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conferenceseries.com
October 13-15, 2016 Kuala Lumpur, Malaysia
3rd International Conference and Expo on
Physiotherapy
Volume 6, Issue 5 (Suppl) J Nov Physiother
ISSN: 2165-7025 JNP, an open access journal Physiotherapy 2016
October 13-15, 2016
J Nov Physiother 2016, 6:5 (Suppl)
Effect of craniosacral therapy on chronic mechanical neck pain
Samy Abd El Samad Nasef, Fayrouz Moustafa Seif El Din, Alaa El Din Abd El Hakim Balbaa and Enas Metwaly Abd El Menam
Pharos University, Egypt
Background: Chronic neck pain is one of the most common complaints in the general population and can result in substantial
problems including disability, absence from work and cost of treatment.
Purpose: This study was conducted to investigate the effect of craniosacral therapy on chronic mechanical neck pain.
Subjects: 30 patients aged from 18-30 years from both sexes were classified randomly into 2 groups with equal numbers.
Materials & Methods: Study group (group A) consisted of 15 patients who received craniosacral therapy in addition to traditional
physical therapy (infrared radiation & ultrasound therapy) for 4 weeks consecutively, while the control group (group B) consisted
of 15 patients who received only traditional physical therapy (infrared radiation & ultrasound) for 4 weeks consecutively. Visual
analogue scale (VAS), range of motion (ROM) and neck disability index (NDI) were measured at two intervals pre-treatment and
post-treatment.
Results: There were significant differences between both groups (A and B) post treatment (P<0.0001) regarding VAS, ROM and NDI
in favor of group (A).
Conclusion: Craniosacral therapy is more effective in addition to traditional physical therapy in improving pain, range of motion and
neck functional disability in patients with chronic mechanical neck pain.
Effect of sitting postures and shoulder position on the cervicocephalic kinesthesia in healthy young
males
Zaheen Iqbal1, Ahmad Alghadir1, Hamayun Zafara 2 and Einas Al Eisa 1
1King Saud University, Saudi Arabia
2Umea University, Sweden
Information about head orientation, position and movement with respect to the trunk relies on the visual, vestibular, extensive
muscular and articular proprioceptive system of the neck. Various factors can affect proprioception since it is the function of
afferent integration, and tuning of muscular and articular receptors. Pain, muscle fatigue and joint position have been shown to
affect proprioceptive capacity. Thus, it can be speculated that changes in body posture can alter the neck proprioception. This study
was undertaken to investigate the effect of body posture on cervicocephalic kinesthetic sense in healthy subjects. Cervicocephalic
kinesthetic sensibility was measured by the kinesthetic sensibility test in healthy young adults while in (a) habitual slouched sitting
position with arms hanging by the side (SS), (b) habitual slouched sitting position with arms unloaded (supported) (SS-AS), and
(c) upright sitting position with arms hanging by the side (US) during maximum and 30 degree right, left rotations, flexion and
extension. 30 healthy male adults (mean age 27.83; SD 3.41) volunteered for this study. The least mean error was found for the SS-
AS position (0.48; SD 0.24), followed by SS (0.60; SD 0.43) and US (0.96; SD 0.71), respectively. For all test conditions, there was
significant difference in mean absolute error while head repositioning from maximum and 30 degree rotation during SS and SS-AS
positions (p<0.05). In conclusion, body posture can affect the proprioception function of the neck. Supporting the upper extremities
in such a way that their weight is unloaded, which leads to reduction in the tension between the neck and shoulder girdle, can
improve cervicocephalic kinesthetic sense in both the horizontal and vertical planes. The findings of this study can be implemented
in people who have to do repeated arm and neck movements, by using ergonomically effective chairs with proper arm supports. This
might help in prevention and treatment of neck pain.