The evaluation of cervical spine mobility without significant spondylosis by kMRI

BACKGROUND: Damage on the somatosensory system could cause sensation of dizziness, a condition known as cervicogenic dizziness (CD). Manual physical therapy has shown beneficial effects, relieving the symptoms of cervicogenic dizziness. However, the effect of upper cervical spine manipulation is unknown, as this is a technique that respects the International Federation of Orthopedic Manipulative Physical Therapists (IFOMPT) safety criteria. OBJECTIVE: To assess the effects of upper cervical spine traction-manipulation in subjects with cervicogenic dizziness. METHODS: This was a descriptive case series study. Treatment focused on the upper cervical spine manipulation procedure. Evaluation was performed before and after the treatment. Variables recorded include upper and lower cervical range of motion, Cervical Flexion-Rotation Test (CFRT), dizziness intensity and cervical pain (VAS), self-perceived dizziness measured with Dizziness Handicap Inventory (DHI) and subjective perception of outcome (GROC-scale). RESULTS: Ten subjects were recruited. After the treatment protocol, there was an increased range of movement towards the most restricted side, as measured by the CFRT (p< 0.001), decreased intensity of dizziness (p< 0.001) and intensity of pain (p< 0.001). Functional capacity also improved after the intervention (p< 0.011). CONCLUSION: Upper cervical spine manipulation may decrease dizziness intensity and cervical pain and improve functional ability and upper cervical spine mobility in patients with cervicogenic dizziness.

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Airway Management with Cervical Spine Immobilisation: A Comparison between the Macintosh Laryngoscope, Truview Evo2, and Totaltrack VLM Used by Novices—A Manikin Study

BioMed Research International ◽

10.1155/2016/1297527 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5 ◽

Cited By ~ 5

Author(s):

Dawid Aleksandrowicz ◽

Tomasz Gaszyński

Keyword(s):

Cervical Spine ◽

Airway Management ◽

Macintosh Laryngoscope ◽

Spine Injury ◽

Trauma Patients ◽

Laryngoscopic View ◽

Ventilation Time ◽

Spine Mobility ◽

Airway Devices ◽

Time Required

Airway management in patients with suspected cervical spine injury plays an important role in the pathway of care of trauma patients. The aim of this study was to evaluate three different airway devices during intubation of a patient with reduced cervical spine mobility. Forty students of the third year of emergency medicine studies participated in the study (F=26,M=14). The time required to obtain a view of the entry to the larynx and successful ventilation time were recorded. Cormack-Lehane laryngoscopic view and damage to the incisors were also assessed. All three airway devices were used by each student (a novice) and they were randomly chosen. The mean time required to obtain the entry-to-the-larynx view was the shortest for the Macintosh laryngoscope 13.4 s (±2.14). Truview Evo2 had the shortest successful ventilation time 35.7 s (±9.27). The best view of the entry to the larynx was obtained by the Totaltrack VLM device. The Truview Evo2 and Totaltrack VLM may be an alternative to the classic Macintosh laryngoscope for intubation of trauma patients with suspected injury to the cervical spine. The use of new devices enables achieving better laryngoscopic view as well as minimising incisor damage during intubation.

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Effect of a Single Session of Facial Distortion Model Manual Physiotherapy and a Selected Foam Rolling Technique on Treatment Outcomes in Cervical Spine Overload. Pilot Study

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0014.1184 ◽

2020 ◽

Vol 22 (2) ◽

pp. 131-141

Author(s):

Karolina Wiaderna ◽

Monika Selegrat ◽

Anna Hadamus

Keyword(s):

