Does muscle morphology change in chronic neck pain patients? – A systematic review

Pauw, Robby De; Coppieters, Iris; Kregel, Jeroen; Meulemeester, Kayleigh De; Danneels, Lieven; Cagnie, Barbara

doi:10.1016/j.math.2015.11.006

Cited by 94 publications

(84 citation statements)

References 50 publications

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“…In addition, patients with INP have developed neck pain without any clear underlying cause (20). These patients are mostly not characterized by central sensitization (21), cognitive impairment, and dizziness; however, they also display motor dysfunctions (22,23) and chronic or recurrent pain.…”

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confidence: 99%

“…The cause of this diversity in symptoms observed in patients suffering from acute and chronic pain is still not entirely clear. Some have suggested that alteration of the central nervous system could explain this diversity (22,(24)(25)(26)(27), and a theoretical framework for central nervous system alterations, such as brain alterations, has already been constructed for acute and chronic pain (28,29). Surprisingly, only a few have tried to analyze and publish results that might support these theories.…”

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confidence: 99%

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Is Traumatic and Non-Traumatic Neck Pain Associated with Brain Alterations? – A Systematic Review

Pauw

Coppieters

Meeus³

et al. 2017

Pain Phys

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Background: Chronic neck pain affects 50% – 85% of people who have experienced an acute episode. This transition and the persistence of chronic complaints are believed to be mediated by brain alterations among different central mechanisms. Objectives: This study aimed to systematically review and critically appraise the current existing evidence regarding structural and functional brain alterations in patients with whiplash associated disorders (WAD) and idiopathic neck pain (INP). Additionally, associations between brain alterations and clinical symptoms reported in neck pain patients were evaluated. Study Design: Systematic review. Methods: The present systematic review was performed according to the PRISMA guidelines. PubMed, Web of Science, and Cochrane databases were searched. First, the obtained articles were screened based on title and abstract. Secondly, the screening was based on the full text. Risk of bias in included studies was investigated. Results: Twelve studies met the inclusion criteria. Alterations in brain morphology and function, including perfusion, neurotransmission, and blood oxygenation level dependent-signal, were demonstrated in chronic neck pain patients. There is some to moderate evidence for both structural and functional brain alterations in patients with chronic neck pain. In contrast, no evidence for structural brain alterations in acute neck pain patients was found. Limitations: Only 12 articles were included, which allows only cautious conclusions to be drawn. Conclusion: Brain alterations were observed in both patients with chronic WAD and chronic INP. Furthermore, more evidence exists for brain alterations in chronic WAD, and different underlying mechanisms might be present in both pathologies. In addition, pain and disability were correlated with the observed brain alterations. Accordingly, morphological and functional brain alterations should be further investigated in patients with chronic WAD and chronic INP with newer and more sensitive techniques, and associative clinical measurements seem indispensable in future research. Key words: Traumatic neck pain, idiopathic non-traumatic neck pain, brain alterations, magnetic resonance imaging, single photon emission computed tomography, photon emission tomography, chronic neck pain

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confidence: 99%

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confidence: 99%

Is Traumatic and Non-Traumatic Neck Pain Associated with Brain Alterations? – A Systematic Review

Pauw

Coppieters

Meeus³

et al. 2017

Pain Phys

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“…these actions should be focused on the following tasks: 1) normalization of the resting tone of the muscles and fascia (massage and poizometric muscle relaxation); 2) restoration of the normal trophics of motor system tissues and organs (correct arterial blood supply and efficient outflow of venous and lymphatic blood), which will create conditions for proper regenerative or reparative processes (in the case of tissue damage -past injury or inflammation); 3) suppressing atrophy of the muscles and connective tissue (ligaments, tendons, fascia) -restoring their structure and efficiency (massage, physical therapy, kinesitherapy); 4) reeducation of the correct motor patterns through targeted exercises of varying degrees of complexity (kinesitherapy) [89][90][91][92][93]; 5) the use of appropriate orthotic supplies and technical assistance, depending on the needs.…”

