Issue 2-20, 2020
Neuromuscular activation of postural neck muscles methods significance in rehabilitation of patients with cervical myofascial pain syndrome
1 Shimarova O.V., 1 Malakhovskiy V.V., 1 Zilov V.G.
1 I.M. Sechenov first Moscow state medical University (Sechenov University), Moscow, Russian Federation
ABSTRACT
Neck pain is an actual problem of our time, one of the leading causes of temporary disability. Most often, cervical pain is non-specifi c, and is manifested by myofascial pain syndrome. Neck pain therapy is a big problem due to the lack ofunified effective treatment protocols and at the same time with the abundance of methods offered. According to the results of some studies, the pain syndrome may be associated with a violation of proprioreception and dysfunction ofthe postural muscles of the neck. Accordingly, neuromuscular activation techniques can be effective in the treatment of myofascial pain syndrome of the neck.The purpose of this pilot study is to research the various effects of using neuromuscular activation methods in patients with myofascial pain syndrome in neck muscles.
KEYWORDS: chronic cervical pain, neck muscles, trigger points, impaired proprioception, neuromuscular activation, and the postural muscles of the neck
FOR CITATION: Shimarova O.V., Malakhovskiy V.V., Zilov V.G. Neuromuscular activation of postural neck muscles methods significance in rehabilitation of patients with cervical myofascial pain syndrome. Bulletin of rehabilitation medicine. 2020; 96 (2): 49-53. https://doi.org/10.38025/2078-1962-2020-96-2-49-53
References:
- Cohen, Steven P. Epidemiology, Diagnosis, and Treatment of Neck Pain. Mayo Clinic Proceedings. 2015; 90(2): 284 - 299.
- Popescu A., Lee H. Neck Pain and Lower Back Pain. Medical Clinics of North America. 2020: 104(2): 279 -292.
- Cohen Steven P, Hooten W Michael. Advances in the Diagnosis and Management of Neck Pain. BMJ, 2017: 358: 3221 p.
- Seleznev AN, Daminov VD, Galnykina AS, Savin AA. Korrekciya pskhoemocional'nyh izmenenij, vegetativnoj disfunkcii i narushenij sna u bol'nyh cervikal'noj dorsopatiej [Correction of Affective Disorders, Autonomic Dysfunction and Sleep Disturbances at Patients, Which Suffering Cervical Dorsopathies]. Vestnik vosstanovitel'noj mediciny. 2015: 1: 8 - 13 (In Russ.).
- Nejati, P., Lotfian S, Moezy A., and Nejati M. The Study of Correlation between Forward Head Posture and Neck Pain in Iranian Office Workers. International Journal Of Occupational Medicine And Environmental Health. 2015: 28(2): 295 - 303.
- Szczygiet E., W^glarz K., Piotrowski K., Mazur T., M^tel S., Golec J. Biomechanical influences on head posture and the respiratory movements of the chest. Acta Bioeng Biomech. 2015: 17(2): 143 - 148.
- Lau Cheung, Herman Mun, Thomas Tai Wing Chiu, Tai-Hing Lam. Clinical Measurement Of Craniovertebral Angle By Electronic Head Posture Instrument: A Test Of Reliability And Validity. Manual Therapy, 2009: 14(4): 363 - 368.
- Arsenev A.V., Baloshin U.A., Vasilevich S.V., Dudin M.G., Kipke M.V., Sorokin A.A., Sukhov T.M., Sukhova M.A. Obektivnaya ocenka ortopedicheskogo statusa u pacientov s deformiruyushchimi dorsopatiyami [Objective Assessment Of Ortopedic Status In Patients With Deforming Dorsopathies]. Vestnik vosstanovitel'noj mediciny. 2017: 4: 29 - 32 (In Russ.).
- Johnston V., Jull G., Souvlis T., Jimmieson N.L. Neck Movement and Muscle Activity Characteristics in Female Office Workers with Neck Pain. Spine. 2008: 33(5): 555 - 563.
- Gwendolen A.J., O'Leary S.P., and Falla D.L. Clinical Assessment of the Deep Cervical Flexor Muscles: The Craniocervical Flexion Test. Journal of Manipulative and Physiological Therapeutics 2008: 31(7): 525 - 533.
- Falla D.L., Gwendolen A.J., Hodges P.W. Patients With Neck Pain Demonstrate Reduced Electromyographic Activity Of The Deep Cervical Flexor Muscles During Performance Of The Craniocervical Flexion Test. Spine. 2004: 29(19): 2108 - 2114.
- Armstrong B., McNair P., Taylor D. Head and Neck Position Sense. Sports Medicine,2008: 38(2): 101 - 117.
- Sremakaew M., Gwendolen J., Treleaven J., Barbero M., Falla D., Uthaikhup S. Effects Of Local Treatment With And Without Sensorimotor And Balance Exercise In I ndividuals With Neck Pain: Protocol For A Randomized Controlled Trial. BMC Musculoskeletal Disorders. 2018: 19(1): 48 p.
- Treleaven J. 2008. Sensorimotor Disturbances in Neck Disorders Affecting Postural Stability, Head and Eye Movement Control. Manual Therapy, 2008: 13(1): 2 - 11.
- Obektivnaya ocenka postural'noj funkcii. Klinicheskie rekomendacii (proekt) [Objective Assessment of Postural Function Clinical Guidelines (project)]. Vestnik vosstanovitel'noj mediciny. 2016: 4: 96 - 104 (In Russ.).
- Starikov S.M. Nejromyshechnaya aktivaciya - sovremennyj podhod [Neiromyshechnaya aktivatsiya - sovremennyi podkhod]. Vestnik vosstanovitel'noj mediciny. 2011; 4: 22 - 26 (In Russ.).
- Vikne J., Oedegaard A., L^rum E., Ihlebaek C., Kirkesola G. A Randomized Study Of New Sling Exercise Treatment Vs Traditional Physiotherapy For Patients With Chronic Whiplash-Associated Disorders With Unsettled Compensation Claims. Journal Of Rehabilitation, 2007: 39(3): 252 - 259.
- Ko, Kwang-Jun, Gi-Chul Ha, Young-Sook Yook, Seol-Jung Kang. Effects Of 12-Week Lumbar Stabilization Exercise And Sling Exercise On Lumbosacral Region Angle, Lumbar Muscle Strength, And Pain Scale Of Patients With Chronic Low Back Pain. Journal Of Physical Therapy Science. 2018: 30(1): 18 - 22.
- Petrov K.B., Ivonina N.A., Mitichkina T.V. The Main Methods Of Physical Exercises In Patients With Vertebral Dorsopathies. Vestnik vosstanovitel'noj mediciny. 2020: 1: 54 - 60 (In Russ.).
- Rezasoltani, A., Khaleghifar, M., Tavakoli A, et al (2010). The effect of a properioceptive neuromuscular facilitation program to increase neck muscle strength in patients with chronic non- specific neck pain. World Journal of Sport Sciences. 2010: 3(1): 59 - 63.
- Blomgren, J., Strandell E., Gwendolen J., Vikman I., and Roijezon U. Effects Of Deep Cervical Flexor Training On Impaired Physiological Functions Associated With Chronic Neck Pain: A Systematic Review. BMC Musculoskeletal Disorders. 2018: 19(1): 415 p.

The content is available under the Creative Commons Attribution 4.0 License.
©
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.