Cervical Spine ◽

Neck Pain ◽

Pain Intensity ◽

Control Group ◽

Single Session ◽

Foam Rolling ◽

Distortion Model ◽

Beneficial Effects ◽

Spine Mobility ◽

Site Rehabilitation

Background. The prevalence of neck pain is on the increase. A sedentary life style, poor ergonomics in the workplace and in daily life, and stress all contribute to neck overload. The aim of this study was to assess the efficacy of a single session of a Fascial Distortion Model (FDM) intervention combined with foam rolling in patients with cervical spine overload. Material and methods. The study enrolled 90 patients, who were randomized to an FDM group, a foam rolling group (who exercised with a Duoball against a wall) and a control group, of 30 patients each. Mobility was measured with a digital inclinometer, pain intensity was assessed with a VAS scale and (upper and middle) trapezius tone was evaluated by sEMG. These measurements were carried out twice in each group and analysed in Matlab and Statistica 13. Results. Both groups subjected to a therapeutic intervention (FDM and foam rolling) reported a significant reduction in neck pain intensity and improved cervical spine mobility (p<0.01). The control group did not demonstrate changes in mobility or pain intensity. The resting trapezius tone did not change in any of the groups. Conclusions, 1. A single session of FDM therapy can effectively reduce and eliminate cervical spine pain, which may be of use in work-site rehabilitation. 2. Single sessions of FDM and foam rolling can effectively improve neck mobility in patients with cervical spine overload. 3. There is a rationale for conducting further prospective randomized studies of larger samples to assess the duration of the beneficial effects of both therapies and determine an optimum session frequency.

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Influence of Cervical Spine Mobility on the Focal and Postural Components of the Sit-to-Stand Task

Frontiers in Human Neuroscience ◽

10.3389/fnhum.2017.00129 ◽

2017 ◽

Vol 11 ◽

Cited By ~ 8

Author(s):

Alain Hamaoui ◽

Caroline Alamini-Rodrigues

Keyword(s):

Cervical Spine ◽

Sit To Stand ◽

Spine Mobility

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The accuracy of the Oculus Rift virtual reality head-mounted display during cervical spine mobility measurement

Journal of Biomechanics ◽

10.1016/j.jbiomech.2015.01.005 ◽

2015 ◽

Vol 48 (4) ◽

pp. 721-724 ◽

Cited By ~ 32

Author(s):

Xu Xu ◽

Karen B. Chen ◽

Jia-Hua Lin ◽

Robert G. Radwin

Keyword(s):

Virtual Reality ◽

Cervical Spine ◽

Oculus Rift ◽

Head Mounted Display ◽

Spine Mobility ◽

Mobility Measurement

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Effects of Wearing Headscarves on Cervical Spine Mobility

International Journal of Physiotherapy ◽

10.15621/ijphy/2018/v5i3/173936 ◽

2018 ◽

Vol 5 (3) ◽

Author(s):

Samiah F. Alqabbani ◽

Gurinder S. Bains ◽

Eric G. Johnson ◽

Everett B. Lohman ◽

Noha S. Daher

Keyword(s):

Cervical Spine ◽

Spine Mobility

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Associations of neck muscle strength and cervical spine mobility with future neck pain and disability: a prospective 16-year study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04807-3 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Juhani Multanen ◽

Arja Häkkinen ◽

Hannu Kautiainen ◽

Jari Ylinen

Keyword(s):

Regression Analysis ◽

Cervical Spine ◽

Muscle Strength ◽

Neck Pain ◽

Prospective Study ◽

Range Of Motion ◽

Neck Muscle ◽

Spine Mobility ◽

Neck Strength ◽

Neck Disability

Abstract Background Neck pain has been associated with weaker neck muscle strength and decreased cervical spine range of motion. However, whether neck muscle strength or cervical spine mobility predict later neck disability has not been demonstrated. In this 16-year prospective study, we investigated whether neck muscle strength and cervical spine mobility are associated with future neck pain and related disability in women pain-free at baseline. Methods Maximal isometric neck muscle strength and passive range of motion (PROM) of the cervical spine of 220 women (mean age 40, standard deviation (SD) 12 years) were measured at baseline between 2000 and 2002. We conducted a postal survey 16 years later to determine whether any subjects had experienced neck pain and related disability. Linear regression analysis adjusted for age and body mass index was used to determine to what extent baseline neck strength and PROM values were associated with future neck pain and related disability assessed using the Neck Disability Index (NDI). Results The regression analysis Beta coefficient remained below 0.1 for all the neck strength and PROM values, indicating no association between neck pain and related disability. Of the 149 (68%) responders, mean NDI was lowest (3.3, SD 3.8) in participants who had experienced no neck pain (n = 50), second lowest (7.7, SD 7.1) in those who had experienced occasional neck pain (n = 94), and highest (19.6, SD 22.0) in those who had experienced chronic neck pain (n = 5). Conclusions This 16-year prospective study found no evidence for an association between either neck muscle strength or mobility and the occurrence in later life of neck pain and disability. Therefore, screening healthy subjects for weaker neck muscle strength or poorer cervical spine mobility cannot be recommended for preventive purposes.

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