Increased Forward Head Posture and Restricted Cervical Range of Motion in Patients With Carpal Tunnel Syndrome

de-la-Llave-Rincón, Ana I; Fernández‐de‐las‐Peñas, César; Palacios‐Ceña, Domingo; Cleland, Joshua A.

doi:10.2519/jospt.2009.3058

Cited by 61 publications

(52 citation statements)

References 30 publications

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“…12,13 Measurements were made separately for each direction and in a standard sequence: flexion, extension, right lateral flexion, left lateral flexion, right rotation, and left rotation. Two measurements for each movement were recorded, and the mean was used in the analysis.…”

Section: Cervical Range Of Motionmentioning

confidence: 99%

Short-Term Changes in Neck Pain, Widespread Pressure Pain Sensitivity, and Cervical Range of Motion After the Application of Trigger Point Dry Needling in Patients With Acute Mechanical Neck Pain: A Randomized Clinical Trial

Mejuto-Vázquez¹,

Salom‐Moreno²,

Ortega‐Santiago³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

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137

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Mechanical neck pain has a lifetime and point pre valence almost as high as low back pain 31 and results in substantial disability and economic burden for society. 29 The authors of a recent study 16 found that the prevalence of mechanical neck pain has decreased in the last few years in Spain, potentially attributed to a better understanding and management of the condition. Physical therapy is usually the first management option for individuals with insidious-onset mechanical neck pain. T T METHODS: Seventeen patients (53% female)were randomly assigned to 1 of 2 groups: a single session of TrPDN or no intervention (waiting list). Pressure pain thresholds over the C5-6 zygapophyseal joint, second metacarpal, and tibialis anterior muscle; neck pain intensity; and cervical spine range-of-motion data were collected at baseline (pretreatment) and 10 minutes and 1 week after the intervention by an assessor blinded to the treatment allocation of the patient. Mixed-model analyses of variance were used to examine the effects of treatment on each outcome variable. T T RESULTS: Patients treated with 1 session ofTrPDN experienced greater decreases in neck pain, greater increases in pressure pain threshold, and higher increases in cervical range of motion than those who did not receive an intervention at both 10 minutes and 1 week after the intervention (P<.01 for all comparisons). Between-group effect sizes were medium to large immediately after the TrPDN session (standardized mean score differences greater than 0.56) and large at the 1-week follow-up (standardized mean score differences greater than 1.34). T T CONCLUSION:The results of the current randomized clinical trial suggest that a single session of TrPDN may decrease neck pain intensity and widespread pressure pain sensitivity, and also increase active cervical range of motion, in patients with acute mechanical neck pain. Changes in pain, pressure pain threshold, and cervical range of motion surpassed their respective minimal detectable change values, supporting clinically relevant treatment effects. Therapy, level 1b-. J Orthop Sports Phys Ther 2014;44(4):252-260. Epub T T LEVEL OF EVIDENCE:

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Section: Cervical Range Of Motionmentioning

confidence: 99%

Short-Term Changes in Neck Pain, Widespread Pressure Pain Sensitivity, and Cervical Range of Motion After the Application of Trigger Point Dry Needling in Patients With Acute Mechanical Neck Pain: A Randomized Clinical Trial

Mejuto-Vázquez¹,

Salom‐Moreno²,

Ortega‐Santiago³

et al. 2014

Journal of Orthopaedic & Sports Physical Therapy

Self Cite

137

View full text Add to dashboard Cite

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“…CROM was assessed following previously published guidelines. 15,16 It was recorded using half-cycles, namely, movements in a single direction and in a standard sequence: flexion, extension, right lateral flexion, left lateral flexion, right rotation, and left rotation. Two measurements for each movement were recorded and their mean was used in the statistical analysis.…”

Section: Cervical Range Of Motionmentioning

confidence: 99%

Immediate Changes in Widespread Pressure Pain Sensitivity, Neck Pain, and Cervical Range of Motion After Cervical or Thoracic Thrust Manipulation in Patients With Bilateral Chronic Mechanical Neck Pain: A Randomized Clinical Trial

Martínez-Segura¹,

de-la-Llave-Rincón²,

Ortega‐Santiago³

et al. 2012

J Orthop Sports Phys Ther

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126

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“…These results are consistent with previous results. 10 In a meta-analysis of normative data of cervical range of motion, Chen et al 8 reported the following 95% CIs for normative values for each movement: Because this study was not longitudinal, a cause-and-effect relationship could not be established with the current design. To determine whether restricted cervical range of motion is a consequence or cause/promoting factor of pain in women with CTS requires further investigation.…”

