Neck Active Movements Assessment in Women with Episodic and Chronic Migraine

We aimed to compare movement parameters and muscle activity during active cervical spine movements between women with episodic or chronic migraine and asymptomatic control. We also assessed the correlations between cervical movement measures with neck-related disability and kinesiophobia. Women with episodic (n = 27; EM) or chronic (n = 27; CM) migraine and headache-free controls (n = 27; CG) performed active cervical movements. Cervical range of motion, angular velocity, and percentage of muscular activation were calculated in a blinded fashion. Compared to CG, the EM and CM groups presented a reduced total range of motion (p < 0.05). Reduced mean angular velocity of cervical movement was also observed in both EM and CM compared to CG (p < 0.05). Total cervical range of motion and mean angular velocity showed weak correlations with disability (r = −0.25 and −0.30, respectively; p < 0.05) and weak-to-moderate correlations with kinesiophobia (r = −0.30 and −0.40, respectively; p < 0.05). No significant correlation was observed between headache features and total cervical range of motion or mean angular velocity (p > 0.05). No differences in the percentage of activation of both flexors and extensors cervical muscles during active neck movements were seen (p > 0.05). In conclusion, episodic and chronic migraines were associated with less mobility and less velocity of neck movements, without differences within muscle activity. Neck disability and kinesiophobia are negative and weakly associated with cervical movement.

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Effects of wearing a tight necktie on cervical range of motion and upper trapezius muscle activity during computer work

Work ◽

10.3233/wor-2011-1174 ◽

2011 ◽

Vol 39 (3) ◽

pp. 261-266 ◽

Cited By ~ 5

Author(s):

In-gyu Yoo ◽

Min-hee Kim ◽

Won-gyu Yoo

Keyword(s):

Range Of Motion ◽

Muscle Activity ◽

Trapezius Muscle ◽

Computer Work ◽

Cervical Range Of Motion ◽

Upper Trapezius ◽

Upper Trapezius Muscle

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Comparison of the efficacy of three cervical collars in restricting cervical range of motion: A randomized study

Hong Kong Journal of Emergency Medicine ◽

10.1177/1024907918809499 ◽

2018 ◽

Vol 27 (1) ◽

pp. 24-29 ◽

Cited By ~ 2

Author(s):

Jae Guk Kim ◽

Sung Hwan Bang ◽

Gu Hyun Kang ◽

Yong Soo Jang ◽

Wonhee Kim ◽

...

Keyword(s):

Cervical Spine ◽

Range Of Motion ◽

Cervical Spine Injury ◽

Axial Rotation ◽

The Other ◽

Spine Injury ◽

Cervical Range Of Motion ◽

Flexion Extension ◽

Cervical Immobilization ◽

The Difference

Background: The cervical collar has been used as a common device for the initial stabilization of the cervical spine. Although many cervical collars are commercially available, there is no consensus on which offers the greatest protection, with studies showing considerable variations in their ability to restrict cervical range of motion. The use of the XCollar (Emegear, Carpinteria, CA) has been known to decrease the risk of spinal cord injury by minimizing potential cervical spinal distraction. We compared XCollar with two other cervical collars commonly used for adult patients with cervical spine injury to evaluate the difference in effectiveness between the three cervical collars to restrict cervical range of motion. Objectives: This study aimed to evaluate the difference between the three cervical collars in their ability to restrict cervical range of motion. Method: A total of 30 healthy university students aged 21–25 years participated in this study. Participants with any cervical disease and symptoms were excluded. Three cervical collars were tested: Philadelphia® Collar, Stifneck® Select™ Collar, and XCollar. A digital camera and an image-analysis technique were used to evaluate cervical range of motion during flexion, extension, bilateral bending and bilateral axial rotation. Cervical range of motion was evaluated in both the unbraced and braced condition. Results: XCollar permitted less than a mean of 10° of movement during flexion, extension, bilateral bending and bilateral axial rotation. This was less than the movement permitted by the other two cervical collars. Conclusion: XCollar presented superior cervical immobilization compared to the other two commonly used cervical collars in this study. Thus, when cervical collar is considered for an adult patient with cervical spine injury, XCollar might be one of the considerate options as a cervical immobilization device.

