Postural Control and Shoulder Steadiness in F-16 Pilots: A Randomized Controlled Study

Lange, Britt; Murray, Mike; Chreiteh, Shadi Samir; Toft, Palle; Jørgensen, Marie Birk; Søgaard, Karen; Sjøgaard, Gisela

doi:10.3357/asem.3783.2014

Cited by 5 publications

(9 citation statements)

References 12 publications

(17 reference statements)

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“…Next, the full texts of 22 selected studies were reviewed. Seven studies were eliminated at this stage, and 15 studies were eligible for quantitative synthesis (Hämäläinen et al, 1993;Newman, 1997;Albano and Stanford, 1998;Jones et al, 2000;Alricsson et al, 2004;Burnett et al, 2005;De Loose et al, 2008;Ang et al, 2009;Lange et al, 2013;Salmon et al, 2013;Lange et al, 2014;Murray et al, 2017;Bahat et al, 2020;Murray et al, 2020;Rausch et al, 2021). The PRISMA flow chart for study selection is presented in Figure 1.…”

Section: Literature Search and Study Selectionmentioning

confidence: 99%

“…Supplementary Figure S1 shows a summary of the risk of bias assessment for RCTs (Alricsson et al, 2004;Burnett et al, 2005;Ang et al, 2009;Lange et al, 2013;Salmon et al, 2013;Lange et al, 2014;Murray et al, 2017;Bahat et al, 2020;Murray et al, 2020;Rausch et al, 2021). All studies were rated as high risk for the term "blinding of participants and personnel" due to the inability to conceal the intervention from the pilots who participated in the training program.…”

Section: Quality Assessment Of the Included Studiesmentioning

confidence: 99%

“…The characteristics of the studies included in the metaanalysis are reported in Supplementary Table S4. The study region included Denmark (n = 4) (Lange et al, 2013;Lange et al, 2014;Murray et al, 2017;Murray et al, 2020); United States (n = 2) (Albano and Stanford, 1998;Jones et al, 2000); Australia (n = 2) (Newman, 1997;Burnett et al, 2005); Sweden (n = 2) (Alricsson et al, 2004;Ang et al, 2009); Finland (n = 1) (Hämäläinen et al, 1993); Belgium (n = 1) (De Loose et al, 2008), Canada (n = 1) (Salmon et al, 2013); Israel (n = 1) (Bahat et al, 2020), and Germany (n = 1) (Rausch et al, 2021). A total of 907 pilots, including 675 (74.4%) fighter crew members and 232 (25.6%) helicopter pilots, were analyzed.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…A total of 907 pilots, including 675 (74.4%) fighter crew members and 232 (25.6%) helicopter pilots, were analyzed. The training protocol included muscle strength training alone (n = 5) (Albano and Stanford, 1998;Jones et al, 2000;De Loose et al, 2008;Bahat et al, 2020;Rausch et al, 2021), strength and endurance training (n = 5) (Hämäläinen et al, 1993;Alricsson et al, 2004;Burnett et al, 2005;Ang et al, 2009;Salmon et al, 2013), and a combination of strength, endurance, and coordination training (n = 5) (Lange et al, 2013;Salmon et al, 2013;Lange et al, 2014;Murray et al, 2017;Murray et al, 2020). The equipment used included hands-free devices, small devices (elastic rubber bands, dumbbells, or body blades), and complex devices (multi-cervical units (MCUs).…”

Section: Study Characteristicsmentioning

confidence: 99%

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Physical exercise improved muscle strength and pain on neck and shoulder in military pilots

Wei

Liu

et al. 2022

Front. Physiol.

