Baraskar Shamika S, Shinde Sandeep
Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Krishna Institute of Medical Sciences Deemed To Be University (KIMSDU), Karad, IND.
Cureus. 2025 Aug 7;17(8):e89541. doi: 10.7759/cureus.89541. eCollection 2025 Aug.
Cervical derangement syndrome (CDS), a form of mechanical neck pain, arises from poor posture, repetitive stress, and segmental dysfunction, resulting in discomfort, restricted cervical mobility, and reduced functional capacity. The study focuses on changes associated with CDS, particularly range of motion (ROM), pain, and functional disability. The study aims to find the effect of kinetic control training (KCT) and the McKenzie approach on CDS. The McKenzie approach emphasizes symptom centralization through repeated directional movements, while KCT focuses on restoring movement efficiency via motor control retraining. This study compares their effectiveness in managing CDS.
The study aimed to determine the effect of KCT and the McKenzie approach on pain, functional disability, and ROM in individuals suffering from CDS.
A comparative study was conducted involving 112 participants diagnosed with CDS. Participants were randomly allocated into two groups using the envelope method. Group A (McKenzie) and Group B (KCT), with 56 participants in each group initially. Following the exclusion of six participants, the final sample consisted of 53 participants in Group A and 53 in Group B. Both groups received baseline conventional therapy followed by six weeks of their respective interventions. Pre- and post-intervention outcome measures included the Visual Analog Scale (VAS), Neck Disability Index (NDI), and cervical ROM. Statistical analysis was conducted using paired and unpaired t-tests via IBM SPSS Statistics, version 26.0 (IBM Corp., Armonk, NY).
The findings demonstrated statistically significant enhancements in pain intensity, functional capacity, and cervical ROM in both groups. But Group B (KCT) demonstrated superior outcomes (p < 0.0001). In Group B (activity), VAS, NDI, and ROM improved significantly in all directions compared to Group A (McKenzie).
The study concluded that a six-week intervention of KCT is more effective than the McKenzie approach in reducing pain and enhancing functional capacity and cervical mobility in individuals with CDS.
颈椎紊乱综合征（CDS）是机械性颈部疼痛的一种形式，由不良姿势、重复性压力和节段性功能障碍引起，导致不适、颈椎活动受限和功能能力下降。该研究聚焦于与CDS相关的变化，尤其是活动范围（ROM）、疼痛和功能障碍。本研究旨在探究动态控制训练（KCT）和麦肯基疗法对CDS的影响。麦肯基疗法强调通过重复定向运动使症状集中，而KCT则侧重于通过运动控制再训练恢复运动效率。本研究比较了它们在管理CDS方面的有效性。
本研究旨在确定KCT和麦肯基疗法对患有CDS的个体的疼痛、功能障碍和ROM的影响。
进行了一项比较研究，纳入112名被诊断为CDS的参与者。采用信封法将参与者随机分为两组。A组（麦肯基组）和B组（KCT组），每组最初有56名参与者。排除6名参与者后，最终样本包括A组的53名参与者和B组的53名参与者。两组均接受基线常规治疗，随后进行为期六周的各自干预。干预前后的结局指标包括视觉模拟量表（VAS）、颈部功能障碍指数（NDI）和颈椎ROM。使用IBM SPSS Statistics 26.0版（IBM公司，纽约州阿蒙克）进行配对和非配对t检验进行统计分析。
结果表明，两组的疼痛强度、功能能力和颈椎ROM均有统计学意义的改善。但B组（KCT组）的效果更佳（p < 0.0001）。在B组（活动）中，与A组（麦肯基组）相比，VAS、NDI和ROM在各个方向上均有显著改善。
该研究得出结论，为期六周的KCT干预在减轻患有CDS的个体的疼痛、增强功能能力和颈椎活动度方面比麦肯基疗法更有效。
