Borisut Sudarat, Vongsirinavarat Mantana, Vachalathiti Roongtiwa, Sakulsriprasert Prasert
Faculty of Physical Therapy, Mahidol University.
J Phys Ther Sci. 2013 Sep;25(9):1157-62. doi: 10.1589/jpts.25.1157. Epub 2013 Oct 20.
[Purpose] To compare muscle activities and pain levels of females with chronic neck pain receiving different exercise programs. [Subjects and Methods] One hundred females with chronic neck pain participated in this study. They were randomly allocated into 4 groups (n = 25) on the basis of the exercises performed as follows: strength-endurance exercise, craniocervical flexion exercise, combination of strength-endurance and craniocervical flexion exercise and control groups. Pain, disability levels and changes in the muscle activities of the cervical erector spinae (CE), sternocleidomastoid (SCM), anterior scalenes (AS) and upper trapezius (UT) muscles were evaluated before and after the interventions. [Results] After 12 weeks of exercise intervention, all three exercise groups showed improvements in pain and disability. The muscle activities during the typing task were significantly different from the control group in all three exercise groups for all muscles except those of the extensor muscles in the craniocervical flexion exercise group. [Conclusion] The results of this study indicate that exercises for the cervical muscles improve pain and disability. The exercise programs reduced the activities of almost all cervical muscles.
[目的]比较接受不同锻炼方案的慢性颈部疼痛女性的肌肉活动和疼痛程度。[对象与方法]100名患有慢性颈部疼痛的女性参与了本研究。根据所进行的锻炼，她们被随机分为4组（每组n = 25）：力量耐力锻炼组、颅颈屈曲锻炼组、力量耐力与颅颈屈曲联合锻炼组和对照组。在干预前后评估疼痛、功能障碍水平以及颈竖脊肌（CE）、胸锁乳突肌（SCM）、前斜角肌（AS）和上斜方肌（UT）肌肉活动的变化。[结果]经过12周的运动干预后，所有三个运动组的疼痛和功能障碍均有改善。除颅颈屈曲锻炼组的伸肌外，所有三个运动组在打字任务期间的所有肌肉的肌肉活动与对照组均有显著差异。[结论]本研究结果表明，颈部肌肉锻炼可改善疼痛和功能障碍。锻炼方案降低了几乎所有颈部肌肉的活动。
