Altered Scapular Orientation During Arm Elevation in Patients With Insidious Onset Neck Pain and Whiplash-Associated Disorder

2010 ◽  
Vol 40 (12) ◽  
pp. 784-791 ◽  
Author(s):  
Harpa Helgadottir ◽  
Eythor Kristjansson ◽  
Sarah Mottram ◽  
Andrew Karduna ◽  
Halldor Jonsson
2011 ◽  
Vol 27 (3) ◽  
pp. 181-191 ◽  
Author(s):  
Harpa Helgadottir ◽  
Eythor Kristjansson ◽  
Sarah Mottram ◽  
Andrew Karduna ◽  
Halldor Jonsson

Clinical theory suggests that altered alignment of the shoulder girdle has the potential to create or sustain symptomatic mechanical dysfunction in the cervical and thoracic spine. The alignment of the shoulder girdle is described by two clavicle rotations, i.e, elevation and retraction, and by three scapular rotations, i.e., upward rotation, internal rotation, and anterior tilt. Elevation and retraction have until now been assessed only in patients with neck pain. The aim of the study was to determine whether there is a pattern of altered alignment of the shoulder girdle and the cervical and thoracic spine in patients with neck pain. A three-dimensional device measured clavicle and scapular orientation, and cervical and thoracic alignment in patients with insidious onset neck pain (IONP) and whiplash-associated disorder (WAD). An asymptomatic control group was selected for baseline measurements. The symptomatic groups revealed a significantly reduced clavicle retraction and scapular upward rotation as well as decreased cranial angle. A difference was found between the symptomatic groups on the left side, whereas the WAD group revealed an increased scapular anterior tilt and the IONP group a decreased clavicle elevation. These changes may be an important mechanism for maintenance and recurrence or exacerbation of symptoms in patients with neck pain.


2008 ◽  
Vol 63 (6) ◽  
pp. 681-687 ◽  
Author(s):  
J. Elliott ◽  
M. Sterling ◽  
J.T. Noteboom ◽  
R. Darnell ◽  
G. Galloway ◽  
...  

PM&R ◽  
2016 ◽  
Vol 9 (7) ◽  
pp. 699-706 ◽  
Author(s):  
Raziyeh Baghi ◽  
Leila Rahnama ◽  
Noureddin Karimi ◽  
Fereshte Goodarzi ◽  
Asghar Rezasoltani ◽  
...  

2019 ◽  
Vol 09 (03) ◽  
pp. 237-242
Author(s):  
Syeda Bushra Ahmed ◽  
Aisha Qamar ◽  
Muhammad Imran ◽  
Ambreen Usmani ◽  
Yasmeen Mehar ◽  
...  

Cervical spondylosis is a chronic degenerative disease which is prevalent in middle and aging population. Its cause is multifactorial attributing to stress, anxiety, trauma, sports, occupational factors or use of handheld devices. It is easily missed and neglected as it has an insidious onset, early subtle features, and resemblance with musculoskeletal problems. It is essential to investigate and intervene because it places a significant impact on health care of individuals and can adversely affect lifestyle by causing depression, dysphagia, and cervicogenic headache along with chronic neck pain, which is ranked as the disabling cause of adjustable life years (DALY). It is responsible for causing minor symptoms like chronic neck pain, numbness in hands as well as even quadriparesis or spastic gait. It needs to be diagnosed and treated earlier. The state of art strategy adopted by health practitioners can be a promising future for the next generation. The objective of this article is to discuss the anatomy, etiology, prevalence, pathogenesis, clinical manifestations and treatment options.


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