Exploring technology for clinical applications and analysis of factors associated with postural control in older adults with idiopathic neck pain

Abstract

Neck pain in older adults is common and has been associated with reduced postural control. However, the mechanisms underlying neck pain-related postural control deficits remain unknown. Unravelling this complex clinical phenomenon is important given the fact that older adults with balance deficits are at risk of falls. Furthermore, falls in older adults may potentially lead to serious consequences and place a burden on public health. This thesis aimed to explore new measurement tools and technique related to cervical spine impairments and postural control that may be potentially useful in research and in the clinical setting, and sought to better understand the mechanisms underpinning neck pain-related postural control deficits in older adults.. Studies 1, 2 and 3 investigated the use of technology, i.e. the smart phone, the Microsoft Kinect and the Nintendo Wii Board to measure cervical range-of-motion, thoracic kyphosis and hallux flexor strength respectively. The results of study 1 showed that the Android phone was valid and reliable in the sagittal and coronal plane but not in the transverse plane. In other words, range-of-motion testing of cervical flexion and extension and lateral flexion were valid and reliable but not rotation in sitting. Study 2 demonstrated Publications during candidature Peer-reviewed papers