The Potential Role of the Cervical Spine in Sports-Related Concussion: Clinical Perspectives and Considerations for Risk Reduction.
Acceleration
Athletic Injuries
/ physiopathology
Biomechanical Phenomena
Brain Concussion
/ physiopathology
Cervical Vertebrae
/ physiopathology
Head
/ anatomy & histology
Humans
Muscle Strength
/ physiology
Neck Muscles
/ physiology
Posture
/ physiology
Risk Factors
Risk Reduction Behavior
Rotation
Sex Characteristics
head injury
mild traumatic brain injury
neck
Journal
The Journal of orthopaedic and sports physical therapy
ISSN: 1938-1344
Titre abrégé: J Orthop Sports Phys Ther
Pays: United States
ID NLM: 7908150
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
pubmed:
16
1
2019
medline:
21
5
2020
entrez:
16
1
2019
Statut:
ppublish
Résumé
Sports-related concussion (SRC) occurs due to biomechanical forces to the head or neck that can result in pathophysiological changes in the brain. The musculature of the cervical spine has been identified as one potential factor in reducing SRC risk as well as for underlying sex differences in SRC rates. Recent research has demonstrated that linear and rotational head acceleration, as well as the magnitude of force upon impact, is influenced by cervical spine biomechanics. Increased neck strength and girth are associated with reduced linear and rotational head acceleration during impact. Past work has also shown that overall neck strength and girth are reduced in athletes with SRC. Additionally, differences in cervical spine biomechanics are hypothesized as a critical factor underlying sex differences in SRC rates. Specifically, compared to males, females tend to have less neck strength and girth, which are associated with increased linear and rotational head acceleration. Although our ability to detect SRC has greatly improved, our ability to prevent SRC from occurring and decrease the severity of clinical outcomes postinjury is limited. However, we suggest, along with others, that cervical spine biomechanics may be a modifiable factor in reducing SRC risk. In this commentary, we review the role of the cervical spine in reducing SRC risk, and how this risk differs by sex. We discuss clinical considerations for the examination of the cervical spine and the potential clinical relevance for SRC prevention. Additionally, we provide suggestions for future research examining cervical spine properties as modifiable factors in reducing SRC risk. J Orthop Sports Phys Ther 2019;49(3):202-208. Epub 15 Jan 2019. doi:10.2519/jospt.2019.8582.
Identifiants
pubmed: 30645949
doi: 10.2519/jospt.2019.8582
pmc: PMC7102493
mid: NIHMS1039372
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
202-208Subventions
Organisme : NIAAA NIH HHS
ID : K02 AA025123
Pays : United States
Références
Med Sci Sports Exerc. 2005 Feb;37(2):272-9
pubmed: 15692324
Ann Biomed Eng. 2015 May;43(5):1071-88
pubmed: 25344352
Int J Psychophysiol. 2018 Oct;132(Pt A):9-13
pubmed: 28927725
Clin J Sport Med. 2013 Jul;23(4):267-72
pubmed: 23391986
Exerc Sport Sci Rev. 2011 Jan;39(1):4-11
pubmed: 21088602
J Physiol. 2001 May 1;532(Pt 3):851-68
pubmed: 11313451
J Phys Ther Sci. 2015 Mar;27(3):977-9
pubmed: 25931773
Eur J Appl Physiol. 2002 Dec;88(3):247-54
pubmed: 12458368
J Athl Train. 2008 Oct-Dec;43(6):578-84
pubmed: 19030135
J Phys Ther Sci. 2013 Sep;25(9):1157-62
pubmed: 24259936
