Immediate effects of thoracic manipulation on cervical joint position sense in individuals with mechanical neck pain: A randomized controlled trial

2021 ◽  
pp. 1-9
Author(s):  
Emin Ulas Erdem ◽  
Banu Ünver ◽  
Eda Akbas ◽  
Gizem Irem Kinikli
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Position Error ◽  
Cervical Region ◽  
Joint Position ◽  
Cervical Range Of Motion ◽  
Arm Pain ◽  
Neck Function

BACKGROUND: Performing thoracic manipulations for neck pain can result in immediate improvements in neck function. OBJECTIVE: The aim of this study was to investigate the immediate effects of thoracic manipulation on cervical joint position sense and cervical range of motion in individuals with chronic mechanical neck pain. METHODS: Eighty male volunteers between 18–25 years and having chronic or recurrent neck or shoulder pain of at least 3 months duration with or without arm pain were randomized into two groups: Thoracic Manipulation Group (TMG:50) and Control Group (CG:30), with a pretest-posttest experimental design. The TMG was treated with thoracic extension manipulation while the CG received no intervention. Cervical joint position error and cervical range of motion of the individuals were assessed at baseline and 5 minutes later. RESULTS: There was no difference in demographic variables such as age (p= 0.764), Body Mass Index (p= 0.917) and Neck Pain Disability Scale (NPDS) scores (p= 0.436) at baseline outcomes between TMG and CGs. Joint position error outcomes between the two groups following intervention were similar in all directions at 30 and 50 degrees. Differences in range of motion following intervention in neck flexion (p< 0.001) and right rotation (p= 0.004) were higher in TMG compared to CG. CONCLUSIONS: A single session of thoracic manipulation seems to be inefficient on joint position sense in individuals with mild mechanical neck pain. However, thoracic manipulation might be an effective option to increase flexion and rotation of the cervical region as an adjunctive to treatment.

Effect of laterality discrimination on joint position sense and cervical range of motion in patients with chronic neck pain: a randomized single-blind clinical trial

2019 ◽  
Vol 36 (2) ◽  
pp. 136-143
Author(s):  
Jose Vicente León-Hernández ◽  
David Marcos-Lorenzo ◽  
David Morales-Tejera ◽  
Ferran Cuenca-Martínez ◽  
Roy La Touche ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Neck Pain ◽  
Range Of Motion ◽  
Chronic Neck Pain ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Cervical Range Of Motion ◽  
Single Blind

The Effect of the Depression Level on Neck Pain, Range of Motion, and Cervical Joint Position Sense

2020 ◽  
Vol 6 (3) ◽  
pp. 555-563
Author(s):  
Eda AKBAS ◽  
◽  
Emin Ulas ERDEM ◽  
Banu UNVER ◽  
◽  
...  
Keyword(s):  
Neck Pain ◽  
Range Of Motion ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Depression Level

scholarly journals THU0624-HPR COMPARISON OF WRIST PROPRIOCEPTION, GRIP STRENGTH AND PINCH STRENGTH IN PATIENTS WITH PSORIATIC ARTHRITIS AND RHEUMATOID ARTHRITIS: PRELIMINARY STUDY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 555.2-555
Author(s):  
M. Köprülüoğlu ◽  
İ. Naz Gürşan ◽  
D. Solmaz ◽  
E. Otman ◽  
E. Durak Ediboglu ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Grip Strength ◽  
Disease Duration ◽  
Position Sense ◽  
Joint Position Sense ◽  
Position Error ◽  
Pinch Strength ◽  
Joint Position ◽  
Hand Dynamometer ◽  
Dominant Side

