The effect of neck torsion on joint position error in subjects with chronic neck pain

Chen, Xiaoqi and Treleaven, Julia (2013) The effect of neck torsion on joint position error in subjects with chronic neck pain. Manual Therapy, 18 6: 562-567. doi:10.1016/j.math.2013.05.015

Author Chen, Xiaoqi
Treleaven, Julia
Title The effect of neck torsion on joint position error in subjects with chronic neck pain
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1356-689X
Publication date 2013
Sub-type Article (original research)
DOI 10.1016/j.math.2013.05.015
Volume 18
Issue 6
Start page 562
End page 567
Total pages 6
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Collection year 2014
Language eng
Subject 3612 Physical Therapy, Sports Therapy and Rehabilitation
Abstract The conventional cervical joint position error (JPE) test has been used as a measure of cervical afferent dysfunction in people with neck pain. However, head movement during the test may also stimulate the vestibular system. This study's objective is to investigate the effect of the modified JPE test with a neck torsion manoeuvre in order to determine if the new test is a more definitive measure of cervical afferent dysfunction. Twenty five volunteers with chronic neck pain and 26 healthy controls aged 18 to 60 were assessed on three tests of JPE: 'JPE conventional', 'JPE torsion' and 'Enbloc' (Control) using Fastrak and laser apparatus. The neck pain group was found to have significantly greater JPE in one conventional JPE test and almost all the torsion tests (p<0.05). No differences in Enbloc(Control) tests were seen. Moderate to strong significant correlations were also seen between measures of JPE using the Fastrak and laser methodology (p≤0.01). The results of this preliminary study indicate that 'JPE torsion' may be a more suitable test than 'JPE conventional' for cervical afferent dysfunction in people with chronic neck pain although future comparisons with people suffering from vestibulopathy is warranted to support these findings. Additionally, the laser method is comparable to Fastrak and may be useful as a clinical measure of repositioning errors for both conventional and torsion tests.
Keyword Joint position error
Neck pain
Neck torsion
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
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