Neurosurgery. 2007 Aug;61(2):313-27; discussion 327-8
pubmed: 17762744
Phys Ther. 2007 Apr;87(4):408-17
pubmed: 17341512
Aust J Physiother. 1994;40(4):251-4
pubmed: 25025606
Man Ther. 2013 Feb;18(1):83-6
pubmed: 22626765
J Biomech Eng. 2007 Feb;129(1):66-77
pubmed: 17227100
J Prim Prev. 2014 Oct;35(5):309-19
pubmed: 24930131
J Manipulative Physiol Ther. 2008 Sep;31(7):525-33
pubmed: 18804003
J Back Musculoskelet Rehabil. 2017;30(2):211-219
pubmed: 27472855
J Orthop Sports Phys Ther. 2016 Oct;46(10):874-885
pubmed: 27690834
Res Sports Med. 2018 Jan-Mar;26(1):64-74
pubmed: 29067816
BMC Musculoskelet Disord. 2013 Dec 03;14:339
pubmed: 24299621
Phys Ther. 2005 Dec;85(12):1349-55
pubmed: 16305273
J Athl Train. 2016 Mar;51(3):189-94
pubmed: 26950073
Biomed Sci Instrum. 2009;45:149-54
pubmed: 19369755
J Am Osteopath Assoc. 2017 Oct 1;117(10):635-642
pubmed: 28973180
J Int Neuropsychol Soc. 2013 Jan;19(1):22-33
pubmed: 23058235
Sports Health. 2017 Mar/Apr;9(2):168-173
pubmed: 28225689
Sports Biomech. 2018 Nov;17(4):462-476
pubmed: 29037111
PM R. 2017 Oct;9(10):969-975
pubmed: 28214618
JAMA. 2003 Nov 19;290(19):2556-63
pubmed: 14625332
J Phys Ther Sci. 2016 Jan;28(1):269-73
pubmed: 26957772
PM R. 2017 Sep;9(9):884-891
pubmed: 28167302
J Appl Biomech. 2017 Apr;33(2):166-170
pubmed: 27834549
J Phys Ther Sci. 2014 Nov;26(11):1741-3
pubmed: 25435690
Ann Biomed Eng. 2012 Jan;40(1):37-46
pubmed: 21994058
Neurosurgery. 2007 Dec;61(6):1244-52; discussion 1252-3
pubmed: 18162904
J Neurotrauma. 2011 Jan;28(1):57-70
pubmed: 21047148
Spine (Phila Pa 1976). 2008 Jan 15;33(2):E44-9
pubmed: 18197090
Braz J Phys Ther. 2014 Jul-Aug;18(4):364-71
pubmed: 25054381
BMJ Open. 2018 Feb 22;8(2):e019486
pubmed: 29472267
Clin Biomech (Bristol, Avon). 2006 Dec;21(10):1060-6
pubmed: 16949187
PM R. 2011 Feb;3(2):105-10
pubmed: 21333948
Biomed Mater Eng. 2018;29(3):289-298
pubmed: 29578461
J Orthop Sports Phys Ther. 2006 Jul;36(7):495-502
pubmed: 16881466
Sports Health. 2013 Jul;5(4):320-6
pubmed: 24459547
J Sci Med Sport. 2008 Jun;11(3):257-63
pubmed: 17597005
J Back Musculoskelet Rehabil. 2014;27(2):131-9
pubmed: 23963268
Spine (Phila Pa 1976). 1998 Feb 15;23(4):412-22
pubmed: 9516695
Am J Sports Med. 2014 Mar;42(3):566-76
pubmed: 24488820
Br J Sports Med. 2017 Jun;51(11):838-847
pubmed: 28446457
Pediatr Exerc Sci. 2014 Feb;26(1):33-40
pubmed: 24091298
J Manipulative Physiol Ther. 2017 Jan;40(1):1-10
pubmed: 27842938
J Strength Cond Res. 2013 Nov;27(11):3173-82
pubmed: 23439331
Transl Stroke Res. 2013 Aug;4(4):420-4
pubmed: 24323339
Br J Sports Med. 2009 May;43 Suppl 1:i46-50
pubmed: 19433425
J Sports Med Phys Fitness. 2005 Dec;45(4):594-603
pubmed: 16446695
Man Ther. 2008 May;13(2):148-54
pubmed: 17368075
J Am Acad Orthop Surg. 2017 Dec;25(12):818-828
pubmed: 29176505
Physiother Can. 2015 Winter;67(1):58-64
pubmed: 25931654
Physiother Res Int. 2001;6(1):15-26
pubmed: 11379253
J Athl Train. 2017 Mar;52(3):175-185
pubmed: 28387555
J Biomech Eng. 2017 Oct 1;139(10):
pubmed: 28753688
J Biomech. 2008;41(1):114-21
pubmed: 17706225
J Bodyw Mov Ther. 2015 Apr;19(2):213-6
pubmed: 25892374
Cranio. 2016 Sep;34(5):286-90
pubmed: 27077266
Sports Med. 2016 Aug;46(8):1111-24
pubmed: 26861960
Exp Brain Res. 2003 Jun;150(4):458-64
pubmed: 12739089
J Phys Ther Sci. 2015 Nov;27(11):3425-8
pubmed: 26696712
J Manipulative Physiol Ther. 2008 Sep;31(7):518-24
pubmed: 18804002