Background:Hand articular damage occurs in rheumatoid arthritis (RA) and functional ability deteriorates as the disease progresses. Limitation of hand motion, oedema, pain etc. factors contribute to reduce grip strength, pinch strength and joint position sense; this problems contribute to function and disability. Following RA, affecting grip and pinch strength (1) and joint position sense (2) was reported former research. But there is a little knowledge about disabilitiy of hand functions in psoriatic arthritis (PsA).Objectives:To compare joint position sense, grip strength and pinch strength in patient with PsA and RA.Methods:In our cross sectional study, 23 RA patients [Mean age; 52.7±12.6, Women:20(87.0%)] who were classified according to the ACR 2010 criteria and 19 PsA patients [Mean age 53.5±12.6, Women:14 (%73.7)] who were classified according to the CASPAR criteria were included.It was recorded demographic and clinical data of patients. Wrist position sense was evaluated by goniometric re-position error test (in 30◦ wrist extansion, 3 repeat). Grip strenght was examined using a hand dynamometer (Lafayette Proffessional Hand Dynamometer, USA) and pinch strength (two point, three point, lateral) was evaluated by pinchmeter (Lafayette,USA).Results:Patients were similar in terms of age, gender, disease duration, morning stiffness duration, pain of hand joints, number of tender and swallen joints and disease activity (p>0.05). RA patients had longer disease duration (p=0.004) and lower ESR levels (p=0.046) compared to PsA. Grip and pinch strength were found similar in both dominant and non-dominant side between RA and PsA patients (Table 1). Wrist joint position error was higher in PsA group in non-dominant side (p=0.011).Table 1.Comparison of Groups for Grip and Pinch Strength and Joint Position SenseVariablesRA(n=23)Median(IQR)PsA(n=19)Median(IQR)p*Grip StrengthDominantNon-dominant20(14/25)20(14/25)25(20/29)21(15/26)0.1090.404Pinch StrengthDominant2 Point3 PointLateralNondominant2 Point3 PointLateral3.1(2.2/3.8)3(2.3/4.0)3.4(3.0/4.2)3(1.9/3.7)2.8(2.3/3.8)2.9(2.5/4.0)3(2.2/3.4)3.4(2.5/4.20)3.5(2.6/4.5)3(2.4/3.7)3.1(2.3/4.2)3.2(2.4/4.2)0.8100.4710.8400.7140.7230.561Joint Position ErrorDominantNon-dominant6(5/7)6(3/8)7(5/9)8(6/11)0.2340.011Data have shown as median (interquartile range 25-75) *Mann Whitney-U TestConclusion:Our study showed that patients with PsA had hand impairment as much as RA patients. We think, hand assessment in patients with PsA rehabilitation programme is essential for clinicians. There is need future studies including asymptomatic healthy group to interpret of results in detailed.References:[1]VLIET, TP Vlieland, et al. Determinants of hand function in patients with rheumatoid arthritis. The Journal of rheumatology, 1996, 23.5: 835-840.[2]FERRELL, W. R.; CRIGHTON, A.; STURROCK, R. D. Position sense at the proximal interphalangeal joint is distorted in patients with rheumatoid arthritis of finger joints. Experimental Physiology: Translation and Integration, 1992, 77.5: 675-680.Disclosure of Interests:None declared

scholarly journals The short-term effect of swimming training load on shoulder rotational range of motion, shoulder joint position sense and pectoralis minor length

2018 ◽  
Vol 10 (4) ◽  
pp. 285-291 ◽  
Author(s):  
Emma Higson ◽  
Lee Herrington ◽  
Carl Butler ◽  
Ian Horsley
Keyword(s):  
Range Of Motion ◽  
External Rotation ◽  
Experimental Studies ◽  
Position Sense ◽  
Joint Position Sense ◽  
Training Load ◽  
Joint Position ◽  
Swimming Training ◽  
Short Term ◽  
Pectoralis Minor

Background Shoulder pain or injury is the most common issue facing elite competitive swimmers and the most frequent reason for missed or modified training. Literature suggests that highly repetitive upper limb loading leads to inappropriate adaptations within the shoulder complex. The most likely maladaptations to occur are variations in shoulder rotational range of motion, reduction in joint position sense and shortened pectoralis minor length. This has yet to have been confirmed in experimental studies. The aim of this study was to investigate the short-term effects of swimming training load upon internal and external rotation range of motion, joint position sense and pectoralis minor length. Method Sixteen elite swimmers training in the British Swimming World Class programme participated. Measures of internal and external range of motion, joint position sense error score and pectoralis minor length were taken before and after a typical 2 h swimming session. Results Following swimming training shoulder external rotation range of motion and pectoralis minor length reduced significantly (−3.4°, p = <0.001 and −0.7 cm, p = <0.001, respectively), joint position sense error increased significantly (+2.0° error angle, p = <0.001). Internal rotation range of motion demonstrated no significant change (−0.6, p = 0.53). Discussion This study determined that elite level swimming training results in short-term maladaptive changes in shoulder performance that could potentially predispose them to injury.

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