Section: Discussionmentioning

confidence: 99%

Recommendations of the Polish Society of Physiotherapy, the Polish Society of Family Medicine and the College of Family Physicians in Poland in the field of physiotherapy of back pain syndromes in primary health care

Kassolik¹,

Rajkowska-Labon²,

Tomasik³

et al. 2017

fmpcr

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4 college of Family Physicians in Poland 5 department of Family medicine, chair of internal diseases and gerontology, jagiellonian university medical college in krakow, Poland 6 academy of Physical Education in katowice, Poland 7 Polish society of Family medicine, Poland 8 department of Family medicine, wroclaw medical university, Poland A -study design, B -data collection, C -statistical analysis, D -data interpretation, E -manuscript Preparation, F -literature search, G -Funds collection the purpose of these guidelines is to attract attention to the need for systemic corrections in the existing health care model to become an effective tool for improving health. the intention of the authors is to present the assumptions of a new approach of physiotherapeutic treatment standards for patients with motor disorders in back pain syndromes: cervical, thoracic and lumbar--sacral, at the primary health care level. the current management provides care for this group of primary care patients mainly through pharmacotherapy and/or by referring them to an appropriate specialist outpatient clinic. in the latter situation, the waiting time from the appearance of pain to first contact with the physiotherapist in Poland is several months. in many patients, the symptoms of back pain are uncomplicated and require a few simple low-cost physiotherapeutic procedures (massage, simple physical therapy and kinesis therapy). in such cases, physiotherapeutic treatment should be based on the simple assessment of the patient's condition and planning therapy on this basis. this can be achieved by performing a functional examination and palpation assessment to determine which muscles and ligaments are responsible for pain. this evaluation provides a basis for establishing a physiotherapeutic strategy based on massage, physical therapy and kinesitherapy. in addition, simple instruction on self-massage, self-physiotherapy and self--kinesitherapy should be provided, as well as the need for orthotic supplies and other technical assistance ought to be considered. the potential effects of such a form of primary care activation include: increase of the possibility to have influence, using directed simple physical factors, on a particular motion system disorder by the patient himself/herself, support of the rehabilitation process performed by a physiotherapist in the primary care and specialist outpatient clinic setting and shaping conscious pro-health attitudes in primary care patients. Key words: primary care physician, physiotherapy, back pain syndromes. Summary

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“…Weiterhin konnten bei chronischen Nackenschmerzpatienten neben der gestörten Winkelreproduktionsfähigkeit und dem gestörten Gleichgewicht ein reduzierter Muskelquerschnitt der Extensoren der Halswirbelsäule [10] sowie eine reduzierte Aktivierungsfähigkeit der tiefen Nackenflexoren [11] beobachtet werden. Sämtliche genannten Störungen führen zu motorischen Veränderungen im Alltag und Leistungsdefiziten beim Sport.…”

Section: Updateunclassified

Die Bedeutung der HWS für Gleichgewicht und Sport

Beinert¹,

Brauner²

2019

Sportphysio

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ZusammenfassungDie Auslöser für Nackenschmerzen kennen viele Sportler: einmal zu hart trainiert, vom Gegner unsanft zu Fall gebracht – die Ursachen sind vielfältig. Was aber kaum jemand weiß: Nackenschmerzen können auch die Leistung beinträchtigen. Hier erfahren Sie, warum das so ist und welche Aspekte beim Training zu beachten sind.

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Does muscle morphology change in chronic neck pain patients? – A systematic review

Cited by 94 publications

References 50 publications

Is Traumatic and Non-Traumatic Neck Pain Associated with Brain Alterations? – A Systematic Review

Is Traumatic and Non-Traumatic Neck Pain Associated with Brain Alterations? – A Systematic Review

Recommendations of the Polish Society of Physiotherapy, the Polish Society of Family Medicine and the College of Family Physicians in Poland in the field of physiotherapy of back pain syndromes in primary health care

Die Bedeutung der HWS für Gleichgewicht und Sport

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