Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study

详细信息    查看全文

• 作者：Ingebrigt Meisingset (1)
  Astrid Woodhouse (1)
  Ann- Katrin Stensdotter (1)
  脴yvind Stavdahl (2)
  H氓vard Lor氓s (1)
  Sigmund Gismervik (1) (3)
  Hege Andresen (4)
  Kristian Austreim (1)
  Ottar Vasseljen (1)
  
  1. Department of Public Health and General Practice ; Faculty of Medicine ; Norwegian University of Science and Technology ; Trondheim ; Norway
  2. Department of Engineering Cybernetics ; Norwegian University of Science and Technology ; Trondheim ; Norway
  3. Department of Physical Medicine and Rehabilitation ; St. Olavs University Hospital ; Trondheim ; Norway
  4. Department of Neuroscience ; Faculty of Medicine ; Norwegian University of Science and Technology ; Trondheim ; Norway
  
• 关键词：Neck ; motor control ; Neck flexibility ; Proprioception ; Head steadiness ; Trajectory movement control ; Postural sway ; Clinical features
• 刊名：BMC Musculoskeletal Disorders
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：16
• 期：1
• 全文大小：563 KB
• 参考文献：1. Hogg-Johnson, S, Velde, G, Carroll, LJ, Holm, LW, Cassidy, JD, Guzman, J (2008) The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000鈥?010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 33: pp. S39-51 454c8" target="_blank" title="It opens in new window">CrossRef
  2. Vos, T, Flaxman, AD, Naghavi, M, Lozano, R, Michaud, C, Ezzati, M (2013) Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990鈥?010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380: pp. 2163-2196 40-6736(12)61729-2" target="_blank" title="It opens in new window">CrossRef
  3. Misra G, Coombes SA: Neuroimaging Evidence of Motor Control and Pain Processing in the Human Midcingulate Cortex. Cerebral cortex (New York, NY : 1991) 2014.
  4. Falla, D, Jull, G, Hodges, PW (2004) Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain. Exp Brain Res 157: pp. 43-48 4-9" target="_blank" title="It opens in new window">CrossRef
  5. Falla, D, Bilenkij, G, Jull, G (2004) Patients with chronic neck pain demonstrate altered patterns of muscle activation during performance of a functional upper limb task. Spine (Phila Pa 1976) 29: pp. 1436-1440 487.BF" target="_blank" title="It opens in new window">CrossRef
  6. Sjolander, P, Michaelson, P, Jaric, S, Djupsjobacka, M (2008) Sensorimotor disturbances in chronic neck pain鈥搑ange of motion, peak velocity, smoothness of movement, and repositioning acuity. Man Ther 13: pp. 122-131 CrossRef
  7. Harris, KD, Heer, DM, Roy, TC, Santos, DM, Whitman, JM, Wainner, RS (2005) Reliability of a measurement of neck flexor muscle endurance. Phys Ther 85: pp. 1349-1355
  8. Sarig Bahat, H, Weiss, PL, Laufer, Y (2010) The effect of neck pain on cervical kinematics, as assessed in a virtual environment. Arch Phys Med Rehabil 91: pp. 1884-1890 CrossRef
  9. Vikne, H, Bakke, ES, Liestol, K, Engen, SR, Vollestad, N (2013) Muscle activity and head kinematics in unconstrained movements in subjects with chronic neck pain; cervical motor dysfunction or low exertion motor output?. BMC Musculoskelet Disord 14: pp. 314 471-2474-14-314" target="_blank" title="It opens in new window">CrossRef
  10. Roijezon, U, Djupsjobacka, M, Bjorklund, M, Hager-Ross, C, Grip, H, Liebermann, DG (2010) Kinematics of fast cervical rotations in persons with chronic neck pain: a cross-sectional and reliability study. BMC Musculoskelet Disord 11: pp. 222 471-2474-11-222" target="_blank" title="It opens in new window">CrossRef
  11. Ylinen, J, Salo, P, Nykanen, M, Kautiainen, H, Hakkinen, A (2004) Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements. Arch Phys Med Rehabil 85: pp. 1303-1308 CrossRef
  12. Kristjansson, E (2010) Oddsdottir GL: 鈥淭he Fly鈥? a new clinical assessment and treatment method for deficits of movement control in the cervical spine: reliability and validity. Spine (Phila Pa 1976) 35: pp. E1298-1305 CrossRef
  13. Feipel, V, Rondelet, B, LePallec, JP, DeWitte, O, Rooze, M (1999) The use of disharmonic motion curves in problems of the cervical spine. Int Orthop 23: pp. 205-209 40050351" target="_blank" title="It opens in new window">CrossRef
  14. Woodhouse, A, Vasseljen, O (2008) Altered motor control patterns in whiplash and chronic neck pain. BMC Musculoskelet Disord 9: pp. 90 471-2474-9-90" target="_blank" title="It opens in new window">CrossRef
  15. Roijezon, U, Bjorklund, M, Djupsjobacka, M (2011) The slow and fast components of postural sway in chronic neck pain. Man Ther 16: pp. 273-278 CrossRef
  16. Jorgensen, MB, Skotte, JH, Holtermann, A, Sjogaard, G, Petersen, NC, Sogaard, K (2011) Neck pain and postural balance among workers with high postural demands - a cross-sectional study. BMC Musculoskelet Disord 12: pp. 176 471-2474-12-176" target="_blank" title="It opens in new window">CrossRef
  17. Treleaven, J (2008) Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther 13: pp. 2-11 CrossRef
  18. Chen X, Treleaven J: The effect of neck torsion on joint position error in subjects with chronic neck pain. Man Ther 2013.
  19. Revel, M, Andre-Deshays, C, Minguet, M (1991) Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil 72: pp. 288-291
  20. Kristjansson, E, Treleaven, J (2009) Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sports Phys Ther 39: pp. 364-377 4" target="_blank" title="It opens in new window">CrossRef
  21. Johansen JB, Andelic N, Bakke E, Holter EB, Mengshoel AM, Roe C: Measurement properties of Norwegian version of the Neck Disability Index in chronic neck pain. Spine (Phila Pa 1976) 2012.
  22. Haugen, AJ, Grovle, L, Keller, A, Grotle, M (2008) Cross-cultural adaptation and validation of the Norwegian version of the Tampa scale for kinesiophobia. Spine (Phila Pa 1976) 33: pp. E595-601 4b" target="_blank" title="It opens in new window">CrossRef
