Sensorimotor performance in acute-subacute non-specific neck pain: a non-randomized prospective clinical trial with intervention

被引:5
作者
Hage, Renaud [1 ,2 ,3 ]
Detrembleur, Christine [1 ]
Dierick, Frederic [2 ,4 ]
Brismee, Jean-Michel [5 ]
Roussel, Nathalie [6 ]
Pitance, Laurent [1 ,7 ]
机构
[1] Catholic Univ Louvain, Inst Rech Expt & Clin IREC, Lab Neuro Musculo Squelett NMSK, Ave Mounier 53,B1-53-07, B-1200 Brussels, Belgium
[2] HELHa, Ctr Rech & Format CeREF, Mons, Belgium
[3] Private Physiotherapy Ctr, Traitement Format Therapie Manuelle TFTM, Brussels, Belgium
[4] Ctr Natl Reeduc Fonct & Readaptat Rehazenter, Lab Anal Mouvement & Posture LAMP, Luxembourg, Luxembourg
[5] Texas Tech Univ, Hlth Sci Ctr, Ctr Rehabil Res, Lubbock, TX 79409 USA
[6] Univ Antwerp, Fac Med & Hlth Sci, Rehabil Sci & Physiotherapy MOVANT, Antwerp, Belgium
[7] Clin Univ St Luc, Stomatol & Chirurg Maxillofaciale, Brussels, Belgium
关键词
Cervical rotation; sensorimotor assessment; acute non-specific neck pain; passive mobilizations; CERVICOCEPHALIC KINESTHETIC SENSIBILITY; CERVICAL-SPINE; DISABILITY-INDEX; PSYCHOMETRIC PROPERTIES; MUSCULOSKELETAL PAIN; STABILIZING SYSTEM; TASK-PERFORMANCE; MANUAL THERAPY; MOTOR CONTROL; ACTIVE RANGE;
D O I
10.1186/s12891-021-04876-4
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: The assessment of cervical spine kinematic axial rotation performance is of great importance in the context of the study of neck sensorimotor control. However, studies addressing the influence of the level of provocation of spinal pain and the potential benefit of passive manual therapy mobilizations in patients with acute-subacute non-specific neck pain are lacking. Methods: A non-randomized prospective clinical trial with an intervention design was conducted. We investigated: (1) the test-retest reliability of kinematic variables during a fast axial head rotation task standardized with the DidRen laser test device in 42 Healthy pain-free Control Participants (HCP) (24.3 years +/- 6.8); (2) the differences in kinematic variables between HCP and 38 patients with Acute-subacute Non-Specific neck Pain (ANSP) assigned to two different groups according to whether their pain was localized in the upper or lower spine (46.2 years +/- 16.3); and (3) the effect of passive manual therapy mobilizations on kinematic variables of the neck during fast axial head rotation. Results: (1) Intra-class correlation coefficients ranged from moderate (0.57 (0.06-0.80)) to excellent (0.96 (0.91-0.98)). (2) Kinematic performance during fast axial rotations of the head was significantly altered in ANSP compared to HCP (age-adjusted) for one variable: the time between peaks of acceleration and deceleration (p<0.019). No significant difference was observed between ANSP with upper vs lower spinal pain localization. (3) After the intervention, there was a significant effect on several kinematic variables, e.g., ANSP improved peak speed (p<0.007) and performance of the DidRen laser test (p<0.001), with effect sizes ranging from small to medium. Conclusion: (1) The DidRen laser test is reliable. (2) A significant reduction in time between acceleration and deceleration peaks was observed in ANSP compared to HCP, but with no significant effect of spinal pain location on kinematic variables was found. (3) We found that neck pain decreased after passive manual therapy mobilizations with improvements of several kinematic variables.
引用
收藏
页数:15
相关论文
共 84 条
[1]   Neck motion kinematics: an inter-tester reliability study using an interactive neck VR assessment in asymptomatic individuals [J].
Bahat, Hilla Sarig ;
Sprecher, Elliot ;
Sela, Itamar ;
Treleaven, Julia .
EUROPEAN SPINE JOURNAL, 2016, 25 (07) :2139-2148
[2]   Interactive cervical motion kinematics: Sensitivity, specificity and clinically significant values for identifying kinematic impairments in patients with chronic neck pain [J].
Bahat, Hilla Sarig ;
Chen, Xiaoqi ;
Reznik, David ;
Kodesh, Einat ;
Treleaven, Julia .
MANUAL THERAPY, 2015, 20 (02) :295-302
[3]   Do neck kinematics correlate with pain intensity, neck disability or with fear of motion? [J].
Bahat, Hilla Sarig ;
Weiss, Patrice L. ;
Sprecher, Elliot ;
Krasovsky, Andrei ;
Laufer, Yocheved .
MANUAL THERAPY, 2014, 19 (03) :252-258
[4]   Active range of motion utilized in the cervical spine to perform daily functional tasks [J].
Bennett, SE ;
Schenk, RJ ;
Simmons, ED .
JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 2002, 15 (04) :307-311
[5]   Unraveling the Mechanisms of Manual Therapy: Modeling an Approach [J].
Bialosky, Joel E. ;
Beneciuk, Jason M. ;
Bishop, Mark D. ;
Coronado, Rogelio A. ;
Penza, Charles W. ;
Simon, Corey B. ;
George, Steven Z. .
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2018, 48 (01) :8-18
[6]   The mechanisms of manual therapy in the treatment of musculoskeletal pain: A comprehensive model [J].
Bialosky, Joel E. ;
Bishop, Mark D. ;
Price, Don D. ;
Robinson, Michael E. ;
George, Steven Z. .
MANUAL THERAPY, 2009, 14 (05) :531-538
[7]   Normal Functional Range of Motion of the Cervical Spine During 15 Activities of Daily Living [J].
Bible, Jesse E. ;
Biswas, Debdut ;
Miller, Christopher P. ;
Whang, Peter G. ;
Grauer, Jonathan N. .
JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 2010, 23 (01) :15-21
[8]  
Blanpied Peter R, 2017, J Orthop Sports Phys Ther, V47, pA1, DOI 10.2519/jospt.2017.0302
[9]   On Cervical Zygapophysial Joint Pain After Whiplash [J].
Bogduk, Nikolai .
SPINE, 2011, 36 (25) :S194-S199
[10]   VALIDITY OF WEEKLY RECALL RATINGS OF AVERAGE PAIN INTENSITY IN NECK PAIN PATIENTS [J].
Bolton, Jennifer E. ;
Humphreys, B. Kim ;
van Hedel, Hubertus J. A. .
JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2010, 33 (08) :612-617