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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.
Published in : Manual Therapy
Volume(Issue) : 20
Issue : 4
Pages : 547
Pages to: 552
Publisher / Ed. Institution : Elsevier
Issue Date: 2015
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
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.
Departement: Gesundheit
Publication type: Article in scientific Journal
DOI : 10.1016/j.math.2014.12.005
ISSN: 1356-689X
Appears in Collections:Publikationen Gesundheit

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