Function in Patients With Cervical Radiculopathy or Chronic Whiplash-Associated Disorders Compared With Healthy Volunteers

Peolsson, Anneli; Ludvigsson, Maria Landén; Wibault, Johanna; Dedering, Åsa; Peterson, Gunnel

doi:10.1016/j.jmpt.2014.01.003

Cited by 17 publications

(14 citation statements)

References 45 publications

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“…It is both cheaper and more cost-effective than MRI and easy to fit into a clinical setting in primary care dealing with musculoskeletal issues. However, it is known to be operator dependent [28, 36–38]. …”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal diagnostic ultrasound imaging for thickness measurement of four principal muscles of the cervical spine -a reliability and agreement study

Øverås

Myhrvold²,

Røsok³

et al. 2017

Chiropr Man Therap

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BackgroundThe reliability of musculoskeletal diagnostic ultrasound imaging (MSK-DUSI) for the evaluation of neck musculature has been sparsely documented in the research literature. Until now, research has featured a limited number of subjects and only few studies have tested for both inter- and intra-reliability using appropriate methodology.MethodsFour examiners conducted an inter- and intra-rater reliability and agreement study. Fifty females with and without neck pain (NP) between the ages of 20–70 were recruited from October 2014 to April 2015. The muscles that were evaluated were the longus colli (Lcol), the rectus capitis posterior major (Rcpm), the deep cervical extensors (Dce) and the semispinalis capitis (Sscap). Each of the examiners captured ultrasound images of their allocated muscle and measured the thickness of that muscle twice, on separate occasions, for the first part of the intra-rater reliability study. For the second part, a second image of the same muscle was taken on the same subject and measured by the same examiner. The four examiners then met to measure on each other’s images, to test inter-rater reliability. Their results were compared pair-wise using Interclass Correlation Coefficients (ICC) and Bland-Altman plots. Linear regression analysis was performed to evaluate for possible bias.ResultsInter-rater reliability was found to be good for Lcol and Sscap muscles and moderate towards poor for the deeper Rcpm and Dce muscles. Intra-rater reliability was good for all the muscles, with the exception of the Dce, which was found to be moderate in the second part of the study. The B&A plots showed good agreement, few outliers, and no bias. However, the agreement intervals indicated a measurement error within the variance of the method that may not have been acceptable for these small muscles if the aim is to evaluate change in thickness.ConclusionsThis study found that MSK-DUSI had variable reliability in assessing the thickness of the Lcol, Rcpm, Dce, and Sscap muscles. No bias was demonstrated, but agreement intervals were wide.

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Section: Introductionmentioning

confidence: 99%

Musculoskeletal diagnostic ultrasound imaging for thickness measurement of four principal muscles of the cervical spine -a reliability and agreement study

Øverås

Myhrvold²,

Røsok³

et al. 2017

Chiropr Man Therap

View full text Add to dashboard Cite

show abstract

“…It has excellent reliability (ICC 0.82) [ 49 ]. Peolsson et al [ 50 ] measured quality of life using the EQ5D in patients with cervical radiculopathy and whiplash associated disorder and found health related quality of life worse in these populations compared to a healthy group.…”

Section: Introductionmentioning

confidence: 99%

The effect of neural mobilisation on cervico-brachial pain: design of a randomised controlled trial

Basson¹,

Stewart

Mudzi

2014

BMC Musculoskelet Disord

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BackgroundNeck pain is a common musculoskeletal complaint and is often associated with shoulder or arm pain. There is a paucity of information on effective treatment for neck and arm pain, such as radiculopathy or cervico-brachial pain. Guidelines recommend neck mobilisation/ manipulation, exercises and advice as the treatment for neck pain, and neck and arm pain. There are a few studies that have used neural mobilisation as the treatment for cervico-brachial pain. Although results seem promising the studies have small sample sizes that make it difficult to draw definite conclusions.MethodsA randomised controlled trial will be used to establish the effect of neural mobilisation on the pain, function and quality of life of patients with cervico-brachial pain. Patients will be recruited in four physiotherapy private practices and randomly assigned to usual care or usual care plus neural mobilisation.DiscussionIn clinical practice neural mobilisations is commonly used for cervico-brachial pain. Although study outcomes seem promising, most studies have small participant numbers. Targeting the neural structures as part of the management plan for a subgroup of patients with nerve mechano-sensitivity seems feasible. Patients with neuropathic pain and psychosocial risk factors such as catastrophising, respond poorly to treatment. Although a recent study found these patients less likely to respond to neural mobilisation, the current study will be able to assess whether neural mobilisation has any added benefit compared to usual care. The study will contribute to the knowledge base of treatment of patients with cervico-brachial pain. The findings of the study will be published in an appropriate journal.Trial registrationTrial registration Number: PACTR201303000500157.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2474-15-419) contains supplementary material, which is available to authorized users.

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“…Reduced neck-muscle endurance and/or strength has been shown in individuals with other neck pain conditions (131) as well as in individuals with cervical radiculopathy and scheduled for surgery (132). Neck muscle function may be reduced due to altered neck muscle activity with increased activity of the superficial neck flexors (i.e.…”

Section: Physical Impairments At 10-year Follow Upmentioning

confidence: 99%

Clinical and patient-reported outcomes after anterior cervical decompression and fusion surgery : A focus on functioning and daily life

Hermansen

2015

Linköping University Medical Dissertations

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Function in Patients With Cervical Radiculopathy or Chronic Whiplash-Associated Disorders Compared With Healthy Volunteers

Cited by 17 publications

References 45 publications

Musculoskeletal diagnostic ultrasound imaging for thickness measurement of four principal muscles of the cervical spine -a reliability and agreement study

Musculoskeletal diagnostic ultrasound imaging for thickness measurement of four principal muscles of the cervical spine -a reliability and agreement study

The effect of neural mobilisation on cervico-brachial pain: design of a randomised controlled trial

Clinical and patient-reported outcomes after anterior cervical decompression and fusion surgery : A focus on functioning and daily life

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