The effects of head movement and walking speed on gait parameters in patients with chronic neck pain

Uthaikhup, Sureeporn; Sunkarat, Somporn; Khamsaen, Khanamporn; Meeyan, Kitti; Treleaven, Julia

doi:10.1016/j.math.2013.09.004

Cited by 28 publications

(55 citation statements)

References 28 publications

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“…Associations between IOMNP and breathing dysfunction [59], worse performance in over-head reaching tasks [60] and alterations in gait kinematics [61] were also found.…”

Section: Complex Functionsmentioning

confidence: 79%

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Structural and Functional Changes of Cervical Neuromuscular System Associated with Insidious Onset Mechanical Neck Pain: A literature Review

Mario¹,

Vanti²,

Pillastrini³

et al. 2015

Int J Phys Ther Rehab

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Background: The purpose of this review is to provide an updated overview of structural and functional changes of cervical neuromuscular system associated with Insidious Onset Mechanical Neck Pain [IOMPT]. Methods: MEDLINE and SCOPUS databases were searched. Observational studies published after 01-01-2003 in English or Italian languages were included. The following search string was used: "neck pain" AND (muscle OR "motor control" OR behaviour OR function OR endurance OR "isometric contraction") NOT (radiculopathy OR surgery OR "specific neck pain"). Results: 15 papers concerning changes in structure of neck neuromuscular system, 19 on changes in pattern of neuromuscular activation, and 16 on deficit in neuromuscular function associated to IOMNP were selected. From this review emerges that pain, whether it be artificially produced or due to IOMNP, provokes an alteration of the cervical region function and a number of anomalies in the behavior of the neuro-muscular system. IOMNP is associated with structural alterations affecting the cervical region at different levels (metabolic, histological, and even macroscopic). Changes in cervical neuromuscular system structure concern altered histology and metabolism, cross sectional area thickness, muscle fatty infiltration, trigger points generation, and alterations of muscular activation pattern. Changes in neuromuscular function concern reduced maximal voluntary contraction, alteration on proprioception, coordination and on complex functions. Conclusion:The relationships between IONMP and changes in the intrinsic properties, behavior, and function of neck muscles have now acquired evidence. There is a widespread consensus about the fact that these alterations contribute to the onset, maintenance, and recurrence of neck pain. Structural and Functional Changes of Cervical Neuromuscular System Review ArticleOpen Access IntroductionInsidious Onset Mechanical Neck Pain (IOMNP) is a common cause of discomfort and disability and a growing problem in society, resulting in significant impact on health care costs [1]. Within 6 months, 54% of adults experience IOMNP, and 5% of them complain of associated disability. Furthermore, only 6.3% of people who suffered from neck pain are free from recurrence [2]. About 0.6% of the general population is exposed to disability caused by IOMNP and females are more prone to recurrent and / or chronic pain than males [3]. The IOMNP can be considered a work-related disorder in some professions, including pilots [4][5][6][7], musicians [8][9], and workers using personal computer for prolonged times [10][11][12][13][14].Cervical spine supports the head and orients it in space, transmits forces on the upper limb and has close relations with the visual and vestibular function [15][16][17][18]. Given the complexity of this region and the close link between central nervous system (CNS) and muscles, several abnormalities in structure and function of the neuromuscular system may develop when pain occurs [2,15].The aim of this review is to pro...

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“…Associations between IOMNP and breathing dysfunction [59], worse performance in over-head reaching tasks [60] and alterations in gait kinematics [61] were also found.…”

Section: Complex Functionsmentioning

confidence: 79%

“…Finally, we point up adverse effects of IOMNP on complex functions not so closely related to the cervical region: breathing dysfunction [59], shoulder girdle disorders [60,66], and alterations in gait kinematics [61]. pain, was also found in upper trapezius during upper limb movements [56].…”

Section: Muscular Endurancementioning

confidence: 80%

Structural and Functional Changes of Cervical Neuromuscular System Associated with Insidious Onset Mechanical Neck Pain: A literature Review

