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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
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.

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.

Year 2019, Volume 6, Issue 1, 55 - 66, 26.04.2019
https://doi.org/10.21020/husbfd.452394

Abstract

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.

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Articles
Authors

Nezire KÖSE (Primary Author)
HACETTEPE ÜNİVERSİTESİ
Türkiye


Erdi KAYABINAR
HACETTEPE ÜNİVERSİTESİ
Türkiye


Ceyhun TÜRKMEN This is me
Hacettepe Üniversitesi
Türkiye


Şafak PARLAK This is me
Hacettepe Üniversitesi
Türkiye


Hatice Kader KARLI OĞUZ
Hacettepe Üniversitesi
Türkiye

Publication Date April 26, 2019
Application Date August 9, 2018
Acceptance Date March 11, 2019
Published in Issue Year 2019, Volume 6, Issue 1

Cite

APA Köse, N. , Kayabınar, E. , Türkmen, C. , Parlak, Ş. & Karlı Oğuz, H. K. (2019). The Investigation of the Acute Effect of Craniocervical Flexion Exercise and Local Vibration on Semispinalis Cervicis and Multifidus Muscle Activation in a Healthy Individual . Hacettepe University Faculty of Health Sciences Journal , 6 (1) , 55-66 . DOI: 10.21020/husbfd.452394