Motor control using cranio-cervical flexion exercises versus other treatments for non-specific chronic neck pain: A systematic review and meta-analysis.

  title={Motor control using cranio-cervical flexion exercises versus other treatments for non-specific chronic neck pain: A systematic review and meta-analysis.},
  author={Carmen Mart{\'i}n-G{\'o}mez and Rebeca Sestelo-Diaz and Victor Carrillo-Sanjuan and Marcos Jos{\'e} Navarro-Santana and Judit Bardon-Romero and Gustavo Plaza-Manzano},
  journal={Musculoskeletal science \& practice},

Lumbar motor control training as a complementary treatment for chronic neck pain: A randomized controlled trial.

The addition of Lumbar motor control training as a complementary treatment may enhance effectiveness of deep cervical flexor motor controlTraining on neck pain, neck disability, and deep cervicalflexor endurance in patients with chronic moderate neck pain and forward head posture.

Best Evidence Rehabilitation for Chronic Pain Part 4: Neck Pain

The results of this review found that the strongest treatment effects to date are those associated with exercise, and Strengthening exercises of the neck and upper quadrant have a moderate effect on neck pain in the short-term.

Motor Imagery and Action Observation of Specific Neck Therapeutic Exercises Induced Hypoalgesia in Patients with Chronic Neck Pain: A Randomized Single-Blind Placebo Trial

OA appears to lead to greater pain modulation as well as a greater heart rate response, however, both should be clinically considered in patients with CNP.

Mental practice in isolation improves cervical joint position sense in patients with chronic neck pain: a randomized single-blind placebo trial

Although both AO and MI could be a useful strategy for CJPS improvement, the AO group showed the strongest results and the therapeutic potential of the application of mental practice in a clinical context in the early stages of rehabilitation of NSCNP should be considered.

Effectiveness and optimal dosage of exercise training for chronic non-specific neck pain: A systematic review with a narrative synthesis

Motor control + segmental exercises are the most effective ET to reduce short term pain/disability, but long-term outcomes have not been investigated.

Comparative study of observed actions, motor imagery and control therapeutic exercise on the conditioned pain modulation in the cervical spine: a randomized controlled trial

Within-group changes in conditioned pain modulation, cervical muscle endurance, and attention where founded only in the AE and AO groups, and there was no difference in the pressure pain threshold over the tibial region.

Consensus on the exercise and dosage variables of an exercise training programme for chronic non-specific neck pain: protocol for an international e-Delphi study

This study aims to gain expert consensus on these exercise variables so that they can be described clearly using intervention reporting checklists to inform clinical practice and future clinical 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

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.

Comparison of cranio-cervical flexion training versus cervical proprioception training in patients with chronic neck pain: A randomized controlled clinical trial.

The results indicate that proprioception training may have positive effects on the function of the deep cervical flexors, and both specific cranio-cervical flexion training and proprioceptions training had a comparable effect on performance on the Cranio-Cervical Flexion test, a test of the neuromuscular control of theDeep cervicalflexors.

The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review

It is shown that combining different forms of MT with exercise is better than MT or exercise alone, and the second one is that mobilization need not be applied at the symptomatic level(s) for improvements of NP patients.

The effect of different exercise programs on cervical flexor muscles dimensions in patients with chronic neck pain.

Findings demonstrated that craniocervical flexion program which specifically recruiting deep cervical flexor muscles increased LC muscle dimension significantly and CF program as an endurance training program increased SCM thickness.

The Change in Deep Cervical Flexor Activity After Training Is Associated With the Degree of Pain Reduction in Patients With Chronic Neck Pain

This finding suggests that the selection of exercise based on a precise assessment of the patients’ neuromuscular control and targeted exercise interventions based on this assessment are likely to be the most beneficial to patients with neck pain.

Clinical effects of deep cervical flexor muscle activation in patients with chronic neck pain

DCF activation exercise was effective to alleviate pain, recover functions, and correct forward head posture in the patients with neck pain and might be recommended in the rehabilitation of patients with chronic neck pain.

Effect of thoracic manipulation and deep craniocervical flexor training on pain, mobility, strength, and disability of the neck of patients with chronic nonspecific neck pain: a randomized clinical trial

Thoracic manipulation combined with deep craniocervical flexor training was a more effective intervention for pain relief and improving the range of motion, muscle function, and neck disability of patients with nonspecific chronic neck pain.