Range of motion in the upper and lower cervical spine in people with chronic neck pain

Rudolfsson, Thomas; Björklund, Martin; Djupsjöbacka, Mats

doi:10.1016/j.math.2011.08.007

Cited by 83 publications

(75 citation statements)

References 29 publications

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“…In agreement with other studies [14,33], we found that NP subjects had clearly less neck flexibility in primary cervical planes compared to HC. Also, the finding of lower peak velocity in tests of cervical ROM among NP subjects compared to HC is in accordance with other studies of movement velocity [8,10].…”

Section: Neck Flexibilitysupporting

confidence: 93%

Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study

et al. 2015

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Background: Neck pain is associated with several alterations in neck motion and motor control. Previous studies have investigated single constructs of neck motor control, while few have applied a comprehensive set of tests to investigate cervical motor control. This comparative cross-sectional study aimed to investigate different motor control constructs in neck pain patients and healthy controls. Methods: A total of 166 subjects participated in the study, 91 healthy controls (HC) and 75 neck pain patients (NP) with long-lasting moderate to severe neck pain. Neck flexibility, proprioception, head steadiness, trajectory movement control, and postural sway were assessed using a 3D motion tracking system (Liberty). The different constructs of neck motion and motor control were based on tests used in previous studies.

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Section: Neck Flexibilitysupporting

confidence: 93%

Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study

et al. 2015

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“…The directions most likely to detect real change in neck mobility were rotation in both postures (11% total, 15-16% half cycles), and extension (16%) as well as total flexion/extension (14%) in the erect posture. As both rotation and extension are often limited in individuals with cervical dysfunction, 35 the lower measurement error in these directions imply that these directions are useful for evaluating clinical progress. Flexion and lateral flexion SEM% and MDC 95 % were larger than for other half cycle directions, a finding consistent with those reported by Fletcher.…”

Section: Discussionmentioning

confidence: 99%

Comparison of cervical range of motion in two seated postural conditions in adults 50 or older with cervical pain

Dunleavy

Goldberg

2013

Journal of Manual & Manipulative Therapy

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Objectives:The influence of self-selected unsupported seated posture on cervical range of motion (ROM) has not been widely studied. Cervical ROM in habitual (HAB) compared to erect (ER) seated posture in adults 50 or older with cervical pain was investigated. Methods: Individuals 50 or older with chronic neck pain participated in this within-subject observational study. ROM and posture (sagittal distances from the nose to the occiput, C7, and thoracic width and relative to a projected laser plumb line) were measured with the CROM device in the two postures. Testretest reliability, standard error of measurement (SEM) and minimum detectable change at the 95% confidence level (MDC 95 ) were calculated. Results: Total planar ROM values were significantly different between HAB and ER postures. Extension, total rotation and lateral flexion, and R lateral flexion ROM were greater, while flexion decreased significantly in the ER posture. SEM% ranged from 4.0 to 9.5% and MDC 95 values were lower in ER (5.8-11.6u) compared to HAB (6.6-17.7u). MDC 95 % was moderately low for both postures (11.2-26.2%). Discussion: ROM was significantly different between HAB and ER postures. The directions most likely to detect real change in neck mobility were rotation in both postures, and extension as well as total flexion/ extension in ER. Flexion and lateral flexion should be regarded cautiously as measures of improvement. Erect posture maximizes available cervical ROM in individuals over 50 with chronic neck pain compared to habitual postures.

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“…We aim to demonstrate that patients, who self-select repeat eToims treatment sessions over prolonged periods of time, do so because of receiving pain-relieving results, indicating patient satisfaction. One common outcomes measure in chronic neck and lower back pain assessment is measurement of range of motion [14,15]. We intend to demonstrate that eToims effectiveness is partly due to reduction of muscle tightness and stiffness, related to internal stretching of problematic tight and shortened muscle fibers at MTrPs, shown by pain relief and improvement in range of motion.…”

Section: Introductionmentioning

confidence: 99%

Chronic Refractory Myofascial Pain: Characteristics of Patients who Self-select Long-term Management with Electrical Twitch-Obtaining Intramuscular Stimulation

Chu¹,

Schwartz²,

Schwartz³

2013

nt J Phys Med Rehabil

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Range of motion in the upper and lower cervical spine in people with chronic neck pain

Cited by 83 publications

References 29 publications

Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study

Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study

Comparison of cervical range of motion in two seated postural conditions in adults 50 or older with cervical pain

Chronic Refractory Myofascial Pain: Characteristics of Patients who Self-select Long-term Management with Electrical Twitch-Obtaining Intramuscular Stimulation

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