Neck pain is a common problem in the western world. There is a group of people suffering from neck pain with a reduced ability to maintain an upright posture showing a forward head position and an altered muscle function. The aim of the study was to evaluate a motor control intervention for patients with persistent neck pain and a forward head posture. This pilot study used a Single System Experimental Design (SSED) with an A-B-A-design and multiple baselines. The tailored motor control intervention addressed the faulty postural alignment and the deep muscles of the cervical spine.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
SINGLE
Enrollment
3
The tailored motor control intervention used for motor learning-procedure described by Fitts and Posner, further developed and adapted to rehabilitation of the spine by O´Sullivan. The stages involved in the process was the Cognitive stage, Associative stage and the Autonomous stage
OMT-kliniken
Luleå, Luleå, Sweden
Head posture
The craniovertebral (CV) -angle was used to estimate the cervical curvature and head posture in relation to the thorax being measured with the Head Posture Spinal Curvature Instrument
Time frame: Effect from baseline to 8 weeks and being maintained to 12 month
Muscle function of the deep cervical flexors
The Cranio-Cervical Flexion Test (C-CFT) was used to assess the tonic holding abilities of the deep cervical muscles by using a Pressure biofeedback unit.
Time frame: Effect from baseline to 8 weeks and being maintained to 12 month
Disability
The Neck Disability Index (NDI) is a self-reported questionnaire with 10 categories where each question estimates the current status, from no disability (0) to full disability within that category used to assess disability.
Time frame: Effect from baseline to 8 weeks and being maintained to 12 month
Pain intensity
The pain intensity was evaluated using the 100 mm Visual Analogue Scale (VAS) with the anchors "no pain" and "worst pain imaginable" that assessed the average pain intensity in the neck over the last seven days.
Time frame: Effect from baseline to 8 weeks and being maintained to 12 month
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