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Irish Journal of Medical Science (1971 -)

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20.07.2022 | Original Article

Effects of clinical pilates exercises in patients with chronic nonspecific neck pain: a randomized clinical trial

verfasst von: Gonca Sahiner Picak, Sevgi Sevi Yesilyaprak

Erschienen in: Irish Journal of Medical Science (1971 -) | Ausgabe 3/2023

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Abstract

Background

Neck pain is a common musculoskeletal problem in adults. Clinical pilates exercises can be beneficial managing the pain and improving the risk factors.

Aims

The aim of this study was to investigate the effects of clinical pilates exercises on pain and disability, deep neck flexor endurance (DNFE), posture, cervical range of motion (CROM), and proprioception in patients with chronic nonspecific neck pain.

Methods

Fifty patients with chronic nonspecific neck pain were randomized into two groups. The clinical pilates exercise group (CPEG) received clinical pilates exercises for 6 weeks. The control group (CG) received posture education. Pain and disability, DNFE, forward head angle (FHA) and forward shoulder angle (FSA) degrees, CROM, and joint position error (JPE) were measured before and after 6 weeks.

Results

Clinical pilates exercises improved pain, Neck Disability Index (NDI), DNFE, posture, CROM (except extension), and JPE (p < 0.05). We found significant differences between CPEG and CG in the comparisons for the change of pain, NDI, DNFE, FSA, CROM (except extension), and JPE (except left rotation) (p < 0.05). NDI, FSA, and rotational JPE also improved in CG (p < 0.05). However, these improvements were significantly better in CPEG than CG (p < 0.05) except JPE in left rotation (p = 0.118).

Conclusion

In patients with chronic nonspecific neck pain, clinical pilates exercise is a safe and effective method to improve pain and disability, DNFE, posture, ROM, and proprioception.

Clinical trial registration

NCT03782584 retrospectively registered December 20 2018.

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Strine TW, Hootman JM (2007) US national prevalence and correlates of low back and neck pain among adults. Arthritis Care Res 57(4):656–665. https://doi.org/10.1002/art.22684CrossRef

Bovim G, Schrader H, Sand T (1994) Neck pain in the general population. Spine (Phila Pa 1976) 19(12):1307–1309. https://doi.org/10.1097/00007632-199406000-00001

Borghouts JAJ, Koes BW, Bouter LM (1998) The clinical course and prognostic factors of non-specific neck pain: a systematic review. Pain 77(1):1–13. https://doi.org/10.1016/S0304-3959(98)00058-XCrossRefPubMed

Blanpied PR, Gross AR, Elliott JM et al (2017) Neck pain: revision 2017. J Orthop Sport Phys Ther 47(7):A1–A83. https://doi.org/10.2519/jospt.2017.0302CrossRef

Jull G, Trott P, Potter H et al (2002) A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache. Spine (Phila Pa 1976) 27(17):1835–1843. https://doi.org/10.1097/00007632-200209010-00004

Evans R, Bronfort G, Nelson B, Goldsmith CH (2002) Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Spine (Phila Pa 1976) 27(21):2383–2389. https://doi.org/10.1097/00007632-200211010-00013

Stewart MJ, Maher CG, Refshauge KM et al (2007) Randomized controlled trial of exercise for chronic whiplash-associated disorders. Pain 128(1–2):59–68. https://doi.org/10.1016/j.pain.2006.08.030CrossRefPubMed

Mallin G, Murphy S (2013) The effectiveness of a 6-week pilates programme on outcome measures in a population of chronic neck pain patients: a pilot study. J Bodyw Mov Ther 17(3):376–384. https://doi.org/10.1016/j.jbmt.2013.03.003CrossRefPubMed

Dunleavy K, Kava K, Goldberg A et al (2016) Comparative effectiveness of Pilates and yoga group exercise interventions for chronic mechanical neck pain: quasi-randomised parallel controlled study. Physiother (United Kingdom) 102(3):236–242. https://doi.org/10.1016/j.physio.2015.06.002CrossRef

10.