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Comparison Between Neck Pain Disability and Cervical Range of Motion in Patients With Episodic and Chronic Migraine: A Cross-Sectional Study

Journal of Manipulative and Physiological Therapeutics ◽

10.1016/j.jmpt.2014.09.002 ◽

2014 ◽

Vol 37 (9) ◽

pp. 641-646 ◽

Cited By ~ 21

Author(s):

Gabriela F. Carvalho ◽

Thais C. Chaves ◽

Maria C. Gonçalves ◽

Lidiane L. Florencio ◽

Carolina A. Braz ◽

...

Keyword(s):

Neck Pain ◽

Range Of Motion ◽

Chronic Migraine ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Cervical Range Of Motion ◽

Pain Disability

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Examining the Range of Motion of the Cervical Spine: Utilising Different Bedside Instruments

Malaysian Journal of Medical Sciences ◽

10.21315/mjms2021.28.2.9 ◽

2021 ◽

Vol 28 (2) ◽

pp. 100-105

Author(s):

Aiman Asyraf Ahmad Sukari ◽

Sarwinder Singh ◽

Muhammad Hafiz Bohari ◽

Zamzuri Idris ◽

Abdul Rahman Izaini Ghani ◽

...

Keyword(s):

Cervical Spine ◽

Range Of Motion ◽

Clinical Examination ◽

Lateral Flexion ◽

Range Of Movement ◽

Cervical Range Of Motion ◽

Accuracy And Precision ◽

Flexion Extension ◽

Measuring Tape ◽

Examination Techniques

Background: This paper outlines a summary of examination technique to identify the range of movement of the cervical spine. Due to common difficulties in obtaining tools for cervical examination within the district, a standardised compilation of easy-to-replicate examination techniques are provided using different tools. Methods: Bedside instruments that can be used includes a measuring tape, compass, goniometer, inclinometer and cervical range of motion (CROM) instrument. Discussion: Cervical flexion-extension, lateral flexion and rotation will be assessed with bedside instruments. This would aid in increasing accuracy and precision of objective measurement while conducting clinical examination to determine the cervical range of motion.

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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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Cervical Spine Joint Hypermobility: A Possible Predisposing Factor for New Daily Persistent Headache

Cephalalgia ◽

10.1111/j.1468-2982.2006.01187.x ◽

2006 ◽

Vol 26 (10) ◽

pp. 1182-1185 ◽

Cited By ~ 40

Author(s):

TD Rozen ◽

JM Roth ◽

N Denenberg

Keyword(s):

Cervical Spine ◽

Range Of Motion ◽

Physical Therapists ◽

Joint Hypermobility ◽

New Daily Persistent Headache ◽

Beighton Score ◽

Predisposing Factor ◽

Cervical Range Of Motion ◽

Persistent Headache

The objective of this study was to suggest that joint hypermobility (specifically of the cervical spine) is a predisposing factor for the development of new daily persistent headache (NDPH). Twelve individuals (10 female, 2 male) with primary NDPH were evaluated by one of two physical therapists. Each patient was tested for active cervical range of motion and for the presence of excessive intersegmental vertebral motion in the cervical spine. All patients were screened utilizing the Beighton score, which determines degree of systemic hypermobility. Eleven of the 12 NDPH patients were found to have cervical spine joint hypermobility. Ten of the 12 NDPH patients had evidence of widespread joint hypermobility with the Beighton score. Based on our findings we suggest that joint hypermobility, specifically of the cervical spine, may be a predisposing factor for the development of NDPH.

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Effect of Cervical Mobilization, Transcutaneous Electrical Stimulation and Suboccipital Release in Cervicogenic Headache: A Case Report

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210812 ◽

2021 ◽

Vol 11 (8) ◽

pp. 81-85

Author(s):

Darshana Fursule ◽

Kapil Garg

Keyword(s):

