Assessment of movement coordination strategies to inform health of movement and guide retraining interventions

Mottram, Sarah; Blandford, Lincoln

doi:10.1016/j.msksp.2019.102100

Cited by 13 publications

(13 citation statements)

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“…(28,29) and Comerford and Mottram (30). They are used to analyse habitual movement patterns including relative exibility (31) and/or challenge the ability to control movements in one region while moving an adjacent one (32). All tests have been presented in detail previously and showed moderate to almost perfect inter-rater agreement (prevalence and bias adjusted kappa coe cients = 0.57-0.84) and fair to substantial test-retest agreement (prevalence and bias adjusted kappa coe cients = 0.33-0.69) (25).…”

Section: Questionnairementioning

confidence: 99%

Cervico-thoracic pain and associated impairments in air force personnel: a cross-sectional cohort study

Tegern

Aasa

Larsson

2021

Preprint

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Background:Pain and impaired function in the cervical region is common in Air Force personnel (AFP), but evidence is limited regarding the thoracic region. This cross-sectional cohort study examined associations between cervico-thoracic pain and physical performance among Swedish AFP and explored possible differences and similarities in test performance between fighter pilots (FP), helicopter pilots (HP) and rear crew (RC).Methods:AFP (n=73) from one airbase performed eight tests of movement control of the spine, active cervical range of motion (ROM) in all six directions and isometric strength and endurance of the cervical flexors and extensors. The association between test performance and cervico-thoracic pain (based on the ´Musculoskeletal screening protocol´ questionnaire) were analysed in a multiple binary logistic regression model.Results:For AFP with cervico-thoracic pain (30%), movement control was impaired in neck flexion (OR=3.61) and forward lean (OR=3.43) tests, together with reduced flexion ROM (OR=0.93). Test performance was in general similar between the three groups, but FP and HP could control the forward lean test to a higher degree than RC (p=0.000), FP were more flexible in lateral flexion to the right compared to HP and RC (p=0.000) and they showed higher flexor strength than RC (p=0.015).Conclusions:The impaired function associated with cervico-thoracic pain highlights the need for a deeper understanding of such relationships when designing tools to systematically optimize the physical performance and prevent pain among AFP. Studies with a longitudinal design are warranted to examine any causative associations between pain and impairments.

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Section: Questionnairementioning

confidence: 99%

Cervico-thoracic pain and associated impairments in air force personnel: a cross-sectional cohort study

Tegern

Aasa

Larsson

2021

Preprint

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“…All tests were performed in sitting with the feet in contact with the floor except for 'neck flexion in supine' that was performed lying on a bench with a small towel under the head, hands on the stomach and legs extended. The tests are used to analyse habitual movement patterns including relative flexibility [31] and/or challenge the ability to control movements in one region while moving an adjacent one [32]. All tests have been presented in detail previously and showed moderate to almost perfect inter-rater agreement (prevalence and bias adjusted kappa coefficients = 0.57-0.84) and fair to substantial test-retest agreement (prevalence and bias adjusted kappa coefficients = 0.33-0.69) [25].…”

Section: Movement Control Test Batterymentioning

confidence: 99%

Cervico-thoracic pain and associated impairments in air force personnel: a cross-sectional study

Tegern

Aasa

Larsson

2021

BMC Musculoskelet Disord

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Background Pain and impaired function in the cervical region are common in Air Force personnel (AFP), but evidence is limited regarding the thoracic region. This cross-sectional cohort study examined associations between cervico-thoracic pain and physical performance among Swedish AFP and explored possible differences and similarities in test performance between fighter pilots (FP), helicopter pilots (HP) and rear crew (RC). Methods AFP (n = 73) from one airbase performed eight tests of movement control of the spine, active cervical range of motion (ROM) in all six directions and isometric strength and endurance of the cervical flexors and extensors. The association between test performance and cervico-thoracic pain (based on the ‘Musculoskeletal screening protocol’ questionnaire) were analysed in a multiple binary logistic regression model. Results For AFP with cervico-thoracic pain (30%), movement control was impaired in the ‘neck flexion test’ (OR [95%CI] =3.61 [1.06–12.34]) and the ‘forward lean test’ (OR [95%CI] =3.43[1.04–11.37]), together with reduced flexion ROM (OR [95%CI] =0.93 [0.87–0.99]). Test performance was in general similar between the three groups, but FP and HP could control the ‘forward lean test’ to a significantly higher degree than RC (p = 0.000). Further, FP showed significantly greater ROM in lateral flexion to the right compared to HP and RC (mean: 40.3°, 36.2° and 33.4°, respectively, p = 0.000), and they showed higher, although not significant, flexor strength than RC (p = 0.026). Conclusions The impaired function associated with cervico-thoracic pain highlights the need for a deeper understanding of such relationships when designing tools to systematically optimize the physical performance and prevent pain among AFP. Studies with a longitudinal design are warranted to examine any causative associations between pain and impairments.

