Association of manual muscle tests and mechanical neck pain: Results from a prospective pilot study

Cuthbert, Scott; Rosner, Anthony L.; McDowall, Donald

doi:10.1016/j.jbmt.2010.11.001

Cited by 7 publications

(6 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Addition of exercise to these practices was reported to further increase the efficiency of treatment [15]. In twenty-seven studies involving a total of 1522 patients with mechanical neck pain, a comparison was made between mobilization and medical therapy, acupuncture, hot application, electrotherapy, massage, and control groups.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the mulligan mobilization technique in mechanical neck pain

Duymaz¹,

Yağcı²

2018

Ann Clin Anal Med

View full text Add to dashboard Cite

Aim: The aim of this study was to investigate the effectiveness of Mulligan Mobilization technique in participants with mechanical neck pain. Material and Method: A total of 40 participants (35 female, 5 male) aged between 25 to 50 years were included the study. Participants were randomly divided into two groups as Mulligan Mobilization group and control group. The participants in both groups received home exercise program. The participants were treated 10 times for two weeks. Pain (Visual Analog Scale), muscle strength (stabilizer pressure biofeedback, Hand Held Dynamometer), range of motion (universal goniometer) pain threshold (algometer), disability level (Neck Disability Index), quality of life (Nottingham Health Profile), depressive symptoms (Beck Depression Inventory), cervical performance level (cervical performance tests) were measured at baseline, after the treatment program and repeated 1 month and 3 months after the end of the treatment. Results: In both groups' pain intensity, pain threshold, muscle strength, performance level, the range of motion, disability, depression, and quality of life improved after the treatment program (p<0.05). Discussion: The results of this study showed Mulligan Mobilization treatment program has positive effects on pain, the range of motion, muscle strength, performance level, disability, depressive symptoms, and quality of life in participants with mechanical neck pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Effectiveness of the mulligan mobilization technique in mechanical neck pain

Duymaz¹,

Yağcı²

2018

Ann Clin Anal Med

View full text Add to dashboard Cite

show abstract

“…Self-perceived neck disability, as measured by the Neck Disability Index (NDI), was not found to be significantly related to any strength measure. Previous studies have clearly demonstrated that individuals with neck pain are significantly weaker than those without [ 21 , 30 , 52 , 59 , 60 ], but the extent of weakness does not necessarily correlate with NDI score [ 23 , 30 , 31 ]. It has not been determined if individual changes in isometric strength over time are correlated with changes in function or disability.…”

Section: Discussionmentioning

confidence: 99%

A clinical test to assess isometric cervical strength in chronic whiplash associated disorder (WAD): a reliability study

Habberfield

Schneider

et al. 2022

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Cervical spine muscle weakness is well demonstrated in individuals with chronic neck pain. There is a lack of literature evaluating clinically applicable means of assessing isometric cervical strength in chronic whiplash associated disorder (WAD). This study assessed the reliability of self-resisted isometric cervical strength testing using a handheld dynamometer. The relationship between strength and neck pain-related disability and kinesiophobia was also investigated. Methods Twenty subjects with chronic WAD performed maximum-effort isometric cervical flexion, extension, side flexion, and rotation against a hand held dynamometer. The dynamometer was held by the subject, who provided self-resistance. Subjects completed two sessions of testing on one day with two different examiners, and one session on a subsequent day with one of the original examiners. Subjects completed the Neck Disability Index (NDI) and Tampa Scale for Kinesiophobia (TSK) prior to the first testing session. Results Intraclass correlation coefficients (ICC) for directional strength measures were fair to high (0.71–0.88 for intra-rater and 0.79–0.91 for inter-rater). Total strength (sum of all directional strengths) ICCs were high for both intra-rater (ICC = 0.91) and inter-rater (ICC = 0.94) measures. All statistical tests for ICCs demonstrated significance (α < 0.05). Agreement was assessed using Bland Altman (BA) analysis with 95% limits of agreement. BA analysis demonstrated difference scores between the two testing sessions that ranged from 3.0—17.3% and 4.5—28.5% of the mean score for intra and inter-rater measures, respectively. Most measures did not meet the a priori standard for agreement. A moderate to good inverse relationship was demonstrated between kinesiophobia (TSK score) and six out of seven strength measures (α < .05). No significant correlation was found between neck disability (NDI) and cervical strength in any direction. Conclusion This study demonstrated fair to high reliability of self resisted isometric cervical strength testing in the chronic WAD population. All directional strength measures except flexion demonstrated a significant inverse relationship with kinesiophobia. No cervical strength measures were correlated with neck disability. These results support testing cervical strength in this manner to reliably assess change over time within individual patients. The value of such measurement requires further consideration given the lack of correlation between cervical strength and disability. Further research is required to establish normative values and enhance clinical utility.

