Influence of chronic neck pain on cervical joint position error (JPE): Comparison between young and elderly subjects

Alahmari, Khalid A.; Reddy, Ravi Shankar; Samuel, Paul Silvian; Ahmad, Irshad; Nagaraj, Venkat; Mahtab, Mohammad

doi:10.3233/bmr-169630

Cited by 29 publications

(29 citation statements)

References 55 publications

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“…These improvements are perhaps that placebo tape also may have produced mechanical effects that could decrease pain. Considering that the application of Kinesio™ tape was improper, even though it was applied to the cervical muscles, it could have provided sensory feedback during neck movements, thereby decreasing mechanical irritation of soft tissues [ 34 – 36 ]. There may be another explanation: a strong relationship between neck pain intensity and cervical proprioception in participants with neck pain [ 37 ], considering that increased pain intensity impairs cervical proprioception and vice versa.…”

Section: Discussionmentioning

confidence: 99%

The effect of Kinesio taping on cervical proprioception in athletes with mechanical neck pain—a placebo-controlled trial

Alahmari

Tedla

Samuel

et al. 2020

BMC Musculoskelet Disord

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Background Neck proprioception is critical in maintaining neuromuscular control in and around cervical joints. Kinesio™ tape may assist in rehabilitating joint position sense. The current study compares Kinesio™ tape’s effects versus a placebo on proprioception in college athletes experiencing mechanical neck pain. Methods This study randomized sixty-six athletes with mechanical neck pain into a Kinesio™ tape group (n = 33, mean age = 22.73 years) or placebo group (n = 33, mean age = 23.15 years). The Kinesio™ tape group received standard Kinesio™ taping applications with appropriate tension, while the placebo group received taping applications without tension. Outcome measures: The study assessed cervical joint position errors with a cervical range-of-motion (CROM) device, pain intensity with a visual analog scale (VAS), and neck functional disability with a neck disability index (NDI). It tested joint position errors through cervical flexion, extension, rotation left, and rotation right. All the outcome measures were recorded at the baseline and twice more following 3 and 7 days of tape applications. Results Multivariate analysis of variance test demonstrated a significant reduction in joint position errors in flexion, extension and right rotation following 3 days and 7 days of tape application among the Kinesio™ tape group. There was a significant main effect of time (P < 0.05) for joint position errors in left rotation and VAS after 3 days (p > 0.05), NDI after 3 and 7 days (p > 0.05). Conclusions The Kinesio™ tape application after 3 and 7 days effectively decreased joint position errors and neck pain intensity in mechanical neck pain participants compared to placebo, while there was no difference between both groups in the NDI. Trial registration (CTRI/2011/07/001925). This study was retrospectively registered on the 27th July, 2011. Level of evidence IIB

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Section: Discussionmentioning

confidence: 99%

The effect of Kinesio taping on cervical proprioception in athletes with mechanical neck pain—a placebo-controlled trial

Alahmari

Tedla

Samuel

et al. 2020

BMC Musculoskelet Disord

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“…They suggested changing the proprioception of the neck to account for their findings. Alahmari et al [81] compared the JPE of 42 patients with chronic neck pain and 42 age-matched healthy people, and found that the patients had a greater error in all movement directions tested (p \ 0.001). Similarly, other studies have revealed a significant greater error in patients with chronic idiopathic neck pain when compared with asymptomatic controls, despite the variability in methods used in these studies [68,[82][83][84][85][86][87].…”

Section: Jpe Testmentioning

confidence: 99%

Cervical Proprioception Impairment in Neck Pain-Pathophysiology, Clinical Evaluation, and Management: A Narrative Review

Peng

Yang

et al. 2021

Pain Ther

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Neck pain is a common cause of disability worldwide, but its basic pathology and pathophysiology are still unclear.Cervical spine has a very delicate proprioceptive system that plays a crucial role in controlling posture and balance.One of the main problems of patients with neck pain is that the alteration of cervical proprioception leads to the disturbance of cervical sensorimotor control.To date, eight neck sensorimotor control tests have been reported to evaluate patients with chronic neck pain, with the most commonly used test being the JPE test.Studies support the effectiveness of exercises targeting different aspects of sensorimotor function, in particular retraining aimed at improving cervical proprioception and muscle coordination. DIGITAL FEATURESThis article is published with digital features, including a summary slide, to facilitate understanding of the article. To view digital features for this article go to https://doi.org/10.6084/ m9.figshare.13379681.

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“…Previous studies have found that subjects with CS have abnormal joint position error (JPE); this was measured by an active target relocation test in which the subject relocates the head to a target previously determined by the examiner [7,8]. The reasons for proprioceptive impairments are degeneration and abnormal afferent inputs by the muscles and joint receptors to the higher centers [9][10][11][12]. Within and surrounding the joint, neuromuscular control can be disturbed by impaired kinesthesia that places the joint at risk of injury or trauma by the muscles producing unbalanced torque [13,14].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Kinaesthetic Exercise program on Position Sense, Pain, and Disability in Chronic Neck Pain Patients with Cervical Spondylosis – A Randomized Comparative Trial

Reddy

Maiya

Rao

et al. 2020

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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Background Chronic neck pain (CNP) is a significant health problem with only a few evidence-based treatment options. There is growing evidence for the effectiveness of kinaesthetic rehabilitation in musculoskeletal disorders. This study aims to assess kinaesthetic exercise programs' efficacy on cervical position sense, pain, and disability in subjects with cervical spondylosis (CS). Methods CNP subjects (>3 months) with a diagnosis of CS were randomly assigned to either a study group (n=125) who received kinesthetic exercises or to a comparative group (n=125) who received isometric neck exercises and deep cervical flexor (DCF) strengthening exercises. Both group subjects participated in the individualized training program for 24 sessions in 6 weeks. The outcome measures were cervical joint position errors (JPE’s) in flexion, extension, rotation left and right, pain intensity, and neck disability. Results All outcomes were improved significantly from baseline to post 24 sessions of intervention. When compared between groups, there was a significant reduction in JPE’s in flexion (mean difference [MD]= 071, CI=0.22–1.20, p=0.001), extension (MD=1.26, CI=0.70–1.81, p< 0.001) and right rotation (MD=1.08, CI=0.58–1.58, p<0.001), pain intensity (MD=1.58, CI=1.09–2.08, p<0.001), and neck disability (MD=10.27, CI=7.42–13.12, p<0.001) after 24 sessions of intervention favoring the study group. Conclusion Study group subjects who received kinesthetic rehabilitation showed more significant improvements in terms of improved proprioception, decreased pain intensity and disability following 24 sessions of interventions compared with the comparative group.

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Influence of chronic neck pain on cervical joint position error (JPE): Comparison between young and elderly subjects

Abstract: Cervical joint position sense is impaired in subjects with chronic neck pain.

Cited by 29 publications

References 55 publications

The effect of Kinesio taping on cervical proprioception in athletes with mechanical neck pain—a placebo-controlled trial

The effect of Kinesio taping on cervical proprioception in athletes with mechanical neck pain—a placebo-controlled trial

Cervical Proprioception Impairment in Neck Pain-Pathophysiology, Clinical Evaluation, and Management: A Narrative Review

Effectiveness of Kinaesthetic Exercise program on Position Sense, Pain, and Disability in Chronic Neck Pain Patients with Cervical Spondylosis – A Randomized Comparative Trial

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