The Investigation of the Acute Effect of Craniocervical Flexion Exercise and Local Vibration on Semispinalis Cervicis and Multifidus Muscle Activation in a Healthy Individual

Year 2019, Volume: 6 Issue: 1, 55 - 66, 26.04.2019

Nezire Köse , Erdi Kayabınar , Ceyhun Türkmen , Şafak Parlak Hatice Kader Karlı Oğuz

https://doi.org/10.21020/husbfd.452394

Abstract

Aim: The aim of this study is to investigate the acute
effects of craniocervical flexion exercise (CCFE) and vibration on the
activation of the semispinalis cervicis and multifidus muscles in a healthy
case. Materials and Methods: Our
study was carried out on a healthy male without neck pain at the age of 21 at
Hacettepe University Faculty of Health Sciences, Physiotherapy and
Rehabilitation Department and Hacettepe University Faculty of Medicine, Radiology
Department. First, the individual was taught craniocervical flexion exercise
(CCFE). Later on, cervical MR images of the 3-T magnet MRG device were taken at
the National Magnetic Resonance Research Center of Bilkent University. The
sections obtained from the deep paravertebral region muscles by "T2 map
color mapping method" and the muscle areas of activation were drawn by
observation. T2 relaxation values associated with muscle activation were
calculated. Later on, case was asked to perform CCF exercise with 10 seconds of
contraction and 5 seconds of rest and 20 repetitions. MRI measurements were
repeated after exercise. After a resting period of forty-five minutes, the
images of the paravertebral muscles were recorded with MRI again before the
vibration and the neck of the case was vibrated for 5 minutes. After the vibration,
the MRI measurements were repeated and compared with the results of the first
measurement. Results: It has been
found that the results obtained immediately after the KSF exercise and after
the application of vibration have some limited variations in the activation of
the deep paravertebral neck muscles when compared to the results before CCF and
vibration. Conclusion: At the end of
this study it was thought that the CCF exercise and the application of
vibration may have a limited and positive effect on the deep paravertebral
muscles and studies with different exercise protocol and vibration intensity on
more cases are needed in order to clarify this effect more clearly.

Keywords

craniocervical flexion, vibration, fMRG, paravertebral muscles

References

• Beinert K., Keller M., Taube W. (2015), Neck muscle vibration can improve sensorimotor function in patients with neck pain. The Spine Journal. 15(3): 514-521.
• Boyd-Clark LC., Briggs CA., Galea MP. (2002), Muscle spindle distribution, morphology and density in longus colli and multifidus muscles of the cervical spine. Spine. 27: 694-701.
• Brumitt, J., Matheson, J.W., Meira, E.P. (2013), Core Stabilization Exercise Prescription, Part I: Current Concepts in Assessment and Intervention. Sports Physical Therapy. 5(6): 504-509.
• Cagnie, B., Dickx, N., Peeters, I., Tuytens, J., Achten, E., Cambler, D., Danneels, L. (2008), The use of functional MRI to evaluate cervical flexor activity during different cervical flexion exercises. J. Appl Physiol, 104: 230–235.
• Cagnie, B., D'Hooge, R., Achten, E., Cambier, D., Danneels, L. (2010), A magnetic resonance imaging investigation into the function of the deep cervical flexors during the performance of craniocervical flexion, J Manipulative Physiol Ther. 33: 286-291.
• Cagnie, B., Dirks, R., Schouten, M., Parlevliet, T., Cambier, D., Danneels, L.(2011), Functional reorganization of cervical flexor activity because of induced muscle pain evaluated by muscle functional magnetic resonance imaging, Manual Therapy, 16: 470-75.
• Cagnie, B., Elliott, J., O'Leary, S., D'Hooge, R., Dickx, N., Danneels, L. (2011), Muscle Functional MRI as an imaging tool to evaluate muscle activity, journal of orthopaedic & sports physical therapy, 41 (11): 896-903.
• Curry EL., Clelland JA. (1981). Effects of the asymmetric tonic neck reflex and high-frequency muscle vibration on isometric wrist extension strength in normal adults. Phys Ther. 6(4): 487-95.
• Falla D., Jull G., Dall’Alba P., Rainoldi A., Merletti R. (2003), An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Phys Ther, 83: 899-906.
• Falla, D. (2004) Unravelling the complexity of muscle impairment in chronic neck pain. Manual Therapy, 9 (3): 125-133.
• Falla DL., Jull GA., Hodges PW.(2004), Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine, 29: 2108-2114.
• Fleckenstein, J.L., Canby, R.C., Parke, R.W., Peshock, R.M. (1988), Acute effects of exercise on MR imaging of skeletal muscle in normal volunteers. AJR Am. J., 151: 231–237.
• Humphries B., Warman G., Purton J., et al. (2004), The influence of vibration on muscle activation and rate of force development during maximal isometric contractions. J Sports Sci Med, 3: 16-22.
• Jull GA. (2000), Deep cervical muscle dysfunction in whiplash. World Congres On Whiplash-Associated Disorders İn Vancouver, British Columbia, Canada. J Musculoskelet Pain. 8: 143-54.
• Jull G., Sterling M., Falla D., Treleaven J., O’Leary S. (2008), Whiplash, Headache, and Neck Pain, Therapeutic Exercise for Cervical Disorders: Practise Pointers, Edinburgh, Churchill Livingstone, pp:207-229.
• Karaduman A.A., Tunca Yılmaz, Ö., (2016), Fizyoterapi ve Rehabilitasyon 1, Kor stabilite, Ankara, Hipokrat Kitabevi & Pelikan Kitabevi. pp: 219-227.
• Kisner C., Colby L.A. (2007), Therapeutic Exercise: Foundations and Techniques, Sixth Edition, The spine: exercise and manipulation, Philadelphia, F.A. Davis Company. pp: 485-539.
• Kristjansson E. (2004). Reliability of ultrasonography for the cervical multifidus muscle in asymptomatic and symptomatic subjects. Man Ther, 9: 83–88.
• Luo, J., McNamara, B., Moran K. (2005), The use of vibration training to enhance muscle strenght and power. Sports Med. 35(1): 23-41.
• Meyer RA., Prior BM. (2000) Functional magnetic resonance imaging of muscle. Exerc Sport Sci Rev 28: 89–92.
• O’Leary, S., Cagnie, B., Reeve, A., Jull, G., Elliott, JM. (2011), Is there altered activity of the extensor muscle in chronic mechanical neck pain? A functional magnetic resonance imaging study. Arch Phys Med Rehabil, 92: 922-934.
• Şimşek, İ.E. (2017), Omurga, Stabilizasyon egzersizleri, Ankara, Hipokrat Kitabevi,. pp:131-145.
• Ünal E. (2015), Fizyoterapide Kanıta Dayalı Egzersiz Yaklaşımları, Boyun Problemlerinde Servikal Stabilizasyon Eğitimi, Ankara, Pelikan Kitabevi. pp:79-95.