Please use this identifier to cite or link to this item:
https://doi.org/10.21256/zhaw-2042
Publication type: | Article in scientific journal |
Type of review: | Peer review (publication) |
Title: | Extension and flexion in the upper cervical spine in neck pain patients |
Authors: | Ernst, Markus J. Crawford, Rebecca J. Schelldorfer, Sarah Rausch Osthoff, Anne-Kathrin Barbero, Marco Kool, Jan Bauer, Christoph M. |
DOI: | 10.21256/zhaw-2042 10.1016/j.math.2014.12.005 |
Published in: | Manual Therapy |
Volume(Issue): | 20 |
Issue: | 4 |
Page(s): | 547 |
Pages to: | 552 |
Issue Date: | 2015 |
Publisher / Ed. Institution: | Elsevier |
ISSN: | 1356-689X 1532-2769 |
Language: | English |
Subjects: | Disability; Headache; Neck pain; Range of motion; Upper cervical spine; Adult; Biomechanical Phenomena; Cross-Sectional Studies; Female; Humans; Male; Manipulation, Spinal; Middle Aged; Neck Pain; Pain Measurement; Range of Motion, Articular; Cervical Vertebrae |
Subject (DDC): | 615.82: Physical therapy 617.5: Orthopaedic surgery |
Abstract: | Neck pain is a common problem in the general population with high risk of ongoing complaints or relapses. Range of motion (ROM) assessment is scientifically established in the clinical process of diagnosis, prognosis and outcome evaluation in neck pain. Anatomically, the cervical spine (CS) has been considered in two regions, the upper and lower CS. Disorders like cervicogenic headache have been clinically associated with dysfunctions of the upper CS (UCS), yet ROM tests and measurements are typically conducted on the whole CS. A cross-sectional study assessing 19 subjects with non-specific neck pain was undertaken to examine UCS extension-flexion ROM in relation to self-reported disability and pain (via the Neck Disability Index (NDI)). Two measurement devices (goniometer and electromagnetic tracking) were employed and compared. Correlations between ROM and the NDI were stronger for the UCS compared to the CS, with the strongest correlation between UCS flexion and the NDI-headache (r = -0.62). Correlations between UCS and CS ROM were fair to moderate, with the strongest correlation between UCS flexion and CS extension ROM (r = -0.49). UCS flexion restriction is related to headache frequency and intensity. Consistency and agreement between both measurement systems and for all tests was high. The results demonstrate that separate UCS ROM assessments for extension and flexion are useful in patients with neck pain. |
URI: | https://digitalcollection.zhaw.ch/handle/11475/8425 |
Fulltext version: | Published version |
License (according to publishing contract): | Licence according to publishing contract |
Departement: | School of Health Sciences |
Appears in collections: | Publikationen Gesundheit |
Files in This Item:
File | Description | Size | Format | |
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2015_Ernst_Extension_and_Flexion.pdf | 2.11 MB | Adobe PDF | View/Open |
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Ernst, M. J., Crawford, R. J., Schelldorfer, S., Rausch Osthoff, A.-K., Barbero, M., Kool, J., & Bauer, C. M. (2015). Extension and flexion in the upper cervical spine in neck pain patients. Manual Therapy, 20(4), 547–552. https://doi.org/10.21256/zhaw-2042
Ernst, M.J. et al. (2015) ‘Extension and flexion in the upper cervical spine in neck pain patients’, Manual Therapy, 20(4), pp. 547–552. Available at: https://doi.org/10.21256/zhaw-2042.
M. J. Ernst et al., “Extension and flexion in the upper cervical spine in neck pain patients,” Manual Therapy, vol. 20, no. 4, pp. 547–552, 2015, doi: 10.21256/zhaw-2042.
ERNST, Markus J., Rebecca J. CRAWFORD, Sarah SCHELLDORFER, Anne-Kathrin RAUSCH OSTHOFF, Marco BARBERO, Jan KOOL und Christoph M. BAUER, 2015. Extension and flexion in the upper cervical spine in neck pain patients. Manual Therapy. 2015. Bd. 20, Nr. 4, S. 547–552. DOI 10.21256/zhaw-2042
Ernst, Markus J., Rebecca J. Crawford, Sarah Schelldorfer, Anne-Kathrin Rausch Osthoff, Marco Barbero, Jan Kool, and Christoph M. Bauer. 2015. “Extension and Flexion in the Upper Cervical Spine in Neck Pain Patients.” Manual Therapy 20 (4): 547–52. https://doi.org/10.21256/zhaw-2042.
Ernst, Markus J., et al. “Extension and Flexion in the Upper Cervical Spine in Neck Pain Patients.” Manual Therapy, vol. 20, no. 4, 2015, pp. 547–52, https://doi.org/10.21256/zhaw-2042.
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