Case Report ◽

Cervical Spine ◽

Range Of Motion ◽

Rating Scale ◽

Neck Disability Index ◽

Cervicogenic Headache ◽

Pain Rating ◽

Numerical Pain Rating Scale ◽

Neck Disability ◽

Pain Rating Scale

Background: Cervicogenic headaches are one of the common musculoskeletal disorders that originates in the neck and are radiates from neck to head. Cervicogenic headache is usually treated with a comprehensive strategy that includes pharmacologic, nonpharmacologic, manipulative, anesthetic, surgical procedures and physiotherapy. Physiotherapy includes spinal manipulation, mobilization, myofascial release, exercises and electrotherapeutic modalities. Purpose: This case report aims to evaluate the effects of combination of cervical spine mobilization, TENS, Suboccipital release on cervicogenic headache in maintaining long-term benefits. Methods: This a case report of 31-year-old male having cervicogenic headache from 4-5 years. He reported symptoms like pain in right side neck which radiates into head till forehead and stiffness in neck. Physiotherapy treatment like cervical spine mobilization, TENS and Suboccipital release was given for 5 sessions (alternate days) for 10 days. Outcome Measures: Numerical pain rating scale, Neck disability Index and Cervical range of motion was used as outcome measures. Results: There was marked decrease in pain intensity from 8 on NPRS to 1 on NPRS. Also there was increase in cervical range of motion specially flexion, lateral flexion and rotation and decrease in neck disability index from 28 to 10. Conclusion: Physical therapy with TENS, Cervical spine mobilization & sub occipital release can be used as an effective intervention protocol for reducing pain and stiffness and increasing range of motion in patients with Cervicogenic Headache. Key words: Transcutaneous electrical nerve stimulation, Cervical Spine mobilization, Suboccipital release, Cervicogenic Headache, Numerical Pain Rating Scale, Neck Disability Index.

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Relationship Between Active Cervical Range of Motion and Perceived Neck Disability in Community Dwelling Elderly Individuals

Journal of Geriatric Physical Therapy ◽

10.1519/00139143-200508000-00004 ◽

2005 ◽

Vol 28 (2) ◽

pp. 54-56 ◽

Cited By ~ 9

Author(s):

Shawn Kwak ◽

Ryan Niederklein ◽

Rebecca Tarcha ◽

Chris Hughes

Keyword(s):

Range Of Motion ◽

Community Dwelling ◽

Elderly Individuals ◽

Cervical Range Of Motion ◽

Neck Disability

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Postural and clinical outcomes of sustained natural apophyseal glides treatment in cervicogenic dizziness patients: A randomised controlled trial

Clinical Rehabilitation ◽

10.1177/02692155211012413 ◽

2021 ◽

pp. 026921552110124

Author(s):

Alessandro Micarelli ◽

Andrea Viziano ◽

Ivan Granito ◽

Pasquale Carlino ◽

Riccardo Xavier Micarelli ◽

...

Keyword(s):

Range Of Motion ◽

Controlled Trial ◽

Neck Disability Index ◽

Post Treatment ◽

Self Report ◽

Rehabilitation Centre ◽

Cervical Range Of Motion ◽

Randomised Controlled ◽

Neck Disability ◽

Cervicogenic Dizziness

Objective: To evaluate how self-report and posturographic measures could be affected in patients with cervicogenic dizziness undergoing sustained natural apophyseal glides. Design: Randomised controlled single-blind study. Setting: Tertiary rehabilitation centre. Subjects: Patients affected by cervicogenic dizziness, diagnosed by applying accepted criteria. Forty-one patients (19 male, 22 female: mean age 44.3 ± 14.8 years) receiving treatment, and 39 patients (18 male, 21 female: mean age 43.8 ± 13.9 years) receiving placebo were included in the study. Interventions: The treatment group underwent sustained natural apophyseal glides, while the placebo was constituted by a detuned laser. Both groups received their interventions six times over 4 weeks. Main measures: Outcomes were tested by means of self-report measures such as perceived dizziness, neck disability, anxiety and depression. Also, cervical range of motion and posturography testing with power spectra frequency were analysed. Results: When compared to placebo, treated patients demonstrated a significant decrease in perceived dizziness (post-treatment total Dizziness Handicap Inventory score 20.5 ± 5.3 as compared to 26.2 ± 6 baseline), neck disability and pain (Neck Disability Index and Neck Pain Index post-treatment scores 12.5 ± 4.3 and 45.6 ± 15.1, respectively, as compared to baseline scores of 15.1 ± 4.8 and 62.5 ± 14.3), as well as significant improvement in cervical range of motion and some posturographic parameters. Conclusion: Sustained natural apophyseal glides may represent a useful intervention in reaching short-term beneficial effects in patients with cervicogenic dizziness, with respect to self-perceived symptoms, proprioceptive integration and cervical range of motion improvement.

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