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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对因退行性变化过程中产生颈椎疼痛的上班族所进行的两种水疗法的疗效比较

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

摘要
简介。在现代文明时代,腰椎病痛成为医学和社会问题,在慢性病中的多种疼痛综合症、复发性质和疼痛持续性促使人们去寻求有效的诊断和治疗方法。研究目的在比较两种水疗法对减轻上班族颈椎退行性疾病的疼痛和消除功能限制方面的有效性。
材料和方法。共144名年龄在45-55岁间的女性上班族参与研究,她们参与退行性变化过程中所产生颈椎疼痛的康复治疗。根据所应用的康复计划不同,这些女患者被分成两组。实验工具包括颈椎功能测试(Valsalva、Kernig、压缩测试及牵引测试)、颈椎活动范围的线性测量、NRS量表及NDI指数等。分析时所采取的测试包括:卡方检验、学生 t检定、曼-怀-威三氏检验等。
结果。两组康复治疗结束后,在功能测试、颈椎活动范围、NRS标度值及NDI指数方面均观察到具统计学意义的显著改善。第二组患者所取得的研究结果差异比第一组更大。
结论。两种治疗计划的使用均有助于减轻疼痛并改善功能效率,然而接受包含泥疗法在内计划的患者所获得的改善程度更大。

关键词:
颈椎、疼痛、功能效率、浴疗法

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下颔骨和颈椎在口颔系统(US)疾病中的可动性评估

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

摘要
简介。口颔系统在头部、颈部、肩带的解剖结构甚至整个运动器官的生物力学关联方面,显示出以跨学科方法来治疗该系统功能障碍的必要性。
目的。咀嚼肌疼痛患者的颞下颔关节和颈椎的可动性评估,确定颞下颔关节可动性和颈椎间的关系。肌源性患者咬肌的生物电活动(sEMG)评估。
材料和方法。共50名年龄在20至37岁间确诊为肌源性疾病和疼痛的女性(第一组)接受试验。所进行的试验包括:主观(问卷)及客观(鲍曼US试验、咬肌的生物电活动、颈椎的可动性评估、疼痛数字量表)。对照组(第二组)由50名健康女性组成。
结果。咬肌周围的疼痛强度水平接近胸锁乳突肌肉周围的疼痛强度,确定口颔系统疼痛的患者颈椎的可动性范围有限,最大的差异发生在头部向右和向左旋转时,第一组和第二组在咬肌的生物电活动振幅值上存在统计学上的差异。
结论。下颔运动(打开、侧向活动)的限制和颈椎运动范围减小间存在关联。口颔系统肌源性疾病可能会导致颈部运动受干扰。

关键词:
口颔系统、颈椎、疼痛、咀嚼肌

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