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Kinematics of fast cervical rotations in persons with chronic neck pain: a cross-sectional and reliability study
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research. Alfta Research Foundation, Alfta, Sweden.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research. Alfta Research Foundation, Alfta, Sweden.ORCID iD: 0000-0001-7543-4397
Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden.
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2010 (English)In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 11, article id 222Article in journal (Refereed) Published
Abstract [en]

Background: Assessment of sensorimotor function is useful for classification and treatment evaluation of neck pain disorders. Several studies have investigated various aspects of cervical motor functions. Most of these have involved slow or self-paced movements, while few have investigated fast cervical movements. Moreover, the reliability of assessment of fast cervical axial rotation has, to our knowledge, not been evaluated before. Methods: Cervical kinematics was assessed during fast axial head rotations in 118 women with chronic nonspecific neck pain (NS) and compared to 49 healthy controls (CON). The relationship between cervical kinematics and symptoms, self-rated functioning and fear of movement was evaluated in the NS group. A sub-sample of 16 NS and 16 CON was re-tested after one week to assess the reliability of kinematic variables. Six cervical kinematic variables were calculated: peak speed, range of movement, conjunct movements and three variables related to the shape of the speed profile. Results: Together, peak speed and conjunct movements had a sensitivity of 76% and a specificity of 78% in discriminating between NS and CON, of which the major part could be attributed to peak speed (NS: 226 ± 88°/s and CON: 348 ± 92°/s, p < 0.01). Peak speed was slower in NS compared to healthy controls and even slower in NS with comorbidity of low-back pain. Associations were found between reduced peak speed and self-rated difficulties with running, performing head movements, car driving, sleeping and pain. Peak speed showed reasonably high reliability, while the reliability for conjunct movements was poor. Conclusions: Peak speed of fast cervical axial rotations is reduced in people with chronic neck pain, and even further reduced in subjects with concomitant low back pain. Fast cervical rotation test seems to be a reliable and valid tool for assessment of neck pain disorders on group level, while a rather large between subject variation and overlap between groups calls for caution in the interpretation of individual assessments.

Place, publisher, year, edition, pages
2010. Vol. 11, article id 222
Keywords [en]
chronic neck pain, neck pain, low back pain, neck pain disorders, kinematics
National Category
Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:hig:diva-7749DOI: 10.1186/1471-2474-11-222ISI: 000283236800003PubMedID: 20875135Scopus ID: 2-s2.0-77957146358OAI: oai:DiVA.org:hig-7749DiVA, id: diva2:355747
Available from: 2010-10-08 Created: 2010-10-08 Last updated: 2018-03-13Bibliographically approved

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Röijezon, UlrikDjupsjöbacka, MatsBjörklund, Martin

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