The Effect of Different Exercise Programs on Size and Function of Deep Cervical Flexor Muscles in Patients With Chronic Nonspecific Neck Pain: A Systematic Review of Randomized Controlled Trials
The Effect of Different Exercise Programs on Size and Function of Deep Cervical Flexor Muscles in Patients With Chronic Nonspecific Neck Pain: A Systematic Review of Randomized Controlled Trials
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DOI：
10.1097/phm.0000000000000721
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发表时间：
2017-08-01
影响因子：
3
通讯作者：
Biglarian, Akbar
中科院分区：
文献类型：
--
作者：
Arimi, Somayeh Amiri;Bandpei, Mohammad Ali Mohseni;Biglarian, Akbar
目的系统综述不同运动方案对慢性颈痛患者颈深屈肌(DCF)活动、大小、耐力和力量的影响。方法检索PubMed、Science Direct、Ovid、Google SCHARTER、Cochrane图书馆和物理疗法证据数据库，检索1990年至2016年3月发表的相关文献。根据《物理疗法证据数据库随机对照试验量表》对文献进行定性评价。结果最终确定并评价了9篇文献。4篇研究质量一般，5篇研究质量较好。在这9项研究中，8项研究支持特定低负荷运动训练对DCF肌肉参数的有效性，而1项研究报告该运动与其他颈椎运动方案之间没有显著差异。结论回顾研究的结果有利于特定低负荷头颈屈曲运动，与其他类型的运动相比，这似乎是一种改善慢性颈痛患者DCF肌损伤的高效运动方案。
Background Neck pain is one of the major public health problems, which has a great impact on people's lives.Objectives The purpose of this study was to systematically review published studies conducted on the effect of different exercise programs on activity, size, endurance, and strength of deep cervical flexor (DCF) muscles in patients with chronic neck pain.Methods The PubMed, Science Direct, OVID, Google scholar, Cochrane Library, and Physiotherapy Evidence Databases were searched to determine relevant articles published from 1990 to March 2016. The articles were qualitatively assessed based on the Physiotherapy Evidence Databases scale for randomized controlled trials studies.Results Nine articles were identified and evaluated in the final analysis. Four studies had moderate quality, and five studies had good quality. From those nine studies, eight studies gave support to the effectiveness of specific low-load exercise training on DCF muscles parameters, while one study reported no significant difference between this exercise and other cervical exercise programs.Conclusion The results of reviewed studies are in favor of specific low-load craniocervical flexion exercise, which seems to be a highly effective exercise regimen compared to other types of exercises in improving DCF muscles impairments in patients with chronic neck pain.