Welcome to DR. MOTION Innovative Technology Ltd
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    • B-Free Ranger (Wired model) 必飛越野號 (原創有線版)
    • B-Free Ranger (Remote control model) 必飛越野號(創新遙控版)
    • B-Free Flash (Wired model) 必飛閃電號 (原創有線版)
    • B-Free Flash (Remote control model) 必飛閃電號(創新遙控版)
    • B-Free Double Flash (latest model) 必飛閃電號升級版 (創新遙控版)
    • FAQ about Stair-Climbing Wheelchairs, 常見問題
    • Our Growing Path 我們成長之路
      • 2014
        • 2014-09, Wheelchair Users' Joy Ride 輪椅使用者之興奮
        • 2014-10, MTR Onsite Test 通過地鐵公司的嚴格測試
        • 2014-12, Wheelchair Users' Joy Ride 輪椅使用者之興奮
      • 2015
        • 2015-02, 頭條日報
        • 2015-04, 東張西望
        • 2015-04, Geneva Inventions Gold Awards 瑞士日內瓦發明金獎
        • 2015-04, Celebrity congratulates 名人祝賀
        • 2015-05, Celebrity congratulates 名人祝賀
        • 2015-06, Celebrity congratulates 名人祝賀
        • 2015-10, 威爾斯醫院
        • 2015-10, at Nursing Home 在安老院當義工
        • 2015-10, Celebrity congratulates 名人祝賀
        • 2015-11, TVB, 貿發局廣告
        • 2015-11, Fedex Grant contest FedEx中小企拓展業務大賽勝出得到大獎
        • 2015-12, Elderly Joy Ride 長者之興奮
        • 2015-12, HK Chamber of Commerce Award ​香港工商業科技獎
      • 2016
        • 2016-02, TVB, 敢創, 香港
        • 2016-03, TVB, 學是學非
        • 2016-04, Mediazone Award 媒體大獎
        • 2016-05, 人大委員長張德江到科學園
        • 2016-08, B-Free Ranger Pilot Run 必飛越野號試航
        • 2016-09, SCMP 香港精神奬
        • 2016-10, Cybathlon, Switzerland 瑞士殘疾人士科技競賽
      • 2017
        • 2017-03, B-Free in Birmingham 必飛被邀請到英國伯明翰參展
        • 2017-05, B-Free in New York 必飛被邀請到美國紐約參展
        • 2017-07, B-Free in Shanghai 必飛被邀請到中國上海參展
        • 2017-07, B-Free in Toyko 必飛被邀請到日本東京參展
        • 2017-10, B-Free in Vienna 必飛被邀請到奧地利維也納參展
        • 2017-12, 諾貝爾學人卓越科技獎
      • 2018
  • Health Info 健康資訊
    • Headaches
      • Cervical headaches
      • Headaches & Manipulative
    • Neck
      • Neck pain by Gwen Jull, Part I
      • Neck pain by Gwen Jull, Part II
      • Neck pain by Gwen Jull, Part III
      • Neck pain position statement
      • Neck Pain
      • Neck, Dizziness and Vertigo
    • Back
      • Thoracic extension (upper back backward bending) and chest expansion
    • Low back
      • Acute, treat early for best results
      • Education for low back pain
      • Management of acute to prevent chronic LBP
      • Non-specific low back pain
      • Sciatica, 1
      • Sciatica, 2
      • Mobility to maintain lumbar lordosis
    • Hip
      • Common hip joint exercises
      • Other hip joint exercises
    • Case study series
      • Limp & Wasting From Lumbar, 76 yr
      • Sciatica
    • Crisis Plan Series
      • Acute shoulder pain
      • Acute thoracic pain
      • Ankle sprain
      • Carpal tunnel syndrome
      • FHP, Neck pain
      • Hip strain
      • lumbar lordosis
      • PF Joint
      • Plantar fasciitis
      • Subacute shoulder pain
      • Tennis elbow
    • Exercise
      • Calf stretches for cramp, swollen-aching leg
      • Exercises for OA
      • Fitness exercise advice, postural to sporting
      • Karate training
      • Marathon Prerequiite
      • Postural Exercises, Flexion Exercises Cause Injury
      • Scoliosis Screening, Exercise Program
      • Stretches for RSI, tendinitis
      • Stretch to prevent injury
      • Stretching exercises, the challenge
      • Swimming, To swim or not to swim?
