» Articles » PMID: 24396191

A Comparison of the Deep Cervical Flexor Muscle Thicknesses in Subjects with and Without Neck Pain During Craniocervical Flexion Exercises

Overview
Journal J Phys Ther Sci
Date 2014 Jan 8
PMID 24396191
Citations 11
Authors
Affiliations
Soon will be listed here.
Abstract

[Purpose] The purpose of the present study was to examine the amount of change in the thicknesses of the deep cervical flexor (DCF) and sternocleidomastoid (SCM) muscles in subjects with neck pain and subjects without neck pain during craniocervical flexion exercise (CCFE). [Subjects] The total number of subjects was 40, comprising 20 in the no-pain group (males 11, females 9) and 20 in the pain group (males 8, females 12). [Methods] Muscle images were obtained using ultrasound, and the thicknesses of the individual muscles were measured using the NIH ImageJ software. [Results] During CCFE, as pressure increased, the no-pain group recruited the DCF more than the pain group, while the pain group recruited the SCM more. [Conclusion] Selective DCF contraction exercises are considered very useful in the treatment of patients with neck pain.

Citing Articles

A comparison of conventional intervention and home-based approach with head-mounted device for cervical spondylotic myelopathy after surgery.

Yen L, Chen H, Rezaei A, Lien H, Nikkhoo M, Cheng C Sci Rep. 2025; 15(1):8099.

PMID: 40057588 PMC: 11890783. DOI: 10.1038/s41598-025-91555-2.


Reliability and usability of a novel inertial sensor-based system to test craniocervical flexion movement control.

Bocos-Corredor E, Moggioli F, Perez-Fernandez T, Armijo-Olivo S, Liebana S, Martin-Pintado-Zugasti A J Neuroeng Rehabil. 2024; 21(1):170.

PMID: 39313805 PMC: 11418193. DOI: 10.1186/s12984-024-01438-2.


Kinematic analysis of sensorimotor control during the craniocervical flexion movement in patients with neck pain and asymptomatic individuals: a cross-sectional study.

Bocos-Corredor E, Moggioli F, Perez-Fernandez T, Armijo-Olivo S, Sanchez C, Cuenca-Zaldivar J J Neuroeng Rehabil. 2023; 20(1):8.

PMID: 36650553 PMC: 9843978. DOI: 10.1186/s12984-023-01133-8.


A clinical test to assess isometric cervical strength in chronic whiplash associated disorder (WAD): a reliability study.

Habberfield J, Schneider G, Schneider K, Katuli S, Olson L BMC Musculoskelet Disord. 2022; 23(1):736.

PMID: 35915421 PMC: 9341054. DOI: 10.1186/s12891-022-05703-0.


A novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational study.

Perez-Fernandez T, Armijo-Olivo S, Liebana S, de la Torre Ortiz P, Fernandez-Carnero J, Raya R J Neuroeng Rehabil. 2020; 17(1):152.

PMID: 33213452 PMC: 7678052. DOI: 10.1186/s12984-020-00784-1.


References
1.
Jesus F, Ferreira P, Ferreira M . Ultrasonographic measurement of neck muscle recruitment: a preliminary investigation. J Man Manip Ther. 2009; 16(2):89-92. PMC: 2565110. DOI: 10.1179/106698108790818486. View

2.
OLeary S, Falla D, Jull G . The relationship between superficial muscle activity during the cranio-cervical flexion test and clinical features in patients with chronic neck pain. Man Ther. 2011; 16(5):452-5. DOI: 10.1016/j.math.2011.02.008. View

3.
Jull G, OLeary S, Falla D . Clinical assessment of the deep cervical flexor muscles: the craniocervical flexion test. J Manipulative Physiol Ther. 2008; 31(7):525-33. DOI: 10.1016/j.jmpt.2008.08.003. View

4.
Hodges P, Pengel L, Herbert R, Gandevia S . Measurement of muscle contraction with ultrasound imaging. Muscle Nerve. 2003; 27(6):682-92. DOI: 10.1002/mus.10375. View

5.
Falla D, Jull G, Hodges P, Vicenzino B . An endurance-strength training regime is effective in reducing myoelectric manifestations of cervical flexor muscle fatigue in females with chronic neck pain. Clin Neurophysiol. 2006; 117(4):828-37. DOI: 10.1016/j.clinph.2005.12.025. View