  23. Fernandes, L, Storheim, K, Lochting, I, Grotle, M (2012) Cross-cultural adaptation and validation of the Norwegian pain catastrophizing scale in patients with low back pain. BMC Musculoskelet Disord 13: pp. 111 471-2474-13-111" target="_blank" title="It opens in new window">CrossRef
  24. Nicholas, MK (2007) The pain self-efficacy questionnaire: Taking pain into account. Eur J Pain 11: pp. 153-163 CrossRef
  25. Woodhouse, A, Stavdahl, O, Vasseljen, O (2010) Irregular head movement patterns in whiplash patients during a trajectory task. Exp Brain Res 201: pp. 261-270 CrossRef
  26. Fitts, PM (1954) The information capacity of the human motor system in controlling the amplitude of movement. J Exp Psychol 47: pp. 381-391 CrossRef
  27. Rabe- Hesketh S, Skrondal A: Multilevel and longitudinal modeling using Stata. Volume 1: Continuous Responses. Third edition. Stata Press 2012:29.
  28. Lansade, C, Laporte, S, Thoreux, P, Rousseau, MA, Skalli, W, Lavaste, F (2009) Three-dimensional analysis of the cervical spine kinematics: effect of age and gender in healthy subjects. Spine (Phila Pa 1976) 34: pp. 2900-2906 4f667" target="_blank" title="It opens in new window">CrossRef
  29. Oddsdottir, GL, Kristjansson, E, Gislason, MK (2013) Database of movement control in the cervical spine. Reference normal of 182 asymptomatic persons. Man Ther 18: pp. 206-210 CrossRef
  30. Yoon, JJ, Yoon, TS, Shin, BM, Na, EH (2012) Factors affecting test results and standardized method in quiet standing balance evaluation. Annals of rehabilitation medicine 36: pp. 112-118 CrossRef
  31. Vikne, H, Bakke, ES, Liestol, K, Sandbaek, G, Vollestad, N (2013) The smoothness of unconstrained head movements is velocity-dependent. Hum Mov Sci 32: pp. 540-554 CrossRef
  32. Fritz, CO, Morris, PE, Richler, JJ (2012) Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen 141: pp. 2-18 4338" target="_blank" title="It opens in new window">CrossRef
  33. Rudolfsson, T, Bjorklund, M, Djupsjobacka, M (2012) Range of motion in the upper and lower cervical spine in people with chronic neck pain. Man Ther 17: pp. 53-59 CrossRef
  34. Hudes, K (2011) The Tampa Scale of Kinesiophobia and neck pain, disability and range of motion: a narrative review of the literature. J Can Chiropr Assoc 55: pp. 222-232
  35. Sarig Bahat, H, Weiss, PL, Sprecher, E, Krasovsky, A, Laufer, Y (2013) Do neck kinematics correlate with pain intensity, neck disability or with fear of motion? Man Ther.
  36. Woodhouse, A, Liljeback, P, Vasseljen, O (2010) Reduced head steadiness in whiplash compared with non-traumatic neck pain. J Rehabil Med 42: pp. 35-41 40/16501977-0484" target="_blank" title="It opens in new window">CrossRef
  37. Shahidi, B, Johnson, CL, Curran-Everett, D, Maluf, KS (2012) Reliability and group differences in quantitative cervicothoracic measures among individuals with and without chronic neck pain. BMC Musculoskelet Disord 13: pp. 215 471-2474-13-215" target="_blank" title="It opens in new window">CrossRef
  38. Falla, D, Jull, G, Edwards, S, Koh, K, Rainoldi, A (2004) Neuromuscular efficiency of the sternocleidomastoid and anterior scalene muscles in patients with chronic neck pain. Disabil Rehabil 26: pp. 712-717 410001704287" target="_blank" title="It opens in new window">CrossRef
  39. Falla, D, O'Leary, S, Farina, D, Jull, G (2011) Association between intensity of pain and impairment in onset and activation of the deep cervical flexors in patients with persistent neck pain. Clin J Pain 27: pp. 309-314 CrossRef
  40. Lindstroem R, Graven-Nielsen T, Falla D: Current Pain and Fear of Pain Contribute to Reduced Maximum Voluntary Contraction of Neck Muscles in Patients With Chronic Neck Pain. Arch Phys Med Rehabil 2012.
  41. Falla, DL, Jull, GA, Hodges, PW (2004) Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test. Spine (Phila Pa 1976) 29: pp. 2108-2114 41170.89317.0e" target="_blank" title="It opens in new window">CrossRef
  42. Lindstrom, R, Schomacher, J, Farina, D, Rechter, L, Falla, D (2011) Association between neck muscle coactivation, pain, and strength in women with neck pain. Man Ther 16: pp. 80-86 CrossRef
  43. Kristjansson, E, Hardardottir, L, Asmundardottir, M, Gudmundsson, K (2004) A new clinical test for cervicocephalic kinesthetic sensibility: 鈥渢he fly鈥? Arch Phys Med Rehabil 85: pp. 490-495 CrossRef
  44. Ruhe, A, Fejer, R, Walker, B (2011) Altered postural sway in patients suffering from non-specific neck pain and whiplash associated disorder - A systematic review of the literature. Chiropractic & manual therapies 19: pp. 13 45-709X-19-13" target="_blank" title="It opens in new window">CrossRef
  45. Daele, U, Hagman, F, Truijen, S, Vorlat, P, Gheluwe, B, Vaes, P (2010) Decrease in postural sway and trunk stiffness during cognitive dual-task in nonspecific chronic low back pain patients, performance compared to healthy control subjects. Spine (Phila Pa 1976) 35: pp. 583-589 4fe4d" target="_blank" title="It opens in new window">CrossRef
  46. Dault, MC, Yardley, L, Frank, JS (2003) Does articulation contribute to modifications of postural control during dual-task paradigms?. Brain Res Cogn Brain Res 16: pp. 434-440 410(03)00058-2" target="_blank" title="It opens in new window">CrossRef
  47. Rix, GD, Bagust, J (2001) Cervicocephalic kinesthetic sensibility in patients with chronic, nontraumatic cervical spine pain. Arch Phys Med Rehabil 82: pp. 911-919 CrossRef
  48. Teng, CC, Chai, H, Lai, DM, Wang, SF (2007) Cervicocephalic kinesthetic sensibility in young and middle-aged adults with or without a history of mild neck pain. Man Ther 12: pp. 22-28 CrossRef
  49. Kristjansson, E, Dall'Alba, P, Jull, G (2003) A study of five cervicocephalic relocation tests in three different subject groups. Clin Rehabil 17: pp. 768-774 CrossRef
  50. Hodges, PW, Tucker, K (2011) Moving differently in pain: a new theory to explain the adaptation to pain. Pain 152: pp. S90-98 CrossRef
  