      • Therapeutic Exercises, Importance of Different Type
      • To exercise or not to exercise?
      • To stretch or not to stretch?
      • Wii as an Exerise Device
      • Wii, Exer-gaming, More Evidence
      • Work athlete, marathon workers
      • XBOX 360 Kinect
    • General Advice
      • Back pain, more than a clinical symptom
      • Common sayings or Heuristics for patients
      • Cost effectiveness of physiotherapy
    • Posutre
      • Core awareness belt
      • Core stabilization for sports & ADL
      • Core stabilization, motor control
      • Dental saddle stool
      • Dr Mandal, balanced sitting posture on forward sloping seat #1
      • Dr Mandal, balanced sitting posture on forward sloping seat #2
      • Evolution figures for postural advice
      • Kyphosis, more common, need of early detection
      • Need of postural training for patients with neck pain
      • Olympic athletes, lifting with lordosis & bracing
      • Postural muscle training I
      • Postural muscle training II
      • Treadmill desk
  • About Us 關於我們
    • Found's Profile
  • Contact Us 聯絡我們
  • Announcement 通告
    • 2018-05-31
  • Subsidiaries 子公司
    • Smart-Office
    • Beauty & Health
  • Home 主頁
  • B-Free Products 必飛產品
    • B-Free Ranger (Wired model) 必飛越野號 (原創有線版)
    • B-Free Ranger (Remote control model) 必飛越野號(創新遙控版)
    • B-Free Flash (Wired model) 必飛閃電號 (原創有線版)
    • B-Free Flash (Remote control model) 必飛閃電號(創新遙控版)
    • B-Free Double Flash (latest model) 必飛閃電號升級版 (創新遙控版)
    • FAQ about Stair-Climbing Wheelchairs, 常見問題
    • Our Growing Path 我們成長之路
      • 2014
        • 2014-09, Wheelchair Users' Joy Ride 輪椅使用者之興奮
        • 2014-10, MTR Onsite Test 通過地鐵公司的嚴格測試
        • 2014-12, Wheelchair Users' Joy Ride 輪椅使用者之興奮
      • 2015
        • 2015-02, 頭條日報
        • 2015-04, 東張西望
        • 2015-04, Geneva Inventions Gold Awards 瑞士日內瓦發明金獎
        • 2015-04, Celebrity congratulates 名人祝賀
        • 2015-05, Celebrity congratulates 名人祝賀
        • 2015-06, Celebrity congratulates 名人祝賀
        • 2015-10, 威爾斯醫院
        • 2015-10, at Nursing Home 在安老院當義工
        • 2015-10, Celebrity congratulates 名人祝賀
        • 2015-11, TVB, 貿發局廣告
        • 2015-11, Fedex Grant contest FedEx中小企拓展業務大賽勝出得到大獎
        • 2015-12, Elderly Joy Ride 長者之興奮
        • 2015-12, HK Chamber of Commerce Award ​香港工商業科技獎
      • 2016
        • 2016-02, TVB, 敢創, 香港
        • 2016-03, TVB, 學是學非
        • 2016-04, Mediazone Award 媒體大獎
        • 2016-05, 人大委員長張德江到科學園
        • 2016-08, B-Free Ranger Pilot Run 必飛越野號試航
        • 2016-09, SCMP 香港精神奬
        • 2016-10, Cybathlon, Switzerland 瑞士殘疾人士科技競賽
      • 2017
        • 2017-03, B-Free in Birmingham 必飛被邀請到英國伯明翰參展
        • 2017-05, B-Free in New York 必飛被邀請到美國紐約參展
        • 2017-07, B-Free in Shanghai 必飛被邀請到中國上海參展
        • 2017-07, B-Free in Toyko 必飛被邀請到日本東京參展
        • 2017-10, B-Free in Vienna 必飛被邀請到奧地利維也納參展
        • 2017-12, 諾貝爾學人卓越科技獎
      • 2018
  • Health Info 健康資訊
    • Headaches
      • Cervical headaches
      • Headaches & Manipulative
    • Neck
      • Neck pain by Gwen Jull, Part I
      • Neck pain by Gwen Jull, Part II
      • Neck pain by Gwen Jull, Part III
      • Neck pain position statement
      • Neck Pain
      • Neck, Dizziness and Vertigo
    • Back
      • Thoracic extension (upper back backward bending) and chest expansion
    • Low back
      • Acute, treat early for best results
      • Education for low back pain
      • Management of acute to prevent chronic LBP
      • Non-specific low back pain
      • Sciatica, 1
      • Sciatica, 2
