Reliability and validity of clinical tests to assess posture, pain location, and cervical spine mobility in adults with neck pain and its associated disorders: Part 4. A systematic review from the cervical assessment and diagnosis research evaluation (CADRE) collaboration

2018 ◽  
Vol 38 ◽  
pp. 128-147 ◽  
Author(s):  
N. Lemeunier ◽  
E.B. Jeoun ◽  
M. Suri ◽  
T. Tuff ◽  
H. Shearer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Neck Pain ◽  
Research Evaluation ◽  
Reliability And Validity ◽  
Clinical Tests ◽  
Pain Location ◽  
Spine Mobility ◽  
Assessment And Diagnosis

scholarly journals Impact of Predominant Arm Pain vs Neck Pain on 12-Month Outcomes Following Elective Cervical Spine Surgery: Analysis From the Quality Outcomes Database (QOD)

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Clinton J Devin ◽  
Mohamad Bydon ◽  
Mohammed A Alvi ◽  
Anshit Goyal ◽  
Panagiotis Kerezoudis ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Degenerative Spine ◽  
Quality Outcomes ◽  
Degenerative Spine Disease ◽  
Arm Pain ◽  
Spine Registry ◽  
Pain Location ◽  
The Impact ◽  
Spine Disease

Abstract INTRODUCTION The impact of the type of pain presentation on outcomes of spine surgery remains elusive. The severity of symptoms is a critical determinant for decision to operate among such patients. Herein, we present an analysis of the impact of predominant symptom location (arm pain vs neck pain) on postoperative improvement in patient reported outcomes. METHODS The Quality Outcomes Database (QOD) cervical spine registry was queried for patients undergoing 1 to 2 level ACDF for degenerative spine disease. Multivariable (MV) regression was performed to assess the impact of predominant pain location (arm pain vs neck pain vs equal arm and neck pain) on the following 12 mo outcomes following surgery-NASS satisfaction, Neck Disability Index (NDI) and return to work. RESULTS A total of 9277 patients were included in the final analysis. Of these, 18.4% (n = 1705) presented with predominant arm pain, 32.3% (n = 2994) presented with predominant neck pain, and 49.3% (n = 4578) presented with equal neck and arm pain. On MV analysis, patients with predominant neck pain were found to have lower odds of being satisfied at 1 yr following surgery (OR = 0.73, CI: 0.62-0.98, P < .001) while predominant arm pain was not significantly associated (OR = 1.04, CI: 0.6-1.4, P = .55, ref = equal neck and arm pain). On MV linear regression, patients with predominant neck pain had higher (worse) 12 mo NDI (Coef: 0.24, CI: 0.15-0.33, P < .0001) while predominant arm pain was not significantly associated with 12 mo NDI. Predominant arm pain (OR = 0.77, CI:0.64-1.02, P = .06) or neck pain (OR = 1.04, CI: 0.82-1.33, P = .6) were not significantly associated with return to work at 1 yr. CONCLUSION Analysis from a national spine registry suggests predominant pain location (arm pain vs neck pain) might be a significant determinant of improvement in functional outcomes and patient satisfaction following anterior cervical discectomy and fusion for degenerative spine disease.

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

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.

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

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.

Cervical spine findings on MRI in people with neck pain compared with pain‐free controls: A systematic review and meta‐analysis

2019 ◽  
Vol 49 (6) ◽  
pp. 1638-1654 ◽  
Author(s):  
Scott F. Farrell ◽  
Ashley D. Smith ◽  
Mark J. Hancock ◽  
Alexandra L. Webb ◽  
Michele Sterling
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Neck Pain ◽  
Meta Analysis

Cervical Radiculopathy

2018 ◽  
pp. 101-108
Author(s):  
Michael Karsy ◽  
Ilyas Eli ◽  
Andrew Dailey
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Cervical Spondylosis ◽  
Cervical Radiculopathy ◽  
Surgical Approaches ◽  
Anatomical Landmarks ◽  
Cervical Fusion ◽  
Spine Mobility ◽  
Posterior Cervical Fusion ◽  
Spine Disease

Degenerative cervical spondylosis resulting in cervical radiculopathy or myelopathy can be a significant source of morbidity for patients. Traditional surgical approaches have involved anterior or posterior cervical fusion with decompression; however, these techniques may result in higher cost compared with noninstrumented cases, reduction of spine mobility, and adjacent level disease. Anterior microforaminotomy, first described by Jho in 1996, involves a microdiscectomy and decompression of the cervical spine without arthrodesis. Posterior approaches to the foramina can also be an option. In this chapter, the authors describe the use of lateral disc foraminotomies in the treatment of cervical spine disease. These techniques are mainly for the treatment of cervical radiculopathy without instability or mechanical neck pain. Techniques for both anterior and posterior approaches, including pitfalls and key anatomical landmarks, are described.

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