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“…There is evidence that numerous, biopsychosocial factors contribute to NSLBP (Hartvigsen et al, 2018). Movement and posture are commonly believed by patients, clinicians and researchers to relate to NSLBP (Lin et al, 2013;Marras et al, 1995;Mottram & Blandford, 2019;O'Sullivan, 2005). A strong emphasis is placed on the assessment of movement and posture in people with NSLBP (Been & Kalichman, 2014;van Dijk et al, 2020) and interventions often aim to change movement or posture with the belief that this will improve pain or activity limitation (Karayannis, Jull, & Hodges, 2016).…”

Section: Introductionmentioning

confidence: 99%

Movement, posture and low back pain. How do they relate? A replicated single‐case design in 12 people with persistent, disabling low back pain

Wernli

O’Sullivan

Smith

et al. 2020

European Journal of Pain

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Background Movement and posture are commonly believed to relate to non‐specific low back pain (NSLBP). While people with NSLBP appear to move and posture themselves differently from those without NSLBP, changes in movement and posture infrequently relate to improvements in NSLBP when analysed at a group‐level. Additionally, little is known about how movement or posture change when clinical outcome improves. Methods Within‐person relationships were investigated using a replicated, repeated measures, single‐case design in 12 people with persistent, disabling NSLBP. Individually relevant movement and posture were captured using wearable sensors on up to 20 occasions over a 22‐week period (5‐week baseline, 12‐week physiotherapy‐led intervention, 5‐week follow‐up), while pain and activity limitation were collected concomitantly. A series of cross‐correlation analyses estimated the presence, strength, and direction of relationships. Results Many participants (n = 10/12) had strong (e.g. r = 0.91, p = <0.001) relationships between changes in movement or posture and changes in pain and activity limitation, while some showed no strong association. Where relationships were observed, clinical improvement predominantly (93% or 57/61 relationships) related to increased spinal movement range and velocity during forward bending and lifting, reduced lumbar muscle EMG activity at maximum voluntary flexion, and increased posterior‐pelvic‐tilt during sitting and standing. Conclusion Within‐person changes to individually relevant movement and posture appear to often relate to clinical outcome, but not always. When changes were related, movement and posture appear to return towards being ‘less protective’, however causal directions remain unknown. Important activities, movements, and postural parameters varied across the participants, highlighting the potential importance of individualized management. Significance Changes to individually relevant movement and posture appear to often relate to clinical outcome, but not always. Patient‐specific activities, and movement or postural parameters that related to improved pain and activity limitation, varied across the 12 participants, highlighting the potential importance of individualised management. Where clinical improvements were related to changes in movement or posture, participants consistently returned towards being ‘less protective’ (increased range and speed of movement, increased posterior‐pelvic‐tilt during sitting and standing). Mechanisms and generalizability remain unclear.

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Assessment of movement coordination strategies to inform health of movement and guide retraining interventions

Abstract: research.stmarys.ac.uk/ TITLE Assessment of movement coordination strategies to inform health of movement and guide retraining interventions.

Cited by 13 publications

References 80 publications

Cervico-thoracic pain and associated impairments in air force personnel: a cross-sectional cohort study

Cervico-thoracic pain and associated impairments in air force personnel: a cross-sectional cohort study

Cervico-thoracic pain and associated impairments in air force personnel: a cross-sectional study

Movement, posture and low back pain. How do they relate? A replicated single‐case design in 12 people with persistent, disabling low back pain

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