeCervical Re-education Program to decrease pain and increase the joint range in chronic neck pain patients. E experimental group was supplemented with an exercise program that included eye-cervical proprioception. E primary outcomes included pain pressure thresholds (upper trapezius, levator scapulae, and splenius capitis) and cervical range of motion. E proprioception treatment was effective in reducing the pain pressure threshold in the right upper trapezius (p 0.001), left upper trapezius (p 0.014), right levator scapula (p 0.040), and left splenius capitis (p 0.021). E Eye-Cervical Re-education Program is effective at relieving pain pressure thresholds in the upper trapezius, right levator scapula, and left splenius capitis and especially effective for increasing the cervical range of motion. Conclusions. e Eye-Cervical Re-education Program is effective at relieving pain pressure thresholds in the upper trapezius, right levator scapula, and left splenius capitis and especially effective for increasing the cervical range of motion. is trial is registered with NCT03197285 (retrospective registration)
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