The relationship between cervical flexor endurance, cervical extensor endurance, VAS, and disability in subjects with neck pain

Parazza, Sergio; Vanti, Carla; O’Reilly, Caroline; Villafañe, Jorge Hugo; Moreno, José Miguel Tricás; Miguel, Elena Estébanez de

doi:10.1186/2045-709x-22-10

Cited by 27 publications

(30 citation statements)

References 37 publications

(55 reference statements)

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“…Parazza at al. [12] investigated whether the neck flexors endurance is related to extensor endurance, and whether cervical muscle endurance is related to disability, amount of pain and stage of pain in subjects with neck pain. Thirty subjects (18 women, 12 men, mean ± SD age: 43 ± 12 years) who have neck pain were included the study.…”

Section: Discussionmentioning

confidence: 99%

Comparison of cervical muscles endurance in young people with and without neck pain

2020

Ann Clin Anal Med

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Aim: The aim of this study was to compare the cervical muscle endurance of young people with and without neck pain. The second aim of this study was to explore the gender differences in people with neck pain for neck muscle endurance. Material and Methods: The study included 130 university students aged between 18 to 25 years (55 females, 75 males). Forty-two of those students who have neck pain (NP) at least 3 months and 88 of the students without neck pain (C) constituted the sample. Pain intensity was assessed with Visual Analog Scale (VAS). Isometric neck muscle endurance of the participants was assessed using cervical flexor (NF) and extensor (NE) muscles endurance tests. Results: The main pain intensity of the subjects with NP was 4,19±1.92. For all subjects, the mean endurance of both NF (p=0.03) and NE (p=0.05) muscles of the subjects without pain was higher compared with subjects with NP. When the analysis was classified by gender, male subjects without pain had higher NF (p=0.02) and NE (p=0.002) muscle endurance than male subjects with pain. On the other hand, there were no significant differences between female subjects with and without NP (p>0.05). Discussion: These findings suggest that neck flexor and extensor muscle endurance are affected by neck pain. On the other hand, gender is a significant factor for neck muscle endurance in subjects with neck pain. Further investigations are needed to have a wide data to consider the gender and pain for neck muscle endurance.

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Section: Discussionmentioning

confidence: 99%

Comparison of cervical muscles endurance in young people with and without neck pain

2020

Ann Clin Anal Med

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“…After this time period, the fatigue remained, but its magnitude was no longer correlated to the duration of pain [57].…”

Section: Muscular Endurancementioning

confidence: 95%

“…For example, after 5 years, the duration of pain is not related to the amount of endurance reduction, while it is in acute and subacute phase [57 ]. After few years of pain probably the importance of other factors such as disuse and kinesiofobia increases [34].…”

Section: Muscular Endurancementioning

confidence: 99%

Structural and Functional Changes of Cervical Neuromuscular System Associated with Insidious Onset Mechanical Neck Pain: A literature Review

Mario¹,

Vanti²,

Pillastrini³

et al. 2015

Int J Phys Ther Rehab

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Background: The purpose of this review is to provide an updated overview of structural and functional changes of cervical neuromuscular system associated with Insidious Onset Mechanical Neck Pain [IOMPT]. Methods: MEDLINE and SCOPUS databases were searched. Observational studies published after 01-01-2003 in English or Italian languages were included. The following search string was used: "neck pain" AND (muscle OR "motor control" OR behaviour OR function OR endurance OR "isometric contraction") NOT (radiculopathy OR surgery OR "specific neck pain"). Results: 15 papers concerning changes in structure of neck neuromuscular system, 19 on changes in pattern of neuromuscular activation, and 16 on deficit in neuromuscular function associated to IOMNP were selected. From this review emerges that pain, whether it be artificially produced or due to IOMNP, provokes an alteration of the cervical region function and a number of anomalies in the behavior of the neuro-muscular system. IOMNP is associated with structural alterations affecting the cervical region at different levels (metabolic, histological, and even macroscopic). Changes in cervical neuromuscular system structure concern altered histology and metabolism, cross sectional area thickness, muscle fatty infiltration, trigger points generation, and alterations of muscular activation pattern. Changes in neuromuscular function concern reduced maximal voluntary contraction, alteration on proprioception, coordination and on complex functions. Conclusion:The relationships between IONMP and changes in the intrinsic properties, behavior, and function of neck muscles have now acquired evidence. There is a widespread consensus about the fact that these alterations contribute to the onset, maintenance, and recurrence of neck pain. Structural and Functional Changes of Cervical Neuromuscular System Review ArticleOpen Access IntroductionInsidious Onset Mechanical Neck Pain (IOMNP) is a common cause of discomfort and disability and a growing problem in society, resulting in significant impact on health care costs [1]. Within 6 months, 54% of adults experience IOMNP, and 5% of them complain of associated disability. Furthermore, only 6.3% of people who suffered from neck pain are free from recurrence [2]. About 0.6% of the general population is exposed to disability caused by IOMNP and females are more prone to recurrent and / or chronic pain than males [3]. The IOMNP can be considered a work-related disorder in some professions, including pilots [4][5][6][7], musicians [8][9], and workers using personal computer for prolonged times [10][11][12][13][14].Cervical spine supports the head and orients it in space, transmits forces on the upper limb and has close relations with the visual and vestibular function [15][16][17][18]. Given the complexity of this region and the close link between central nervous system (CNS) and muscles, several abnormalities in structure and function of the neuromuscular system may develop when pain occurs [2,15].The aim of this review is to pro...

