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Indian Journal of Forensic Medicine and Pathology

Volume  12, Issue 1, January-March 2019, Pages 19-24
 

Original Article

Efficacy of Motor Control and Endurance Exercises in Neck Pain: A Pilot Study

Rajalaxmi V.1, Jibi Paul2, M. Manoj Abraham3, M. Sasirekha4

1,2Dr. M.G.R. Educational & Research Institute University, Velappanchavadi, Chennai, Tamil Nadu 600077, India. 3Professor, Faculty of Medical and Health Sciences, Universiti Tunku Abdul Rahman, Malaysia. 4Professor and Head, Dept. of Anatomy, ACS Medical College and Hospital Velappanchavadi, Chennai, Tamil Nadu 600077, India

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DOI: DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.12119.4

Abstract

 Background of the Study: A neck pain complaint was found to be one of the most emerging musculoskeletal complaints and requires attention of the health professionals. Our objective was to determine the efficacy of the motor control and endurance exercise over conventional exercise in subjects with non-specific neck pain.

Methodology: A Prospective cohort study, with Pre-post test series compared the outcomes among two intervention groups and a conventional group conducted in the Outpatient Physiotherapy department of ACS Medical College for the duration of 12 weeks.  18 Patients with non-specific neck pain were recruited and randomized into three groups. VAS, endurance, CCFT score were measured at baseline, 4th, 8th and 12th week follow up. NDI and SF-12 scores were obtained at baseline and 12th week follow up.

Result: Comparison of VAS, NDI, SF-12, endurance, CCFT score within the group at the baseline, 4th, 8th, and 12 week follow up, the subjects in the MCT group demonstrated a significant progressive change from baseline throughout the 12th week than the endurance and conventional training group in all the outcomes.  The endurance training group also showed significance difference from the baseline to 12th week follow up, however not significant than the MCT group when compared between the group

Conclusion: Motor control exercise has high impact on neck pain and led to marked relief in pain intensity, disability and in improving the endurance of the neck muscle.  Endurance training has also showed a statistically significant improvement, however lesser the significant than the motor control exercise group.  In contrast, the conventional exercise has found to reduce the pain and disability, although there was no significant improvement in the endurance of the muscle.

Keywords: Motor Control Exercise; Non-Specific Neck Pain; Activation Pressure Score; Highest Pressure Score; Jull’s Technique.


Corresponding Author : V. Rajalaxmi, Professor, Faculty of Physiotherapy, Dr. M.G.R. Educational & Research Institute University, Velappanchavadi, Chennai, Tamil Nadu 600077, India.