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Purpose: To evaluate the effects of physical exercise on neck and shoulder muscle strength and pain in military pilots.Method: Embase, PubMed, and Cochrane Library databases were searched studies published up to April 1, 2022. Studies that met the screening criteria were included in the final meta-analysis. We calculated neck and shoulder maximal voluntary isometric contractions (MVICs), prevalence of pain, and pain intensity. Heterogeneity was explored by subgroup and sensitivity analyses.Result: A total of 15 studies with 907 participants were included. In the exercise group, muscle strength was significantly increased in four directions of neck motion: flexion (standardized mean difference (SMD) = 0.45; 95% CI, 0.08–0.82), extension (SMD = 0.63; 95% CI, 0.27–1.00), right lateral flexion (Rtflx) (SMD = 0.53; 95% CI, 0.12–0.94), and left lateral flexion (Ltflx) (SMD = 0.50; 95% CI, 0.09–0.91). Subgroup analysis showed that fighter pilots, strength plus endurance training, and a follow-up period <20 weeks exhibited more significant muscle strength improvements than helicopter pilots, simple strength training, and a follow-up period ≥20 weeks. Overall, the pooled odds ratio (OR) for the effect of physical exercise on the prevalence of neck pain was not statistically significant (I2 = 60%). Sensitivity analysis revealed that the heterogeneity was restored after removing each of two studies (I2 = 47%), and the pooled OR was statistically significant (OR = 0.46; 95% CI, 0.23 to 0.94, or OR = 0.47; 95% CI, 0.24–0.91). Furthermore, compared with observational studies (OS), the reduction in the prevalence of neck pain was more significant in randomized controlled trials (RCTs) (OR = 0.37; 95% CI, 0.18–0.78). No significant differences in the effects of exercise on shoulder muscle strength and neck and shoulder pain intensity were observed.Conclusion: Physical exercise can improve neck muscle strength in military pilots. After removing studies that may be the source of heterogeneity, exercise showed a protective effect on neck pain, especially in RCTs. The conclusion that exercise had no effects on shoulder muscle strength and pain intensity should be taken with caution.

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Section: Literature Search and Study Selectionmentioning

confidence: 99%

Section: Quality Assessment Of the Included Studiesmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Physical exercise improved muscle strength and pain on neck and shoulder in military pilots

Wei

Liu

et al. 2022

Front. Physiol.

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“…However, available evidence does not allow for an easy comparison of reported SMC outcomes in order to determine whether a particular subsystem is being assessed by each of these tests. 31 Individual studies report different outcomes in different neck pain populations 21,28,32 and source populations. 22,24,27 If groups of tests can be identified that address the different subsystems of CSMC, 4 a test battery could potentially be developed for clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Seven cervical sensorimotor control tests measure different skills in individuals with chronic idiopathic neck pain

Zoete

Osmotherly

Rivett

et al. 2020

Brazilian Journal of Physical Therapy

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Sensorimotor tests in patients with neck pain and its associated disorders: a systematic review and meta-analysis

Särkilahti,

Hirvonen,

Lavapuro

et al. 2024

Sci Rep

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This systematic review aimed to synthesize the current evidence regarding neck sensorimotor testing in individuals with neck pain, assess the differences between neck pain groups and healthy controls, and recognize factors that might affect test results. We performed the data search using PubMed, Embase, PsycINFO, CINAHL, and Scopus databases. We used a two-step screening process to identify studies. Furthermore, we screened the reference lists for additional studies. Hedges g was used to present the difference between neck pain groups and asymptomatic individuals. We assessed the quality of the studies using the QUADAS tool. The final review included 34 studies, of which 25 were related to the joint position error test, four to the smooth pursuit neck torsion test and six to the balance test. Our meta-analysis showed poorer joint-position sense, oculomotor function, and wider postural sway in individuals with neck pain than healthy controls. The size of the difference between the groups seemed to be influenced by the intensity of the pain and the presence of dizziness. Therefore, it might be helpful in future studies to differentiate patients with neck pain into subgroups based on their symptom and demographic profiles to assess other factors that significantly affect cervical sensorimotor control.

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Postural Control and Shoulder Steadiness in F-16 Pilots: A Randomized Controlled Study

Cited by 5 publications

References 12 publications

Physical exercise improved muscle strength and pain on neck and shoulder in military pilots

Physical exercise improved muscle strength and pain on neck and shoulder in military pilots

Seven cervical sensorimotor control tests measure different skills in individuals with chronic idiopathic neck pain

Sensorimotor tests in patients with neck pain and its associated disorders: a systematic review and meta-analysis

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