Uluǧ N, Yilmaz ÖT, Kara M, Özçakar L (2018) Effects of pilates and yoga in patients with chronic neck pain: a sonographic study. J Rehabil Med 50(1):80–85. https://doi.org/10.2340/16501977-2288CrossRefPubMed

11.

de Araujo CL, Jones A, Roger-Silva D et al (2018) Effectiveness of the pilates method in the treatment of chronic mechanical neck pain: a randomized controlled trial. Arch Phys Med Rehabil 99(9):1740–1746. https://doi.org/10.1016/j.apmr.2018.04.018CrossRef

12.

Bass M, Robinson L, Thomson G (2006) The complete classic Pilates method: centre yourself with this step-by-step approach to Joseph pilates’s original matwork programme, 1st edn. Macmillan UK

13.

Herman E (2003) Ellie Herman’s pilates workbook on the ball: illustrated step-by-step guide, 1st edn. Ulysses Press

14.

The Australian Physiotherapy and Pilates Institute (2012). In: Australia. https://www.ausphysio.com. Accessed 12 Feb 2022

15.

Rydeard R, Leger A, Smith D (2006) Pilates-based therapeutic exercise: effect on subjects with nonspecific chronic low back pain and functional disability: a randomized controlled trial. J Orthop Sport Phys Ther 36(7):472–484. https://doi.org/10.2519/jospt.2006.2144CrossRef

16.

Donzelli S, Di Domenica E, Cova AM et al (2006) Two different techniques in the rehabilitation treatment of low back pain: a randomized controlled trial. Eura Medicophys 42(3):205PubMed

17.

Lee H, Nicholson LL, Adams RD (2005) Neck muscle endurance, self-report, and range of motion data from subjects with treated and untreated neck pain. J Manipulative Physiol Ther. https://doi.org/10.1016/j.jmpt.2004.12.005CrossRefPubMed

18.

Falla D (2004) Unravelling the complexity of muscle impairment in chronic neck pain. Man Ther 9(3):125–133. https://doi.org/10.1016/j.math.2004.05.003CrossRefPubMed

19.

Stanton TR, Leake HB, Chalmers KJ, Moseley GL (2015) Evidence of impaired proprioception in chronic, idiopathic neck pain: systematic review and meta-analysis. Phys Ther 96(6):876–887. https://doi.org/10.2522/ptj.20150241CrossRefPubMedPubMedCentral

20.

Jull GA, Falla D, Vicenzino B, Hodges PW (2009) The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther 14(6):696–701. https://doi.org/10.1016/j.math.2009.05.004CrossRefPubMed

21.

O’Leary S, Jull G, Kim M, Vicenzino B (2007) Cranio-cervical flexor muscle impairment at maximal, moderate, and low loads is a feature of neck pain. Man Ther 12(1):34–39. https://doi.org/10.1016/j.math.2006.02.010CrossRefPubMed

22.

Clark P, Lavielle P, Martínez H (2003) Learning from pain scales: patient perspective. J Rheumatol 30(7):1584–1588PubMed

23.

Telci EA, Karaduman A, Yakut Y et al (2009) The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish version study. Spine 34(16):1732–1735

24.

Vernon H, Mior S (1991) The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther 14:409–415PubMed

25.

Audette I, Dumas J-P, Côté JN, De Serres SJ (2010) Validity and between-day reliability of the cervical range of motion (CROM) device. J Orthop Sport Phys Ther 40(5):318–323. https://doi.org/10.2519/jospt.2010.3180CrossRef

26.

Reddy R, Alahmari K, Silvian P (2016) Test-retest reliability of assessing cervical proprioception using cervical range of motion device. Saudi J Sport Med 16(2):118. https://doi.org/10.4103/1319-6308.180174CrossRef

27.

Jull GA, O’Leary SP, Falla DL (2008) Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. J Manipulative Physiol Ther 31(7):525–533. https://doi.org/10.1016/j.jmpt.2008.08.003CrossRefPubMed

28.

