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What is a more effective method of cranio-cervical flexion exercises?
Junhyung Park1, Do-Heung Ko2, Jingang Her3
1Department of Rehabilitation Therapy, Hallym University, Chuncheon, Korea.
Journal of Back and Musculoskeletal Rehabilitation
|January 15, 2018
Summary
Optimizing cranio-cervical flexion exercise (CCFE) involves a 20 mm mouth opening and looking down 45 degrees. These adjustments enhance deep cervical flexor activation for neck pain patients.
Area of Science:
- Physical Therapy
- Rehabilitation Medicine
- Biomechanics
Background:
- Cranio-cervical flexion exercise (CCFE) is key for deep neck muscle activation in neck pain patients.
- Existing research lacks specific methods to optimize deep cervical flexor activity during CCFE.
Purpose of the Study:
- To identify optimal parameters for CCFE to enhance deep cervical flexor activation.
- Investigate the effects of mouth opening, eye gaze, and body position on CCFE efficacy.
Main Methods:
- Evaluated sternocleidomastoid muscle activity in 50 subjects using a pressure biofeedback unit during CCFE.
- Assessed muscle activity and thickness with varying degrees of mouth opening and eye gaze.
- Examined the influence of different body positions on exercise effectiveness.
Main Results:
- Lowest sternocleidomastoid activity observed at 20 mm mouth opening.
- Significant differences in sternocleidomastoid and longus colli muscle activity noted at 20 mm mouth opening (p<0.05).
- 45-degree downward eye gaze resulted in the lowest sternocleidomastoid activity.
Conclusions:
- Suggests a modified CCFE protocol for enhanced effectiveness.
- Recommends incorporating a 20 mm mouth opening and 45-degree downward eye gaze.
- Advocates for seated CCFE without spatial restrictions to maximize benefits for neck stabilization.
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