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A Pilot Longitudinal Study of 3-Dimensional Head and Neck Kinematics During Functional Tasks in Individuals With Chronic Idiopathic Neck Pain Either Wait-Listed for or Receiving Chiropractic Spinal Manipulative Therapy With Exercise
- Source :
- Journal of Manipulative and Physiological Therapeutics. 43:490-505
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- The purpose of this study was to determine if there is a relationship between pain and movement kinematics during functional tasks, evaluated over time, in individuals with chronic idiopathic neck pain.Ten participants with chronic idiopathic neck pain performed 2 functional tasks (overhead reach to the right and putting on a seatbelt) while evaluated using 8 Oqus 300+ cameras. Kinematic variables included joint angles and range of motion (ROM) (°), head segment relative to neck segment (head-neck [HN]); and head/neck segment relative to upper thoracic segment (head/neck-trunk), velocity (m/s), and time (% of movement phase). Pain was quantified using a 100-mm visual analog scale. Linear mixed effects regression models were used to analyze associations between pain and kinematic variables adjusting for treatment group.For overhead reach, higher pain was associated with less HN peak rotation at baseline (β = -0.33; 95% CI -0.52 to -0.14, P = .003) and less HN total rotation ROM at 6 months (β = -0.19; 95% CI -0.38 to -0.003, P = .048). For the seatbelt task, higher pain was associated with less HN peak rotation (β = -0.52; 95% CI -0.74 to -0.30 to -0.74, P.001) and less HN total rotation ROM at baseline (β = -0.32; 95% CI -0.53 to -0.10, P = .006). No other movement variables demonstrated meaningful relationships with pain for the reach or seatbelt tasks.Higher pain is associated with less HN peak and total rotation during functional reaching tasks requiring head rotation. Recognizing altered functional kinematics in individuals with chronic neck pain may assist patient management.
- Subjects :
- Adult
Male
Manipulation, Spinal
Longitudinal study
medicine.medical_specialty
Visual Analog Scale
Visual analogue scale
Pilot Projects
Kinematics
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
medicine
Humans
Longitudinal Studies
Range of Motion, Articular
030222 orthopedics
Neck pain
Neck Pain
business.industry
Chiropractic
Biomechanical Phenomena
medicine.anatomical_structure
Head Movements
Cervical Vertebrae
Female
Chiropractics
Manual therapy
medicine.symptom
business
Range of motion
030217 neurology & neurosurgery
Cervical vertebrae
Subjects
Details
- ISSN :
- 01614754
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- Journal of Manipulative and Physiological Therapeutics
- Accession number :
- edsair.doi.dedup.....0a2ece648e9b521a38ede50be2cca061