Factors associated with cervical kinematic impairments in patients with neck pain

Treleaven, Julia, Chen, Xiaoqi and Sarig Bahat, Hilla (2015) Factors associated with cervical kinematic impairments in patients with neck pain. Manual Therapy, 22 109-115. doi:10.1016/j.math.2015.10.015

Author Treleaven, Julia
Chen, Xiaoqi
Sarig Bahat, Hilla
Title Factors associated with cervical kinematic impairments in patients with neck pain
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1532-2769
Publication date 2015-01-30
Sub-type Article (original research)
DOI 10.1016/j.math.2015.10.015
Open Access Status Not Open Access
Volume 22
Start page 109
End page 115
Total pages 7
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Collection year 2016
Language eng
Formatted abstract
Background and aim: Cervical kinematics have functional relevance and are important for assessment and management in patients with neck disorders. A better understanding of factors that might influence cervical kinematics is required. The aim of this study was to determine any relationships between altered kinematics to the symptoms and signs of sensorimotor impairments, neck pain and disability and fear of neck motion in people with neck pain.

Method: Kinematics were measured in 39 subjects with chronic neck pain using a customized virtual reality system. Range of cervical motion, mean and peak velocity, time to peak velocity percentage, number of velocity peaks and accuracy were derived. Correlations between these measures to self-reported (neck pain intensity, disability, fear of motion, dizziness, visual disturbances) and sensorimotor measures and regression analyses were conducted.

Results: Range and velocity of motion of cervical rotation appeared to be most related to visual disturbances and pain or dynamic balance. Nevertheless these relationships only explained about 30% of the variance of each measure.

Conclusion: Signs and symptoms of sensorimotor dysfunction should be considered and monitored in the management of altered cervical rotation kinematics in patients with chronic neck disorders. Future research should consider the effects of addressing these factors on neck kinematics and vice versa to aid functional recovery in those with neck pain.
Keyword Kinematics
Neck pain
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
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