Mario¹,

Vanti²,

Pillastrini³

et al. 2015

Int J Phys Ther Rehab

View full text Add to dashboard Cite

show abstract

“…Considering that her main reason for seeking care was a distinctly asymmetrical problem, it's important to note the greater symmetry seen in the post-1 and post-2 assessments for hip flexion and extension, loading and pre-swing periods during stance phase, and timing of the peak 1 and peak 2 force events. The participant's increased self-selected walking speed in itself reflects improvement; slower walking speeds can be associated with pain 17,[39][40][41] or decreased strength or flexibility. 40 The post-care values of shorter double support times and longer steps, and the time changes of stance and swing phases, suggest an increased ability to function when on only 1 support limb.…”

Section: Discussionmentioning

confidence: 99%

Walking Gait Before and After Chiropractic Care Following Fifth Metatarsal Fractures: A Single Case Kinetic and Kinematic Study

Russell

Hoiriis

Hosek

2018

Journal of Chiropractic Medicine

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“…It may be argued that dynamic measures of balance may be more relevant and sensitive than static measures because these tests incorporate context-specific tasks that may be similar to activities of daily living (Herman et al, 2009;Podsiadlo & Richardson, 1991b). To my knowledge, only three studies have reported dynamic balance performance in older adults with NP, specifically various spatiotemporal parameters of gait such as stride length and cadence (Poole et al, 2008;Uthaikhup et al, 2014), step length and step width, with and without head turns (Poole et al, 2008;Uthaikhup et al, 2012;Uthaikhup et al, 2014) and the step test (Poole et al, 2008). Two out of these three studies (Poole et al, 2008;Uthaikhup et al, 2012) measured gait with and without head turns and the third study (Uthaikhup et al, 2014) measured gait without head turns, all at a self-selected speed over 10 metres.…”

Section: Dynamic Measuresmentioning

confidence: 99%

“…To my knowledge, only three studies have reported dynamic balance performance in older adults with NP, specifically various spatiotemporal parameters of gait such as stride length and cadence (Poole et al, 2008;Uthaikhup et al, 2014), step length and step width, with and without head turns (Poole et al, 2008;Uthaikhup et al, 2012;Uthaikhup et al, 2014) and the step test (Poole et al, 2008). Two out of these three studies (Poole et al, 2008;Uthaikhup et al, 2012) measured gait with and without head turns and the third study (Uthaikhup et al, 2014) measured gait without head turns, all at a self-selected speed over 10 metres. These studies reported conflicting results when comparing these gait parameters in older adults with NP to healthy controls: Poole et al (2008) reported slower gait speed and reduced cadence with head turns, while Uthaikup et al (2012; showed no differences in these measures but significant differences in the number of steps recorded within 15 seconds during the step test (Uthaikhup et al, 2012).…”

Section: Dynamic Measuresmentioning

confidence: 99%

Exploring technology for clinical applications and analysis of factors associated with postural control in older adults with idiopathic neck pain

Quek¹

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Neck pain in older adults is common and has been associated with reduced postural control. However, the mechanisms underlying neck pain-related postural control deficits remain unknown. Unravelling this complex clinical phenomenon is important given the fact that older adults with balance deficits are at risk of falls. Furthermore, falls in older adults may potentially lead to serious consequences and place a burden on public health. This thesis aimed to explore new measurement tools and technique related to cervical spine impairments and postural control that may be potentially useful in research and in the clinical setting, and sought to better understand the mechanisms underpinning neck pain-related postural control deficits in older adults.. Studies 1, 2 and 3 investigated the use of technology, i.e. the smart phone, the Microsoft Kinect and the Nintendo Wii Board to measure cervical range-of-motion, thoracic kyphosis and hallux flexor strength respectively. The results of study 1 showed that the Android phone was valid and reliable in the sagittal and coronal plane but not in the transverse plane. In other words, range-of-motion testing of cervical flexion and extension and lateral flexion were valid and reliable but not rotation in sitting. Study 2 demonstrated Publications during candidature Peer-reviewed papers

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The effects of head movement and walking speed on gait parameters in patients with chronic neck pain

Cited by 28 publications

References 28 publications

Structural and Functional Changes of Cervical Neuromuscular System Associated with Insidious Onset Mechanical Neck Pain: A literature Review

Structural and Functional Changes of Cervical Neuromuscular System Associated with Insidious Onset Mechanical Neck Pain: A literature Review

Walking Gait Before and After Chiropractic Care Following Fifth Metatarsal Fractures: A Single Case Kinetic and Kinematic Study

Exploring technology for clinical applications and analysis of factors associated with postural control in older adults with idiopathic neck pain

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