• 刊物主题：Orthopedics; Rehabilitation; Rheumatology; Sports Medicine; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2474

文摘

Background Neck pain is associated with several alterations in neck motion and motor control. Previous studies have investigated single constructs of neck motor control, while few have applied a comprehensive set of tests to investigate cervical motor control. This comparative cross- sectional study aimed to investigate different motor control constructs in neck pain patients and healthy controls. Methods A total of 166 subjects participated in the study, 91 healthy controls (HC) and 75 neck pain patients (NP) with long-lasting moderate to severe neck pain. Neck flexibility, proprioception, head steadiness, trajectory movement control, and postural sway were assessed using a 3D motion tracking system (Liberty). The different constructs of neck motion and motor control were based on tests used in previous studies. Results Neck flexibility was lower in NP compared to HC, indicated by reduced cervical ROM and conjunct motion. Movement velocity was slower in NP compared to HC. Tests of head steadiness showed a stiffer movement pattern in NP compared to HC, indicated by lower head angular velocity. NP patients departed less from a predictable trajectory movement pattern (figure of eight) compared to healthy controls, but there was no difference for unpredictable movement patterns (the Fly test). No differences were found for postural sway in standing with eyes open and eyes closed. However, NP patients had significantly larger postural sway when standing on a balance pad. Proprioception did not differ between the groups. Largest effect sizes (ES) were found for neck flexibility (ES range: 0.2- 0.8) and head steadiness (ES range: 1.3- 2.0). Neck flexibility was the only construct that showed a significant association with current neck pain, while peak velocity was the only variable that showed a significant association with kinesiophobia. Conclusions NP patients showed an overall stiffer and more rigid neck motor control pattern compared to HC, indicated by lower neck flexibility, slower movement velocity, increased head steadiness and more rigid trajectory head motion patterns. Only neck flexibility showed a significant association with clinical features in NP patients.