Within‐Session and Between‐Session Reliability, Construct Validity, and Comparison Between Individuals With and Without Neck Pain of Four Neck Muscle Tests

Martins, Filipa; Bento, André Orlandi; Silva, Ana

doi:10.1016/j.pmrj.2017.06.024

Cited by 17 publications

(6 citation statements)

References 46 publications

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“…Our study was consistent with previous studies which did not find any significant differences in neck flexor (Wirth et al, 2014) and extensor (Edmondston et al, 2011) muscle endurance between those with and without NP. This is in contrast to other studies who found that adults with NP demonstrated reduced neck flexor (Martins et al, 2017) and extensor endurance (Lee et al, 2005) in people with NP compared to healthy controls. It is unclear why there are discrepancies in the literature.…”

Section: Joint Position Error and Neck Muscle Fatiguecontrasting

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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Section: Joint Position Error and Neck Muscle Fatiguecontrasting

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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“…This will lead to a vicious cycle where 1) a migraine attack could affect cervical mechanical behaviors with a transitory reduction in active movement and a long-lasting impairment in passive mobility and motor control (54). As a consequence, a persistent reduction of neck load tolerability to external mechanical stressors could occur (60,61); 2) thus, it will be more likely that an external mechanical stressor applied to the cervical spine outside a headache attack (i.e., a sustained muscle contraction that could occur during daily life activity), could exceed the neck load tolerability triggering a migraine attack (62) and increasing migraine attack frequency; 3) increase in migraine frequency will further impair cervical mechanical behaviors (57,58,63).…”

Section: Discussionmentioning

confidence: 99%

Cervical musculoskeletal impairments in the 4 phases of the migraine cycle in episodic migraine patients

et al. 2022

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Objective To assess cervical musculoskeletal impairments during the 4 phases of a migraine cycle in episodic migraine patients, controlling for the presence of concomitant neck pain. Methods Differences in cervical musculoskeletal impairments were assessed during the 4 migraine phases in episodic migraine patients and compared with healthy controls controlling for concomitant neck pain. Cervical musculoskeletal impairments were assessed as follow: cervical active range of motion; flexion rotation test; craniocervical flexion test and calculation of activation pressure score; the total number of myofascial trigger points in head/neck muscles; the number of positivevertebral segments (headache’s reproduction) during passive accessory intervertebral movement; pressure pain thresholds over C1, C2, C4, C6 vertebral segments bilaterally, trigeminal area, hand, and leg. Signs of pain sensitization were assessed by evaluating mechanical pain threshold over trigeminal area and hand, pressure pain thresholds, and the wind-up ratio. The Bonferroni-corrected p-value (05/4 = 0.013) was adopted to assess the difference between groups, while a p-value of 0.05 was considered significant for the correlation analysis. Results A total of 159 patients and 52 controls were included. Flexion rotation test and craniocervical flexion test were reduced in all 4 phases of the migraine cycle versus healthy controls (p < 0.001). The number of myofascial trigger points and positive vertebral segments was increased in all 4 phases of the migraine cycle versus healthy controls (p < 0.001). Flexion, extension, and total cervical active range of motion and cervical pressure pain thresholds were reduced in episodic migraine in the ictal phase versus controls (p < 0.007) with no other significant differences. Outside the ictal phase, the total cervical active range of motion was positively correlated with trigeminal and leg pressure pain threshold (p < 0.026), the number of active myofascial trigger points and positive positive vertebral segments were positively correlated with higher headache frequency (p=0.045), longer headache duration (p < 0.008), and with headache-related disability (p = 0.031). Cervical pressure pain thresholds were positively correlated with trigeminal, hand, and leg pressure pain threshold (p < 0.001), and trigeminal and leg mechanical pain thresholds (p < 0.005), and negatively correlated with the wind-up ratio (p < 0.004). Conclusion In all phases of the migraine cycle, independent of the presence of concomitant neck pain, episodic migraine patients showed reduced flexion rotation test and craniocervical flexion test and an increased number of myofascial trigger points and passive accessory vertebral segments. These impairments are correlated with enhanced headache duration, headache-related disability, and signs of widespread pain sensitization. Reduction in active cervical movement and increased mechanical hyperalgesia of the cervical was consistent in ictal episodic migraine patients and the subgroups of episodic migraine patients with more pronounced widespread sensitization.

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“…The number of seconds the participant maintained the test position was recorded. This test has reliability and construct validity [26,27].…”

Section: Neck Flexor Muscle Endurancementioning

confidence: 99%

Self-reported sinus headaches are associated with neck pain and cervical musculoskeletal dysfunction: a preliminary observational case control study

Petersen

Jull

Learman

2019

Journal of Manual & Manipulative Therapy

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Objectives: Headaches can be associated with rhinosinusitis and may present a diagnostic challenge because of symptomatic overlap with other recurring headaches. Neck pain has received extensive attention in migraine, tension-type and cervicogenic headache but not as a comorbid feature of headache in those with rhinosinusitis. This study investigated the occurrence of neck pain and cervical musculoskeletal dysfunction in individuals with selfreported sinus headaches (SRSH). Methods: Participants with and without SRSH attended a single data collection session. Participants completed the Headache Impact Test (HIT)-6 and the Sino-Nasal Outcome Test (SNOT)-22. Cervical range of motion (ROM), segmental examination, muscle endurance and pressure-pain threshold (PPT) were measured. Results: Participants included 31 with SRSH (77.4% female; age 43.7 (9.9) years) and 30 without headache. Average symptom duration was 89.7 (±85.6) months. Mean SNOT-22 and HIT-6 scores were 36.2 (15.3) and 56.7 (7.1), respectively. In the SRSH group, 83.9% (n = 26) reported neck pain. There was a significant difference between groups for cervical sagittal (14.3°[5.3°, 23.3°], p = 0.002) and transverse plane ROM (21.5°[12.4°, 30.6°], p < 0.001), but no difference in frontal plane motion (p = 0.017). There were significant between groups difference in neck flexor endurance (19.5 s [10.1 s, 28.9 s], <0.001), segmental dysfunction O-C4 (p < 0.001) but not in PPT (p = 0.04). Discussion: Neck pain and cervical musculoskeletal dysfunction are common among persons with SRSH and may be a comorbid feature or contributing factor to headaches attributed to rhinosinusitis. Further research is needed to understand these associations.

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Within‐Session and Between‐Session Reliability, Construct Validity, and Comparison Between Individuals With and Without Neck Pain of Four Neck Muscle Tests

Abstract: III.

Cited by 17 publications

References 46 publications

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

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

Cervical musculoskeletal impairments in the 4 phases of the migraine cycle in episodic migraine patients

Self-reported sinus headaches are associated with neck pain and cervical musculoskeletal dysfunction: a preliminary observational case control study

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