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“…The muscle with decreased blood flow commences anaerobic metabolism, leading to decreased muscle endurance (9). The relationship between neck pain and flexor muscle endurance in young and middle-aged groups has been investigated (10,11). Studies examining the effect of neck pain on deep neck flexor (DNF) endurance in the elderly will contribute to the literature.…”

Section: Introductionmentioning

confidence: 99%

Effect of chronic neck pain on balance, cervical proprioception, head posture, and deep neck flexor muscle endurance in the elderly

Şekeröz¹,

Telci²,

Akkaya³

2019

tjgeri

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Introduction:The purpose of this study was to investigate the effect of chronic nonspecific neck pain on balance, cervical proprioception, head posture, and deep neck flexor muscle endurance in the elderly. Materials and Method: Elderly participants aged ≥65 years with chronic neck pain (n=16; 9 females) and without neck pain [n=16; 8 females (control group)] were included in this study. Balance function of the participants was assessed using the SportKAT 550 kinesthetic balance device, one-leg standing test, and timed up and go test. The joint position error test was used to evaluate cervical proprioception. Head posture was assessed by craniovertebral angle measurement, and muscle endurance was evaluated by the deep neck flexor endurance test.Results: All balance tests results, joint position error value, and deep neck flexor muscle endurance were better in the control group than in the neck pain group (p<0.05). No difference was observed between the neck pain and control groups with respect to the craniovertebral angle value (p>0.05). Conclusion:Our results indicate that chronic neck pain negatively affects the balance, cervical proprioception, and muscle endurance in the elderly. Our study results will guide health professionals to plan appropriate treatment strategies for the elderly with neck pain. ABSTRACTGiriş: Bu çalışmanın amacı, yaşlı popülasyonda kronik nonspesifik boyun ağrısının denge, servikal propriosepsiyon, baş postürü ve derin boyun fleksör kas enduransı üzerine etkisini incelemektir.Gereç ve Yöntem: Çalışmaya 65 yaş ve üzeri kronik boyun ağrılı (n=16; 9 kadın) ve boyun ağrısı olmayan [n=16; 8 kadın (kontrol grubu)] yaşlı bireyler dahil edildi. Katılımcıların denge fonksiyonu SportKAT 550 kinestetik denge cihazı, tek ayak üzerinde durma testi ve zamanlı kalk yürü testi kullanılarak değerlendirildi. Servikal propriosepsiyonu değerlendirmek için "eklem pozisyon hata testi" kullanıldı. Baş postürü kraniovertebral açı ölçümü ve kas enduransı "derin boyun fleksör endurans testi" ile değerlendirildi.Bulgular: Kontrol grubunda tüm denge test sonuçları, eklem pozisyon hata değeri ve derin fleksör kas enduransı boyun ağrılı gruba göre daha iyiydi (p<0.05). Kraniovertebral açı değeri açısından iki grup arasında anlamlı bir fark yoktu (p>0.05).Sonuç: Çalışma sonuçları kronik boyun ağrısının yaşlılarda denge, servikal propriosepsiyon ve kas enduransını olumsuz yönde etkilediğini işaret etmektedir. Sonuçlar; boyun ağrılı yaşlılarda uygun tedavi stratejilerini belirlemek için sağlık profesyonellerine yol gösterici olacaktır.

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The relationship between cervical flexor endurance, cervical extensor endurance, VAS, and disability in subjects with neck pain

Cited by 27 publications

References 37 publications

Comparison of cervical muscles endurance in young people with and without neck pain

Comparison of cervical muscles endurance in young people with and without neck pain

Structural and Functional Changes of Cervical Neuromuscular System Associated with Insidious Onset Mechanical Neck Pain: A literature Review

Effect of chronic neck pain on balance, cervical proprioception, head posture, and deep neck flexor muscle endurance in the elderly

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