Section: Discussion Tmentioning

confidence: 99%

“…3 Cervical range of motion was assessed according to previously published guidelines. 10 A therapist blinded to the participants' condition recorded cervical range of motion in a single direction (flexion/ extension, lateral flexion toward or away from the side of the CTS, and rotation toward or away from the side of the CTS), as well as total range of motion in 3 planes of movement (flexion, extension, lateral flexion, and rotation). In women with unilateral symptoms, each side was classified as affected or unaffected, and in those with bilateral symptoms the most painful side was classified as the affected side and the less painful side as the unaffected side.…”

Section: Cervical Range-of-motion Assessmentmentioning

confidence: 99%

“…10 To the best of the authors' knowledge, no study has previously investigated differences in cervical range of motion between individuals with minimal, mild/ moderate, and severe CTS, and healthy controls. The main purpose of this study was to investigate the differences in cervical range of motion in a healthy control group compared to a group of women T T STUDY DESIGN: A case control, blinded study.…”

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confidence: 99%

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Women With Carpal Tunnel Syndrome Show Restricted Cervical Range of Motion

de-la-Llave-Rincón¹,

Fernández‐de‐las‐Peñas²,

Laguarta-Val³

et al. 2011

J Orthop Sports Phys Ther

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Carpal tunnel syndrome (CTS) is a disorder of the upper extremity, with a reported prevalence of 3.72% in the US population.17 CTS includes a cluster of symptoms, including numbness and tingling in the median nerve distribution, waking at night, and variable pain. 24 Although these symptoms are primarily attributed to compression of the median nerve at the carpal tunnel or an increase in the volume of its contents, many etiologies can contribute to CTS, including cervical spine pathology. In fact, there is preliminary evidence suggesting involvement of the cervical spine in some patients with CTS.19 Some authors have found that individuals with CTS usually experience pain symptoms in the neck and the shoulder regions.9,27 Hurst et al 13 found that the presence of arthritis in the neck may result in compression of the cervical nerve roots in people with CTS, whereas Pierre-Jerome and Bekkelund 18 found that individuals with CTS, compared to a control group, exhibited higher incidence of narrowing of the cervical foramen. These studies suggest that compromised neural foramen could potentially lead to nerve root compression, predisposing patients to develop CTS or aggravating existing symptoms of CTS through a secondary site of compression.13,18 Accordingly, it is possible that patients with CTS have impairments of the cervical spine.A recent study showed that, compared to healthy control participants, individuals with moderate, unilateral CTS exhibited greater forward head posture and decreased cervical range of motion.10 To the best of the authors' knowledge, no study has previously investigated differences in cervical range of motion between individuals with minimal, mild/ moderate, and severe CTS, and healthy controls. The main purpose of this study was to investigate the differences in cervical range of motion in a healthy control group compared to a group of women T T STUDY DESIGN: A case control, blinded study. T T OBJECTIVES:To compare the amount of cervical range of motion in women with minimal, mild/moderate, and severe carpal tunnel syndrome (CTS) to that of healthy control participants. We also assessed the relationships between cervical range of motion and clinical variables related to the intensity and temporal profile of pain within each CTS group. T T BACKGROUND:It is plausible that the cervical spine may be involved in individuals with CTS. No study has investigated the relationship between cervical range of motion and symptoms associated with CTS severity. T T METHODS:Cervical range of motion was assessed in 71 women with CTS (18 with minimal, 18 with mild/moderate, and 35 with severe signs and symptoms) and in 20 similar, healthy women. Those with CTS were aged 35 to 59 years (mean  SD, 45  8 years) and those in the healthy group were aged 31 to 60 years (45  8 years). An experienced therapist, blinded to the participants' conditions, used a cervical range-of-motion (CROM) device to assess cervical range of motion. Mixed-model analyses of variance (ANOVAs) were conducted to evaluate the differ...

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Increased Forward Head Posture and Restricted Cervical Range of Motion in Patients With Carpal Tunnel Syndrome

Cited by 61 publications

References 30 publications

Short-Term Changes in Neck Pain, Widespread Pressure Pain Sensitivity, and Cervical Range of Motion After the Application of Trigger Point Dry Needling in Patients With Acute Mechanical Neck Pain: A Randomized Clinical Trial

Short-Term Changes in Neck Pain, Widespread Pressure Pain Sensitivity, and Cervical Range of Motion After the Application of Trigger Point Dry Needling in Patients With Acute Mechanical Neck Pain: A Randomized Clinical Trial

Immediate Changes in Widespread Pressure Pain Sensitivity, Neck Pain, and Cervical Range of Motion After Cervical or Thoracic Thrust Manipulation in Patients With Bilateral Chronic Mechanical Neck Pain: A Randomized Clinical Trial

Women With Carpal Tunnel Syndrome Show Restricted Cervical Range of Motion

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