How to utilize NeckCare’s sensorimotor exercises
Practical guidance on when and how to use sensorimotor exercises for neck pain and neck injury rehabilitation. This article explains training frequency, progression, and how to safely tailor exercises based on individual assessment results.
When to use sensorimotor exercises?
- Sensorimotor changes occur early after the onset of neck pain or following neck injuries.
- Exercises are therefore recommended to begin as soon as possible, in addition to conventional therapy
- The source of the sensorimotor impairment must, of course, be addressed if it has been identified (e.g., painful restricted joint, impaired muscle function, and so on)
- Interventions such as pain management, manipulative therapy, active range-of-motion exercises, and exercises to improve neuromuscular control are all important in improving sensorimotor control
- The patient should perform exercises that focus on the specific impairments that were identified in the sensorimotor assessment
For example:
- Let's say a patient exhibited impaired proprioception on the JPE test during left rotation and extension, along with poor performance on medium and hard Butterfly paths.
- Then the patient should perform JPE exercises in left rotation and extension, as well as Butterfly exercises, especially at medium and hard difficulty levels
What kind of training should be done?
- Short training sessions are recommended, usually between 5-10 minutes
- Regarding the number of sessions, it’s usually the more the merrier, the volume can go up to 2-5 sessions per day
- Fewer training sessions still yield positive results
- Initially, we recommend starting with 3-5 repetitions for each exercise
- Building up to 10 repetitions per exercise should be sufficient in most cases, but can be less if a number of different exercises are required, to keep the session within 5-10 minutes
- Exercises should begin at a level the patient can perform with control and minimal exacerbation of symptoms, then the difficulty should be progressed gradually, step by step
What is acceptable during exercises
- Temporary reproduction of mild to moderate dizziness, unsteadiness, and/or visual disturbances
What is NOT acceptable during exercise
- Exacerbation of nausea, neck pain, or headache
- If this occurs, modify the exercises to be less challenging, for example, by decreasing the number of repetitions, range of motion, speed of movement, and so on
- Severe dizziness, unsteadiness, or visual disturbances should also indicate the need to make the exercise less challenging