Alteration in Activation Pattern of Neck Muscles in Patients with Chronic Neck Pain
Rajwant Kaur Chahal, Pravin Kumar
Citation Information :
Chahal RK, Kumar P. Alteration in Activation Pattern of Neck Muscles in Patients with Chronic Neck Pain. Int J Head Neck Surg 2015; 6 (1):1-7.
The aim of this study was to investigate activation pattern of neck muscles in patients with chronic neck pain of nontraumatic origin during static tasks.
Materials and methods
Fifteen normal subjects were taken in group A and 15 patients with chronic neck pain of nontraumatic origin were taken in group B. Electromyography (EMG) activity was recorded from the sternocleidomastoid, anterior scalene, levator scapulae and upper trapezius muscles. Percentage maximum voluntary isometric contraction were calculated during static tasks, which included shoulder abduction to 90° and hold, shrug and hold, craniocervical flexion and hold.
Results
There was no significant (p > 0.05) difference found in activation pattern of neck muscles when we compared right and left sides within groups A and B. But when we compared between groups, group B showed a significant (p < 0.05) increased activation pattern in anterior scalene, sternocleidomastoid, upper trapezius compared to normal subject's neck muscles except levator scapulae which shows no significant difference between groups.
Conclusion
It is concluded from the study that, in patient of nontraumatic origin of chronic neck pain, all the patients showed a significant increased level of EMG activity in neck muscles during performance of static activities as compared to asymptomatic controls.
How to cite this article
Chahal RK, Kumar P. Alteration in Activation Pattern of Neck Muscles in Patients with Chronic Neck Pain. Int J Head Neck Surg 2015;6(1):1-7.
Cervical muscle dysfunction in the chronic whiplash associated disorder grade 2. Spine 2000;25(15):1938-1943.
Cervical muscle dysfunction in the chronic whiplash associated disorder grade 2: the relevance of the trauma. Spine 2002;27(10):1056-1061.
Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res 2004;157(1):43-48.
The effect of postural correction on muscle activation amplitudes recorded from the cervicobrachial region. J Electromyogr Kinesiol 2005;15(6):527-535.
Westgaard. Long-term electromyographic activity in upper trapezius and low back muscles of women with moderate physical activity. J Applied Physiol 2005;99(2):570-578.
Muscle testing; technique of manual examination. 3rd ed. London WB Saunders Company; 1972.
Altered activation pattern in patients with chronic neck pain. Ind Medica 2008;2(1):208-213.
Chronic pain and difficulty in relaxing postural muscles in patients with fibromyalgia and chronic whiplash associated disorders. J Rheumatol 2001;28(6):1361-1368.
Pain and disability of the shoulder andarm. J Am Med Assoc (Chicago) 1942;120(6): 417-422.
Der Einfluss kleinka-libri-gerla, H Struppler, (editors), Therapie der Spastik. Verlag für an Muskelafferenzen auf dem Muskeltonus. In H Bauer, WP Koelgewandte Wissenschaft, München: 1981. p. 7184.
Pathophysiological mechanism involved in genesis and spread of muscular tension in occupational muscle pain and in chronic musculoskeletal pain syndromes: a hypothesis. Medical Hypothesis 1991;35: 196-203.
Learned maintenance of pain: muscle tension reduces central nervous system processing of painful stimulation in chronic and subchronic pain patients. Psychophysiology 1999;36(6):755-764.
Muscles and motor control in cervicogenic disorders, assessment and management. In: Grant R, editor. Physical Therapy of the cervical and thoracic spine. New York, Churchill Livingstone. 2nd ed. 1994. p. 261-285.
The predictive value of gross motor development, posture and upper quadrant stability for TMD in children and young adults: a preliminary study. The Internet J Allied Health Sci Practice 2005;3(1):1-10.
The relationship between head posture and severity and disability of patients with neck pain. Man Ther 2008 May;13(2):148-152.
Muscle activation in the contralateral passive shoulder during isometric shoulder abduction in patients with unilateral shoulder pain. J Electromyogr Kinesiol 2000;10(2):69-77.