how you can enhance your cervical patient outcomes using visual feedback :
There are a ton of simple and excellent applications you utilize the Motion Guidance system for during cervical assessment and training. Use visual feedback for simple postural cues, visualizing range of motion, or more specific neuromuscular and proprioceptive control exercise!
Here are a Few Ways we Enhance Cervical Exercise with Visual Feedback:
Cervical Joint Positional Awareness Test: With the Motion Guidance large strap and perpendicular mount, the patient can be tested for joint positional awareness. The JPE test with the Motion Guidance tracking grid is calibrated for the patient being 5 feet from the flag. This distance is re-calibrated to be positioned at 5 feet based on the original research by Treleaven et al. (see reference below)
The patient is seated or standing 5 feet from the flag. The patient centers the laser, closes their eyes, and rotates fully in one direction. They then return and open their eyes once they think they are back to their starting position. The dark blue circle represents the standard deviation in which the patient wants to attempt to return to. The accuracy of return position is noted, and the patient repeats the test 6 times.
- Treleaven et al. Dizziness and unsteadiness following whiplash injury: characteristic features and relationship with cervical joint position error. J Rehabil Med. 2003 Jan;35(1):36-43.
Cervical Tracking in a New Range: If we promote increased ROM through manual or exercise therapy, using this new range is important for maintenance of the gained ROM: this video demonstrates an exercise to be implemented after gaining range into cervical left rotation. You can apply this principal to any desired motion.
Cervical Tracking and Motor Control: With the Motion Guidance large strap and perpendicular mount, the patient can trace circles clock wise and counter clock wise, as a cervical motor control drill. Set the patient's chair at a 45 degree angle to the flag, either left or right, to work on motor skill and movement control with a bias direction (with chair angled to the right, the patient is working in left rotation: this may be an important addition to any manual therapy aimed at gaining left rotation).
Cervical Retraction: With the Motion Guidance large strap and perpendicular mount, the patient can practice cervical retraction by centering the laser in target, and moving their head backwards, while keeping the laser as centered as possible. This will assist and avoiding compensation via cervical extension. You can also add resistance band to this exercise.
Cervical Indirect Rotation: With the Motion Guidance large strap and perpendicular mount, the patient can practice cervical indirect rotation by centering the laser in target, then rotating the trunk to the left or right, while keeping the laser centered.
Upper Cervical Bias Rotation: With the Motion Guidance large strap and perpendicular mount, you can compare AA rotation with a visual on side to side discrepancy. An alternate method would be to have the patient standing with the neck fully flexed, and rotate left and right maintaining flexion.
We are constantly increasing our database of visual assisted exercise. Send us your ideas on social media!