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Range of motion in the upper and lower cervical spine in people with chronic neck pain
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0002-2804-3200
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0001-7543-4397
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, CBF. University of Gävle, Centre for Musculoskeletal Research.
2012 (English)In: Manual Therapy, ISSN 1356-689X, E-ISSN 1532-2769, Vol. 17, no 1, p. 53-59Article in journal (Refereed) Published
Abstract [en]

Reduced cervical range of motion (ROM) is a common finding in people with neck pain. With few exceptions, only the angle between head and thorax has been measured. Our aim was to use an extended model to compare active cervical flexion and extension, separate for upper and lower cervical levels, between people with chronic non-traumatic neck pain and controls. We also investigated associations between ROM measures, symptoms and self-rated functioning. In this cross-sectional study, 102 subjects with neck pain and 33 healthy controls participated. An electromagnetic tracker system was used to measure the kinematics to construct a three-segment model including the thorax, cervical spine and head. Neutral flexion/extension were defined at subjects’ self-selected seated posture. We found that in the neck pain group, extension in the upper cervical levels and predominately flexion for the lower levels were reduced. The ratio between ROM for the upper and lower levels was altered in the neck pain group so that the lower levels contributed to a lesser extent to the total sagittal ROM compared to controls. These findings could not be explained by a greater forward head posture but must have other origins. For the neck pain group, ROM measures were weakly associated to pain and self-rated functioning. Altogether, this implies that using a three-segment model for assessment of ROM can be a valuable improvement for characterisation of patients and treatment evaluation.

Place, publisher, year, edition, pages
2012. Vol. 17, no 1, p. 53-59
Keywords [en]
Neck pain, Musculoskeletal pain, Biomechanics, Range of motion
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:hig:diva-10463DOI: 10.1016/j.math.2011.08.007ISI: 000299815900009PubMedID: 21945295Scopus ID: 2-s2.0-83555162553OAI: oai:DiVA.org:hig-10463DiVA, id: diva2:443855
Available from: 2011-09-27 Created: 2011-09-27 Last updated: 2018-06-21Bibliographically approved

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Rudolfsson, ThomasBjörklund, MartinDjupsjöbacka, Mats

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