James G, Doe T (2010) The craniocervical flexion test: intra-tester reliability in asymptomatic subjects. Physiother Res Int 15:144–149CrossRefPubMed

29.

Thigpen CA, Padua DA, Michener LA et al (2010) Head and shoulder posture affect scapular mechanics and muscle activity in overhead tasks. J Electromyogr Kinesiol 20(4):701–709. https://doi.org/10.1016/j.jelekin.2009.12.003CrossRefPubMed

30.

Lauche R, Langhorst J, Dobos GJ, Cramer H (2013) Clinically meaningful differences in pain, disability and quality of life for chronic nonspecific neck pain — a reanalysis of 4 randomized controlled trials of cupping therapy. Complement Ther Med 21(4):342–347. https://doi.org/10.1016/j.ctim.2013.04.005CrossRefPubMed

31.

Hodges PW, Moseley GL (2003) Pain and motor control of the lumbopelvic region: effect and possible mechanisms. J Electromyogr Kinesiol 13(4):361–370. https://doi.org/10.1016/S1050-6411(03)00042-7CrossRefPubMed

32.

Falla D, Farina D (2007) Neural and muscular factors associated with motor impairment in neck pain. Curr Rheumatol Rep 9(6):497–502. https://doi.org/10.1007/s11926-007-0080-4CrossRefPubMed

33.

Melzack R, Wall PD (1965) Pain Mechanisms: A New Theory: A gate control system modulates sensory input from the skin before it evokes pain perception and response. Science 150(3699):971–979

34.

Falla D, Jull G, Russell T et al (2007) Effect of neck exercise on sitting posture in patients with chronic neck pain. Phys Ther 87(4):408–417. https://doi.org/10.2522/ptj.20060009CrossRefPubMed

35.

Karter K (2001) Complete idiot’s guide to the pilates method. Alpha books, USA

36.

Watson DH, Trott PH (1993) Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia 13(4):272–284. https://doi.org/10.1046/j.1468-2982.1993.1304272.xCrossRefPubMed

37.

Falla D, O’Leary S, Farina D, Jull G (2012) The change in deep cervical flexor activity after training is associated with the degree of pain reduction in patients with chronic neck pain. Clin J Pain 28(7):628–634. https://doi.org/10.1097/AJP.0b013e31823e9378CrossRefPubMed

38.

Kloubec JA (2010) Pilates for improvement ofmuscle endurance, flexibility, balance, and posture. J Strength Cond Res 24(3):661–667. https://doi.org/10.1519/JSC.0b013e3181c277a6CrossRefPubMed

39.

Lee S-M, Lee C-H, O’Sullivan D et al (2016) Clinical effectiveness of a pilates treatment for forward head posture. J Phys Ther Sci 28(7):2009–2013. https://doi.org/10.1589/jpts.28.2009CrossRefPubMedPubMedCentral

40.

Ehrlich R, Garlick D, Ninio M (1999) The effect of jaw clenching on the electromyographic activities of 2 neck and 2 trunk muscles. J Orofac Pain 13(2)

41.

Lewitt MS, McPherson L, Stevenson M (2019) Development of a pilates teaching framework from an international survey of teacher practice. J Bodyw Mov Ther 23(4):943–949. https://doi.org/10.1016/j.jbmt.2019.02.005CrossRefPubMed

42.

Robertson M, Amick BC, DeRango K et al (2009) The effects of an office ergonomics training and chair intervention on worker knowledge, behavior and musculoskeletal risk. Appl Ergon 40(1):124–135. https://doi.org/10.1016/j.apergo.2007.12.009CrossRefPubMed

43.

Ketola R, Toivonen R, Häkkänen M et al (2002) Effects of ergonomic intervention in work with video display units. Scand J Work Environ Heal 18–24. https://doi.org/10.5271/sjweh.642

44.

Fletcher JP, Bandy WD (2008) Intrarater reliability of CROM measurement of cervical spine active range of motion in persons with and without neck pain. J Orthop Sport Phys Ther 38(10):640–645. https://doi.org/10.2519/jospt.2008.2680CrossRef

45.

