Altered trunk head co-ordination in those with persistent neck pain.
Adult
Analysis of Variance
Case-Control Studies
Female
Head
/ innervation
Head Movements
/ physiology
Humans
Male
Motion Perception
/ physiology
Motor Activity
Neck
/ innervation
Neck Muscles
/ innervation
Neck Pain
/ physiopathology
Proprioception
/ physiology
Psychomotor Performance
Reflex
/ physiology
Torso
/ innervation
Cervico-collic reflex
Head motion
Neck pain
Sensorimotor
Trunk
Journal
Musculoskeletal science & practice
ISSN: 2468-7812
Titre abrégé: Musculoskelet Sci Pract
Pays: Netherlands
ID NLM: 101692753
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
30
07
2018
revised:
06
11
2018
accepted:
17
11
2018
pubmed:
27
11
2018
medline:
14
6
2019
entrez:
27
11
2018
Statut:
ppublish
Résumé
Decreased neck motion and sensorimotor deficits have been identified in those with neck pain. It is thought that these might be related to altered reflex mechanisms between the neck, eyes and the vestibular system. Trunk, head co-ordination might also be altered in neck pain. This study investigated trunk head co-ordination ability in subjects with neck pain compared to asymptomatic controls. Twenty-four subjects with persistent neck pain and twenty-six age and gender matched healthy controls performed 3 trials of 3 trunk movements whilst trying to keep the head still - (1) alternate trunk movement to the left and right (2) trunk movement to the left (3) trunk movement to the right. Wireless motion sensors positioned over the sternum and the forehead measured trunk and head range and velocity of motion. ANOVA was used to compare trunk and head range and velocity of motion during the 3 tasks. Neck pain subjects had significantly less trunk movement (p < 0.05) and velocity (p=<0.02) as well as significantly increased head movement (p=<0.03) during most tasks compared to control subjects. The results of the study suggest that neck pain subjects have difficulty moving their trunk independently of their head. They are less able to keep the head still while moving the trunk and perform the tasks more slowly. These findings might be related to altered reflex activity of the cervico-collic reflex and sensorimotor control. Further research is required.
Sections du résumé
BACKGROUND
Decreased neck motion and sensorimotor deficits have been identified in those with neck pain. It is thought that these might be related to altered reflex mechanisms between the neck, eyes and the vestibular system. Trunk, head co-ordination might also be altered in neck pain.
OBJECTIVES
This study investigated trunk head co-ordination ability in subjects with neck pain compared to asymptomatic controls.
METHOD
Twenty-four subjects with persistent neck pain and twenty-six age and gender matched healthy controls performed 3 trials of 3 trunk movements whilst trying to keep the head still - (1) alternate trunk movement to the left and right (2) trunk movement to the left (3) trunk movement to the right. Wireless motion sensors positioned over the sternum and the forehead measured trunk and head range and velocity of motion.
ANALYSIS
ANOVA was used to compare trunk and head range and velocity of motion during the 3 tasks.
RESULTS
Neck pain subjects had significantly less trunk movement (p < 0.05) and velocity (p=<0.02) as well as significantly increased head movement (p=<0.03) during most tasks compared to control subjects.
DISCUSSION
The results of the study suggest that neck pain subjects have difficulty moving their trunk independently of their head. They are less able to keep the head still while moving the trunk and perform the tasks more slowly. These findings might be related to altered reflex activity of the cervico-collic reflex and sensorimotor control. Further research is required.
Identifiants
pubmed: 30476827
pii: S2468-7812(18)30284-4
doi: 10.1016/j.msksp.2018.11.010
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
45-50Informations de copyright
Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.