      • Mobility to maintain lumbar lordosis
    • Hip
      • Common hip joint exercises
      • Other hip joint exercises
    • Case study series
      • Limp & Wasting From Lumbar, 76 yr
      • Sciatica
    • Crisis Plan Series
      • Acute shoulder pain
      • Acute thoracic pain
      • Ankle sprain
      • Carpal tunnel syndrome
      • FHP, Neck pain
      • Hip strain
      • lumbar lordosis
      • PF Joint
      • Plantar fasciitis
      • Subacute shoulder pain
      • Tennis elbow
    • Exercise
      • Calf stretches for cramp, swollen-aching leg
      • Exercises for OA
      • Fitness exercise advice, postural to sporting
      • Karate training
      • Marathon Prerequiite
      • Postural Exercises, Flexion Exercises Cause Injury
      • Scoliosis Screening, Exercise Program
      • Stretches for RSI, tendinitis
      • Stretch to prevent injury
      • Stretching exercises, the challenge
      • Swimming, To swim or not to swim?
      • Therapeutic Exercises, Importance of Different Type
      • To exercise or not to exercise?
      • To stretch or not to stretch?
      • Wii as an Exerise Device
      • Wii, Exer-gaming, More Evidence
      • Work athlete, marathon workers
      • XBOX 360 Kinect
    • General Advice
      • Back pain, more than a clinical symptom
      • Common sayings or Heuristics for patients
      • Cost effectiveness of physiotherapy
    • Posutre
      • Core awareness belt
      • Core stabilization for sports & ADL
      • Core stabilization, motor control
      • Dental saddle stool
      • Dr Mandal, balanced sitting posture on forward sloping seat #1
      • Dr Mandal, balanced sitting posture on forward sloping seat #2
      • Evolution figures for postural advice
      • Kyphosis, more common, need of early detection
      • Need of postural training for patients with neck pain
      • Olympic athletes, lifting with lordosis & bracing
      • Postural muscle training I
      • Postural muscle training II
      • Treadmill desk
  • About Us 關於我們
    • Found's Profile
  • Contact Us 聯絡我們
  • Announcement 通告
    • 2018-05-31
  • Subsidiaries 子公司
    • Smart-Office
    • Beauty & Health
Tel: 2899 2893

Neck pain by Gwen Jull, Part III

Deficits in the motor (movement) control of the deep and superficial cervical flexor (neck forward bending) muscle have been identified in patients with chronic (long-standing) neck pain. These motor control deficits have been characterized delay in onset of neck flexor activity, most significantly in the deep neck flexors, associated with movement of the upper limb. This delay in onset of contraction of the neck flexor muscles indicates deficit in the automatic motor command for feed-forward control in patients with neck pain. It can be suggested that such a change in the feed-forward response may leave the cervical spine vulnerable to strain from the reactive force resulting from the movement. Altered patterns of cervical flexor muscle activation have also been demonstrated in both low-load cognitive and functional tasks in neck pain patients compared with control subjects. In the cognitive task of craniocervical flexion (head-neck forward bending), reduced deep cervical flexor muscle activity has been demonstrated in those with neck pain, and this has been accompanied by increased activity in the superficial flexors, the sternocleidomastoid and anterior scalene muscle. This pattern suggests possible compensation by the superficial muscles in the presence of impaired deep cervical flexors in neck pain patients.