show abstract

“…A pilot study from 2011 studied the endurance of neck muscles in 148 patients with chronic neck pain, mostly caused by whiplash injury. 26 The patients were exposed to tests in various positions and from additional manual stress by the examiner. One of the set positions was similar to position 6 in our study.…”

Section: Discussionmentioning

confidence: 99%

Isometric muscle fatigue of the paravertebral and upper extremity muscles after whiplash injury

Rastović

Gojanović

Berberović

et al. 2017

Annals of Saudi Medicine

View full text Add to dashboard Cite

BACKGROUNDWhiplash-associated disorders (WAD) result from injury of neck structures that most often occur during traffic accidents as a result of rapid acceleration-deceleration. The dominant symptoms manifest in the musculoskeletal system and include increased fatigue. Because of the frequency of whiplash injuries, a simple, cheap and useful diagnostic tool is needed to differentiate whiplash injury from healthy patients or those faking symptoms.OBJECTIVESTo determine muscle fatigue in patients with whiplash injury in six body positions.DESIGNAnalytical cross-sectional study.SETTINGEmergency center, university hospital.PATIENTS AND METHODSWe studied patients with whiplash injury from vehicular traffic accidents who presented to the emergency center within 6 hours of sustaining the injury. We determined whiplash injury grade according to the Quebec Task Force (QTF) classification and measured isometric muscle endurance in six different body positions. Control subjects for each patient were matched by age, gender and anthropomorphic characteristics. Cut-off values were determined to distinguish patients with whiplash injury from controls and for determination of injury grade.MAIN OUTCOME MEASURE(S)QTF grade, time to muscle fatigue in seconds.RESULTSFrom September 2013 to September 2016, we enrolled 75 patients with whiplash injury and 75 matching control subjects. In all six positions, the patients with whiplash injury felt muscle fatigue faster than equivalent controls (P<.05) and the time to onset of muscle fatigue decreased with increasing injury grades in all six positions. Assignment to the patient or control group and to injury grade could be predicted with more than 90% accuracy on the basis of time to muscle fatigue. The most efficient position was the highest injury grade, by which 99.9% of the patients were accurately categorized. Isometric muscle endurance correlated with whiplash injury grade in all six positions (P<.01).CONCLUSIONUnder clinical conditions, muscle endurance and the appearance of isometric muscle fatigue during testing can be a useful indicator of whiplash injury and grade.LIMITATIONSThe size of the sample was small. An objective parameter such as electromyography is needed to confirm isometric muscle fatigue.

show abstract

Association of manual muscle tests and mechanical neck pain: Results from a prospective pilot study

Cited by 7 publications

References 38 publications

Effectiveness of the mulligan mobilization technique in mechanical neck pain

Effectiveness of the mulligan mobilization technique in mechanical neck pain

A clinical test to assess isometric cervical strength in chronic whiplash associated disorder (WAD): a reliability study

Isometric muscle fatigue of the paravertebral and upper extremity muscles after whiplash injury

Contact Info

Product

Resources

About