الفهرس 
Title : Cervical sagittal balanc as predictor for the outcome of multimodal treatment program for non-specific neck pain
AbstractOnly 14 pages are availabe for public view
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Abstract
Background:Cervical sagittal balance represents the position of the occiput to the thoracic inlet and keep normal lordotic curve in cervical region so any disturbance in cervical balance lead to pain and disability. Also it is an important concept that Cervical sagittal imbalance has been linked to poor health-related quality of life scores due to disabling symptoms of neck pain and neurological deficit.Aim of the study :The aim of this study was to investigate the influence of cervical balance as
a predictor for the outcome measures of multimodal treatment program in patient with non specific neck pain.Subjects: Forty patients of both sex with non specific neck painwere participated in this study. Patients were subdivided into two groups,The first group (group A) twenty patients with cervical sagittal imbalance, the second group (group B) twenty patients with cervical sagittal balance. Both groups received multimodal treatment(Cervicothoracic stabilization training designed to restore cervical muscle endurance and coordination,relaxation training to reduce unnecessary muscle tension, behavioral support to reduce anxiety and fear of pain, eye fixation exercises to prevent dizziness and wobble-board training to improve postural control).Methods: Pain was measured pre and post treatment by Visual analogue scale (VAS): neck function was measured pre and post treatment by Neck disability index (NDI) and cervical range of motion (ROM) was measured pre and post treatment by cervical goniometer.Results:. Between group analyses post treatment revealeda significant difference in NDI and ROM of the neck (flexion ,extension, RT bending ,LT bending, RT rotation and LT rotation ) as regard to group B while there was no difference between as refere to pain measurement.Conclusion:cervical sagittal balance is effective in predicting multimodal treatment outcome measures (ROM and neck function)in nonspecific neck pain(NSNP). Patients with cervical sagittal balance have better outcome measures( improving ROM, decrease pain intensity and improving neck function ) than patients with cervical sagittal imbalance in case of non specific neck pain .SVA(sagittal vertical axis) contribute to interpretation of changes in ROM, NDI.