This altered pattern of muscle activity in the craniocervical flexion test also appears to translate to functional activities, where increased activity of the superficial cervical flexor muscles has been measured in neck pain patients during a simple pencil tapping task. Alterations in the pattern of axioscapular (spine-shoulder baldes) muscle activation were also evident during the performance of this functional task. Neck pain subjects had reduced activity in the trapezius (neck muscle) on their dominant side. This may represent an altered strategy to minimize activation of painful muscles. There was increased activity on the non-dominant side, which rested on the table during the task, and this may be compensation for inhibited, deeper muscles.
The changes in patterns of muscle activity in the neck and shoulder girdle found to date, as well as the delays in onset of neck flexor activity associated with movement of the upper limb, suggest that therapeutic (treatment) exercise should first be directed towards motor (movement) relearning/postural control. Such exercise program should include a focus on activating the deep neck and girdle muscles with low-load and precise exercises in the first instance. Precision is a key and these exercises need to be performed repeatedly in the motor learning process. The muscles' tonic endurance capacity should be trained with low-load holding actions in line with their functional supporting role. Re-education of posture in a neutral upright lumbopelvic (low back and pelvis) position with restoration of the normal lumbar (low back), thoracic (upper back) and cervical (neck) and shoulder girdle position (normal cervical and lumbar lordosis) is an important component of the relearning process of muscle activity in their functional, postural supporting roles. Also, appropriate training of the activation of the muscles in movement patterns of the neck and girdle is frequently required using both specific exercises as well as patient-specific functional tasks. Once the synergistic interaction of the deep and superficial muscles is achieved, co-contraction exercises can be introduced to further enhance muscular stability of the cervicobrachial (neck-shoulder) region. The muscle system can then be loaded to restore strength and endurance to the functional demands of the patient.



Luck LI
Musculoskeletal Physiotherapist

Location

What Our Clients Are Saying

Professional and dedicated. The Health Information is truly amazing, helping me to recover from my low back pain. I’m sure Dr. Motion is going to help a lot more people."

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“專注專業。 健康資訊到位,幫助我從腰痛中恢復過來。 我相信動博士能夠幫助更多人。”
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  • Home 主頁
  • B-Free Products 必飛產品
    • B-Free Ranger (Wired model) 必飛越野號 (原創有線版)
    • B-Free Ranger (Remote control model) 必飛越野號(創新遙控版)
    • B-Free Flash (Wired model) 必飛閃電號 (原創有線版)
    • B-Free Flash (Remote control model) 必飛閃電號(創新遙控版)
    • B-Free Double Flash (latest model) 必飛閃電號升級版 (創新遙控版)
    • FAQ about Stair-Climbing Wheelchairs, 常見問題
    • Our Growing Path 我們成長之路
      • 2014
        • 2014-09, Wheelchair Users' Joy Ride 輪椅使用者之興奮
        • 2014-10, MTR Onsite Test 通過地鐵公司的嚴格測試
        • 2014-12, Wheelchair Users' Joy Ride 輪椅使用者之興奮
      • 2015
        • 2015-02, 頭條日報
        • 2015-04, 東張西望
        • 2015-04, Geneva Inventions Gold Awards 瑞士日內瓦發明金獎
        • 2015-04, Celebrity congratulates 名人祝賀
        • 2015-05, Celebrity congratulates 名人祝賀
        • 2015-06, Celebrity congratulates 名人祝賀
        • 2015-10, 威爾斯醫院
        • 2015-10, at Nursing Home 在安老院當義工
