Altered Scapular Orientation During Arm Elevation in Patients With Insidious Onset Neck Pain and Whiplash-Associated Disorder

Helgadottir, Harpa; Kristjansson, Eythor; Mottram, Sarah; Karduna, Andrew R.; Jónsson, Halldór

doi:10.2519/jospt.2010.3405

Cited by 61 publications

(43 citation statements)

References 45 publications

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“…46 These studies also suggest that alterations in scapular position/motion may differ between the dominant and nondominant scapula, and may be dependent on the type of neck disorder (traumatic or nontraumatic). 22,23,46 While these studies offer preliminary evidence of an association between altered scapular posture/motion and neck pain, their limited sample size makes it difficult to draw any firm conclusions regarding specific patterns of impairment in neck pain that would inform clinical practice, and further investigation is T T SYNOPSIS: Though our understanding of motor disorders and mechanical neck pain has advanced, the role of scapular dysfunction in mechanical neck pain remains enigmatic. The biomechanical interdependence between the neck and scapula and the potentially deleterious consequences of scapular dysfunction in the cervical region are biomechanically plausible.…”

Section: Scapular Dysfunction In Neck Pain Smentioning

confidence: 99%

“…There is some initial evidence that scapular position at rest and scapular motion during elevation of the upper limb may be altered in some individuals with neck pain when compared to a healthy population. 22,23,46 For example, symptomatic office workers were observed to have slightly more scapular protraction than asymptomatic office workers during their computer work. 46 These studies also suggest that alterations in scapular position/motion may differ between the dominant and nondominant scapula, and may be dependent on the type of neck disorder (traumatic or nontraumatic).…”

Section: Scapular Dysfunction In Neck Pain Smentioning

confidence: 99%

See 1 more Smart Citation

The Relevance of Scapular Dysfunction in Neck Pain: A Brief Commentary

Cagnie¹,

Struyf²,

Cools³

et al. 2014

J Orthop Sports Phys Ther

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Section: Scapular Dysfunction In Neck Pain Smentioning

confidence: 99%

Section: Scapular Dysfunction In Neck Pain Smentioning

confidence: 99%

The Relevance of Scapular Dysfunction in Neck Pain: A Brief Commentary

Cagnie¹,

Struyf²,

Cools³

et al. 2014

J Orthop Sports Phys Ther

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“…This hypothesis is supported by the finding that in some subgroups of subjects undergoing continuing upper limbs tasks, pain appears after a certain time of activity and alterations in pattern of movement are observed before pain appears [12][13]65].…”

Section: Muscular Endurancementioning

confidence: 83%

Structural and Functional Changes of Cervical Neuromuscular System Associated with Insidious Onset Mechanical Neck Pain: A literature Review

Mario¹,

Vanti²,

Pillastrini³

et al. 2015

Int J Phys Ther Rehab

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Background: The purpose of this review is to provide an updated overview of structural and functional changes of cervical neuromuscular system associated with Insidious Onset Mechanical Neck Pain [IOMPT]. Methods: MEDLINE and SCOPUS databases were searched. Observational studies published after 01-01-2003 in English or Italian languages were included. The following search string was used: "neck pain" AND (muscle OR "motor control" OR behaviour OR function OR endurance OR "isometric contraction") NOT (radiculopathy OR surgery OR "specific neck pain"). Results: 15 papers concerning changes in structure of neck neuromuscular system, 19 on changes in pattern of neuromuscular activation, and 16 on deficit in neuromuscular function associated to IOMNP were selected. From this review emerges that pain, whether it be artificially produced or due to IOMNP, provokes an alteration of the cervical region function and a number of anomalies in the behavior of the neuro-muscular system. IOMNP is associated with structural alterations affecting the cervical region at different levels (metabolic, histological, and even macroscopic). Changes in cervical neuromuscular system structure concern altered histology and metabolism, cross sectional area thickness, muscle fatty infiltration, trigger points generation, and alterations of muscular activation pattern. Changes in neuromuscular function concern reduced maximal voluntary contraction, alteration on proprioception, coordination and on complex functions. Conclusion:The relationships between IONMP and changes in the intrinsic properties, behavior, and function of neck muscles have now acquired evidence. There is a widespread consensus about the fact that these alterations contribute to the onset, maintenance, and recurrence of neck pain. Structural and Functional Changes of Cervical Neuromuscular System Review ArticleOpen Access IntroductionInsidious Onset Mechanical Neck Pain (IOMNP) is a common cause of discomfort and disability and a growing problem in society, resulting in significant impact on health care costs [1]. Within 6 months, 54% of adults experience IOMNP, and 5% of them complain of associated disability. Furthermore, only 6.3% of people who suffered from neck pain are free from recurrence [2]. About 0.6% of the general population is exposed to disability caused by IOMNP and females are more prone to recurrent and / or chronic pain than males [3]. The IOMNP can be considered a work-related disorder in some professions, including pilots [4][5][6][7], musicians [8][9], and workers using personal computer for prolonged times [10][11][12][13][14].Cervical spine supports the head and orients it in space, transmits forces on the upper limb and has close relations with the visual and vestibular function [15][16][17][18]. Given the complexity of this region and the close link between central nervous system (CNS) and muscles, several abnormalities in structure and function of the neuromuscular system may develop when pain occurs [2,15].The aim of this review is to pro...

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“…[22] There could be an increasing in this loading with an impaired scapular control due to altered muscle activation patterns because of neck pain. [8,23,24] It may result in inhibition of using the upper limbs to prevent the neck from the pain. It is also known that neck pain can result in symptoms being referred into the upper limbs.…”

Section: Discussionmentioning

confidence: 99%