Nazwar Tommy Alfandy, Bal'afif Farhad, Wardhana Donny Wisnu, Mustofa Mustofa
Department of Surgery, Division of Neurosurgery, Brawijaya University/Saiful Anwar Hospital, Malang, East Java, Indonesia.
J Craniovertebr Junction Spine. 2024 Jul-Sep;15(3):266-279. doi: 10.4103/jcvjs.jcvjs_107_24. Epub 2024 Sep 12.
The craniovertebral (CV) junction is crucial for head support, mobility, and protecting the upper spinal cord and vital nerve structures. Disorders in this area can cause severe symptoms such as neck pain, restricted movement, and neurological issues such as headaches and balance problems. Exercise and physical activity improves muscle strength, flexibility, joint stability, reducing pain, and enhancing joint function, while specifically for the CV junction, exercise can relieve muscle tension, boost blood flow, and improve posture, although the specific impact on CV junction health remains underexplored.
A comprehensive literature search was conducted using databases MEDLINE, Cochrane, Lilacs, and ScienceDirect, alongside manual searches through reference lists. The review focuses on exercise and CV junction issues and includes randomized controlled trials, cohort or case-control studies, and systematic reviews. Primary outcomes include pain levels, joint mobility, function, and quality of life.
Results yield four meta-analyses with corrective exercise and conventional exercise in improving forward head posture risk difference 0.00 (-0.09, 0.09) 95% confidence interval (CI), between cervical and thoracic exercises odds ratio 1.04 (0.59, 1.84) 95% CI. Comparing exercise treatment and physiotherapy showed risk difference 0.11 (-0.10, 0.32) 95% CI and the comparative analysis between training and no treatment showed risk difference 0.09 (-0.01, 0.20) 95% CI.
Exercise-based rehabilitation programs tailored to patients with CV junction problems offer robust evidence, benefiting clinical management, and prevention efforts.
颅颈（CV）交界处对于头部支撑、活动以及保护上脊髓和重要神经结构至关重要。该区域的疾病可导致严重症状，如颈部疼痛、活动受限以及诸如头痛和平衡问题等神经问题。运动和体育活动可增强肌肉力量、提高灵活性、增强关节稳定性、减轻疼痛并改善关节功能，而对于CV交界处，运动可缓解肌肉紧张、促进血液流动并改善姿势，尽管运动对CV交界处健康的具体影响仍未得到充分研究。
使用MEDLINE、Cochrane、Lilacs和ScienceDirect数据库进行了全面的文献检索，并通过参考文献列表进行了手动检索。该综述聚焦于运动与CV交界处问题，纳入了随机对照试验、队列或病例对照研究以及系统评价。主要结局包括疼痛程度、关节活动度、功能和生活质量。
结果产生了四项荟萃分析，其中矫正运动和传统运动在改善头部前倾姿势方面的风险差异为0.00（-0.09，0.09），95%置信区间（CI），颈椎和胸椎运动之间的优势比为1.04（0.59，1.84），95%CI。比较运动治疗和物理治疗显示风险差异为0.11（-0.10，0.32），95%CI，训练与不治疗之间的比较分析显示风险差异为0.09（-0.01，0.20），95%CI。
针对CV交界处问题患者量身定制的基于运动的康复计划提供了有力证据，有利于临床管理和预防工作。