        • 2015-10, Celebrity congratulates 名人祝賀
        • 2015-11, TVB, 貿發局廣告
        • 2015-11, Fedex Grant contest FedEx中小企拓展業務大賽勝出得到大獎
        • 2015-12, Elderly Joy Ride 長者之興奮
        • 2015-12, HK Chamber of Commerce Award ​香港工商業科技獎
      • 2016
        • 2016-02, TVB, 敢創, 香港
        • 2016-03, TVB, 學是學非
        • 2016-04, Mediazone Award 媒體大獎
        • 2016-05, 人大委員長張德江到科學園
        • 2016-08, B-Free Ranger Pilot Run 必飛越野號試航
        • 2016-09, SCMP 香港精神奬
        • 2016-10, Cybathlon, Switzerland 瑞士殘疾人士科技競賽
      • 2017
        • 2017-03, B-Free in Birmingham 必飛被邀請到英國伯明翰參展
        • 2017-05, B-Free in New York 必飛被邀請到美國紐約參展
        • 2017-07, B-Free in Shanghai 必飛被邀請到中國上海參展
        • 2017-07, B-Free in Toyko 必飛被邀請到日本東京參展
        • 2017-10, B-Free in Vienna 必飛被邀請到奧地利維也納參展
        • 2017-12, 諾貝爾學人卓越科技獎
      • 2018
  • Health Info 健康資訊
    • Headaches
      • Cervical headaches
      • Headaches & Manipulative
    • Neck
      • Neck pain by Gwen Jull, Part I
      • Neck pain by Gwen Jull, Part II
      • Neck pain by Gwen Jull, Part III
      • Neck pain position statement
      • Neck Pain
      • Neck, Dizziness and Vertigo
    • Back
      • Thoracic extension (upper back backward bending) and chest expansion
    • Low back
      • Acute, treat early for best results
      • Education for low back pain
      • Management of acute to prevent chronic LBP
      • Non-specific low back pain
      • Sciatica, 1
      • Sciatica, 2
      • Mobility to maintain lumbar lordosis
    • Hip
      • Common hip joint exercises
      • Other hip joint exercises
    • Case study series
      • Limp & Wasting From Lumbar, 76 yr
      • Sciatica
    • Crisis Plan Series
      • Acute shoulder pain
      • Acute thoracic pain
      • Ankle sprain
      • Carpal tunnel syndrome
      • FHP, Neck pain
      • Hip strain
      • lumbar lordosis
      • PF Joint
      • Plantar fasciitis
      • Subacute shoulder pain
      • Tennis elbow
    • Exercise
      • Calf stretches for cramp, swollen-aching leg
      • Exercises for OA
      • Fitness exercise advice, postural to sporting
      • Karate training
      • Marathon Prerequiite
      • Postural Exercises, Flexion Exercises Cause Injury
      • Scoliosis Screening, Exercise Program
      • Stretches for RSI, tendinitis
      • Stretch to prevent injury
      • Stretching exercises, the challenge
      • Swimming, To swim or not to swim?
      • Therapeutic Exercises, Importance of Different Type
      • To exercise or not to exercise?
      • To stretch or not to stretch?
      • Wii as an Exerise Device
      • Wii, Exer-gaming, More Evidence
      • Work athlete, marathon workers
      • XBOX 360 Kinect
    • General Advice
      • Back pain, more than a clinical symptom
      • Common sayings or Heuristics for patients
      • Cost effectiveness of physiotherapy
    • Posutre
      • Core awareness belt
      • Core stabilization for sports & ADL
      • Core stabilization, motor control
      • Dental saddle stool
      • Dr Mandal, balanced sitting posture on forward sloping seat #1
      • Dr Mandal, balanced sitting posture on forward sloping seat #2
      • Evolution figures for postural advice
      • Kyphosis, more common, need of early detection
      • Need of postural training for patients with neck pain
      • Olympic athletes, lifting with lordosis & bracing
      • Postural muscle training I
      • Postural muscle training II
      • Treadmill desk
  • About Us 關於我們
    • Found's Profile
  • Contact Us 聯絡我們
  • Announcement 通告
    • 2018-05-31
  • Subsidiaries 子公司
    • Smart-Office
    • Beauty & Health