Hanten WP, Olson SL, Russell JL et al (2000) Total head excursion and resting head posture: normal and patient comparisons. Arch Phys Med Rehabil 81(1):62–66. https://doi.org/10.1053/apmr.2000.0810062CrossRefPubMed

46.

Graven-Nielsen T, Lund H, Arendt-Nielsen L et al (2002) Inhibition of maximal voluntary contraction force by experimental muscle pain: a centrally mediated mechanism. Muscle Nerve 26(5):708–712. https://doi.org/10.1002/mus.10225CrossRefPubMed

47.

Revel M, Andre-Deshays C, Minguet M (1991) Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil 72(5):288–291PubMed

48.

Pinsault N, Fleury A, Virone G et al (2008) Test-retest reliability of cervicocephalic relocation test to neutral head position. Physiother Theory Pract 24(5):380–391. https://doi.org/10.1080/09593980701884824CrossRefPubMed

49.

De VJ, Ischebeck BK, Voogt LP et al (2015) Joint position sense error in people with neck pain: a systematic review. Man Ther 20(6):736–744. https://doi.org/10.1016/j.math.2015.04.015CrossRef

50.

Jull G, Falla D, Treleaven J et al (2007) Retraining cervical joint position sense : the effect of two exercise regimes. 404–412. https://doi.org/10.1002/jor

51.

Alahmari KA, Reddy RS, Tedla JS et al (2020) The effect of Kinesio taping on cervical proprioception in athletes with mechanical neck pain-a placebo-controlled trial. BMC Musculoskelet Disord 21(1):1–9. https://doi.org/10.1186/s12891-020-03681-9CrossRef

52.

Rix GD, Bagust J (2001) Cervicocephalic kinesthetic sensibility in patients with chronic, nontraumatic cervical spine pain. Arch Phys Med Rehabil 82(7):911–919. https://doi.org/10.1053/apmr.2001.23300CrossRefPubMed

53.

Armstrong B, McNair P, Taylor D (2008) Head and neck position sense. Sport Med 38(2):101–117. https://doi.org/10.2165/00007256-200838020-00002CrossRef

54.

Vangsness CT, Ennis M, Taylor JG, Atkinson R (1995) Neural anatomy of the glenohumeral ligaments, labrum, and subacromial bursa. Arthrosc J Arthrosc Relat Surg 11(2):180–184. https://doi.org/10.1016/0749-8063(95)90064-0CrossRef

55.

Gandevia SC, Smith JL, Crawford M et al (2006) Motor commands contribute to human position sense. J Physiol 571(3):703–710. https://doi.org/10.1113/jphysiol.2005.103093CrossRefPubMedPubMedCentral

56.

Grob KR, Kuster MS, Higgins SA et al (2003) Lack of correlation between different measurements of proprioception in the knee. J Bone Jt Surg 84(4):614–618. https://doi.org/10.1302/0301-620x.84b4.11241CrossRef

57.

Hutton RS, Atwater SW (1992) Acute and chronic adaptations of muscle proprioceptors in response to increased use. Sport Med Eval Res Exerc Sci Sport Med 14(6):406–421. https://doi.org/10.2165/00007256-199214060-00007CrossRef

Titel: Effects of clinical pilates exercises in patients with chronic nonspecific neck pain: a randomized clinical trial
verfasst von: Gonca Sahiner Picak
Sevgi Sevi Yesilyaprak
Publikationsdatum: 20.07.2022
Verlag: Springer International Publishing
Erschienen in: Irish Journal of Medical Science (1971 -) / Ausgabe 3/2023
Print ISSN: 0021-1265
Elektronische ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-022-03101-y

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Effects of clinical pilates exercises in patients with chronic nonspecific neck pain: a randomized clinical trial

Abstract

Background

Aims

Methods

Results

Conclusion

Clinical trial registration

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Abstract

Background

Aims

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Clinical trial registration

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