Tag: cervical spine

The effectiveness of rehabilitation by exercising central stability of the cervical spine in cognitive phase in patients with neck pain (pilot study)

Marcin Świątczak, Rafał Janiak, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski

Marcin Świątczak, Rafał Janiak, Agnieszka Leszczyńska, Agnieszka Przedborska, Magdalena Pruszyńska, Katarzyna Glibov, Jan W. Raczkowski – The effectiveness of rehabilitation by exercising central stability of the cervical spine in cognitive phase in patients with neck pain (pilot study). Fizjoterapia Polska 2021; 21(3); 102-112

Abstract
Introduction. In present times, vast majority of patients with back ailments complain about pain in cervical spine area. The use of  exercises based on biofeedback as well as  patient’s full engagement and focus  are designed to restore sufficient control to deep stabilizers of the cervical spine, where  vestibular system plays a crucial role.  The following method is appropriate for patients who experience different types of pain since it will not inflict further damage or exacerbate existing degeneration in that segment.
Purpose of the study. The purpose of this study is to analyze how central stabilization exercises influence stability of the neck in cognitive phase and whether they minimize neck pain, correct and restore overall motor control to effectively improve everyday physical activity and activities of daily living.
Measures and test methods. The subject of this research were patients with neck pain syndrome. The group of participants took part in a three-week program, which involved exercising central stability of the neck. The test measures were: Numeric Rating Scale (NRS), measures of neck mobility, Neck Disability Index, repositioning to neutral spot, as well as The Dartmouth Coop Functional and Health Status Measures for Adults. The patients were examined before and after completing the program.
Results. The study has shown that neck pain decreased by 1.7 points in 80% of the respondents. It has been observed that after the program patients had experienced increased neck mobility by 1 centimeter on average in all ranges of motion. They have also reported improved everyday physical activity and greater physical fitness.
Conclusions. Exercising central stability of the cervical spine in cognitive phase are beneficial for: restoring motor control, relieving neck pain, increasing range of motion of the head, and improving everyday physical activity.
Key words:
central stability, cervical spine, cognitive
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Changes in the subjective sensation of pain in patients with cervical spine dysfunction treated by means of Saunders traction and TENS

Andrzej Myśliwiec, Edward Saulicz

Andrzej Myśliwiec, Edward Saulicz – Changes in the subjective sensation of pain in patients with cervical spine dysfunction treated by means of Saunders traction and TENS. Fizjoterapia Polska 2010; 10(3); 211-221

Abstract
Background. Neck pain is one of the most common causes of reduced overall well-being. The aim of this thesis is to present changes in the sensation of neck pain following a traction and TENS treatment. Materials and methods. The subjects of this study were 45 patients aged 21-66 years suffering from neck pain. They were treated using the Saunders traction device and TENS. The treatment was performed in three experimental groups. Saunders traction was used in the first group, TENS in the second group and the last group received a combination of both these treatments. Results. The patients’ subjective assessment of pain intensity in the Laitinen scale showed a reduction of pain in all groups characterized by a decrease of pain intensity from moderate to mild. The most pronounced therapeutic effect was achieved in the group which received a combination of traction and TENS. Conclusions. The Saunders traction device combined with TENS produced the most marked and lasting decrease in pain arising from the cervical spine. The greatest improvement was observed after the first session. Improved well-being was also noticed at the end of the treatment.
Key words:
cervical spine, traction, TENS
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Comparison of the effectiveness of two health resort therapy programs in office workers with the pain in the cervical spine occurring in the course of degenerative changes

Ewa Puszczałowska-Lizis, Kamila Dobrucka, Izabela Zbrońska

E. Puszczałowska-Lizis, K. Dobrucka, I. Zbrońska – Comparison of the effectiveness of two health resort therapy programs in office workers with the pain in the cervical spine occurring in the course of degenerative changes. Fizjoterapia Polska 2019; 19(4); 126-135

Abstract
Background. Back problems become a medical and social problem in the era of modern civilization. Wide variety of pain syndromes, their recurrent character and persisting pain in chronic cases prompts the search for effective diagnostic and therapeutic methods. The aim of the study was to compare the effectiveness of two spa therapy programs in alleviating pain and eliminating functional limitations in office workers with degenerative disease of the cervical spine.
Material and methods. The study involved 144 office workers aged 45-55, staying on a rehabilitation stay due to pain in the cervical spine caused by degenerative changes. Patients were divided into two groups depending on the rehabilitation programme administered. Research tools was functional tests of the cervical spine (Valsalva, Kernig, compression test and traction test), linear measurements of ranges of cervical spine, NRS scale and NDI questionnaire. The data were analyzed based on the Chi-square test, Student t test, Mann Whitney U test, Wilcoxon test.
Results. In both groups, after improvement, a statistically significant improvement was noted in terms of functional test results, cervical spine movement ranges, NRS scale values and NDI index. The differences in the results obtained in Test II in relation to I were significantly greater for patients from group I. The application of both therapeutic programs had an effect on alleviating pain and improving functional capacity.
Conclusions. Application of both programs contributed to the relief intensity of pain and improved functional capacity, however, the extent of improvement was significantly greater in the case of patients subjected to a program containing mud therapy.

Key words:
cervical spine, pain, functional capacity, balneotherapy

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Procjena pokretljivosti vilice i vratnog dijela kralježnice kod defekata stomatognatog sustava (SS)

Magdalena Gębska, Aleksandra Szylińska, Katarzyna Weber-Nowakowska, Elżbieta Kubala, Wojciech Garczyński, Łukasz Kołodziej

M. Gębska, A. Szylińska, K. Weber-Nowakowska, E. Kubala, W. Garczyński, Ł. Kołodziej – Assessment of mobility of the mandible and cervical spine in the stomatognathic system disorders. Fizjoterapia Polska 2019; 19(2); 78-86

Abstract
Introduction. The biomechanical connection of the stomatognathic system (SS) with anatomical structures within the head, neck, shoulder girdle, and even with the whole musculoskeletal system signals the need for an interdisciplinary approach to the treatment of dysfunctions of this system.
Objective. Assessment of mobility of the temporomandibular joints and cervical spine in patients with masseter muscle pain. Determination of the relationship between the mobility of the temporomandibular joints and cervical spine. Assessment of bioelectrical activity (sEMG) of masseter muscles in patients with myogenic disorders of the stomatognathic system.
Material and methods. Fifty women (G I) aged 20 to 37 years with diagnosed myogenic disorders of the stomatognathic system and pain were studied. The following examinations were carried out: interview (questionnaire) and physical examination (examination of the stomatognathic system according to Bouman, sEMG of masseter muscles, evaluation of cervical spine mobility, numerical pain scale). The control group (G II) consisted of 50 healthy women.
Results. The level of pain intensity in the masseter muscles was close to the intensity of pain within the sternocleidomastoid muscles. In patients suffering from pain of the stomatognathic system, there was a limited range of mobility of the cervical spine. The largest difference occurred during the rotation of the head to the right and to the left. Between G I and G II, there were statistically significant differences in the values of the masseter muscle sEMG amplitude.
Conclusions. There is a relationship between the limitation of movements of the mandible (opening, lateral movements) and a decrease in the range of mobility of the cervical spine. Myogenic disorders of the stomatognathic system may lead to disturbances in the mobility of the neck.

Key words:
stomatognathic system, cervical spine, pain, masseter muscle

 

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