Evidence-Based Diagnosis and Physiotherapy Management of Musculoskeletal Disorders of Cervical Spine

2021 ◽  
Vol 11 (10) ◽  
pp. 145-157
Author(s):  
Jibran Ahmed Khan ◽  
Vipin Kumar Pandey
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Musculoskeletal Disorders ◽  
Musculoskeletal Disorder ◽  
Review Article ◽  
Evidence Based ◽  
Common Cause ◽  
Joint Mobilization ◽  
Spine Disorders ◽  
Upper Extremity Symptoms

The main aim of this review article is to identify the evidence-based diagnosis and physiotherapy management of musculoskeletal disorder of cervical spine. Neck pain from cervical spine disorders is the most common cause of musculoskeletal disorders. Neck pain can exist alone or with the presence of upper-extremity symptoms. Key words: Neck Pain, Cervical Spine, Joint mobilization, Massage.

scholarly journals IDENTIFICATION OF CORRELATION OF TEMPOROMANDIBULAR DYSFUNCTION AND CERVICAL SPINE DISORDERS

2019 ◽  
Vol 15 (1-2) ◽  
pp. 59-64 ◽  
Author(s):  
V.V. Vovk ◽  
V.P. Nespriadko
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Myofascial Pain ◽  
Bone Structure ◽  
Temporomandibular Disorder ◽  
Whole Body ◽  
Clinical Group ◽  
Temporomandibular Dysfunction ◽  
Lateral Group ◽  
Spine Disorders

Relevance. Temporomandibular dysfunction is associated with imbalance of the whole body in static and dynamic. Myofascial Pain in Temporomandibular joint often coexist with chronic neck pain, impacting on posture straightly by changing head position or indirectly by instability of muscles chains. Objective. This study aimed to evaluate frequency of cervical spine disorders (CSD) in case of Temporomandibular dysfunction (TMD), possible correlations between TMD and CSD  in frontal and lateral planes depends on ethiological factors. Materials and methods. The study included 208 patients. Study group consisted of 170 patients with TMD (female – 62,9 %, male – 37,1 %). Contol group consisted of 38 patients. Subjects were examined according to international clinical protocol RDC/TMD, NDI, masticatory,neck motor system were analysed by (BioPak EMG), position of condyles and bone structure – via computed tomography, position and disc reduction – via magnetic resonance imaging, occlusion – via TScan III, cephalometric analysis (frontal, lateral view), statistical analyses with program IBM SPSS Statistic Base v.22. Results. Female more often has temporomandibular dysfunction (62,9 %) than male (37,1 %) among the population. 47,05% were under 30 years. About 98,2 % of patients, presented complaining of Temporomandibular disorder symptoms had neck pain concomitantly and cervical spine disorders in different planes, 44,7% of patients without TMD, but with CSD, value at risk 2,2(95% VaR 1,54-3,13). Moreover 100% of those who did not report pain in the Temporomandibular joints, but presented only with clicking, had reported pain in the neck during physical examination. After examination patients were divided into 4 different clinical groups of TMD depends on ethiology-TMD-neck spinal disability. The largest is combined group – 67,67 % of total patients and is clinical manifested with TMD, spinal neck disorders in several planes. Different dysfunctional conditions between facial skull boned and cervical spine are closely interconnected with each other. Conclusions. There is positive, mild power of correlations between muscles groups trapezius-masseter, trapezius-temporalis (r=0,477, p<0,05), sternocleidomastoideus-temporalis (0,527, p<0,05), sternocleidomastoideus-masseter (0,575, p<0,05), which indicates cooperation between facial muscles and cervical spine muscles. There is changes in cervical spine depends on clinical group: lateral group – C type scoliosis, sagittal – from straightening of cervical lordosis to kyphosis, vertical – «wave» type of cervical spine, combined – combine of pathology in different planes. Initial form of lateral group TMD is characterized as myofascial pain syndrome with specific clinical symptoms, but without condyle and disc displacement, thus it can be as an early prophylactic stage and risk of disc subluxation.

scholarly journals Physical Risk Factors Associated with the Work-Related Neck/Cervical Musculoskeletal Disorders: A Review

2017 ◽  
Vol 5 (1) ◽  
pp. 44-60 ◽  
Author(s):  
Yun Sun ◽  
Ashish D Nimbarte ◽  
Hossein Motabar
Keyword(s):  
Cervical Spine ◽  
Musculoskeletal Disorders ◽  
Experimental Studies ◽  
Epidemiological Studies ◽  
Future Research ◽  
Work Related ◽  
Work Related Musculoskeletal Disorders ◽  
Physical Risk ◽  
Physical Risk Factors ◽  
Spine Disorders

Work-related musculoskeletal disorders (MSD) of the neck or cervical spine result in longer sick leaves, substantial levels of human suffering, and high costs for society. Epidemiological studies clearly indicate strong associations between MSD of the neck and the work activities requiring forceful arm exertions and heavy lifting. However, most of the existing studies that evaluate the neck or cervical spine disorders focus mainly on exertions demanding sustained neck postures of repetitive arm exertions. The purpose of this study is to conduct a systematic review of existing epidemiological and experimental studies that evaluates neck or cervical spine disorders and identify the gaps in the literature for future research.

Acute neck pain: Cervical spine range of motion and position sense prior to and after joint mobilization

2007 ◽  
Vol 12 (4) ◽  
pp. 390-394 ◽  
Author(s):  
Peter J. McNair ◽  
Pierre Portero ◽  
Christophe Chiquet ◽  
Grant Mawston ◽  
Francois Lavaste
Keyword(s):  
Cervical Spine ◽  
Neck Pain ◽  
Range Of Motion ◽  
Position Sense ◽  
Joint Mobilization ◽  
Acute Neck Pain

Developing Evidence-Based Assessment to Prevent Over- or Underidentification of Disorders for New Language Learners

2020 ◽  
Vol 5 (4) ◽  
pp. 1026-1038
Author(s):  
Sandra Levey ◽  
Li-Rong Lilly Cheng ◽  
Diana Almodovar
Keyword(s):  
Language Learners ◽  
Grade Level ◽  
Reading Skills ◽  
Language Disorder ◽  
Academic Development ◽  
Review Article ◽  
Evidence Based ◽  
Clinical Knowledge ◽  
Language And Literacy ◽  
Support Evidence

Purpose The purpose of this review article is to present certain linguistic domains to consider in the assessment of children learning a new language. Speech-language pathologists frequently face difficulty when determining if a bilingual or multilingual child possesses a true speech or language disorder. Given the increased number of new language learners across the world, clinicians must understand differences versus disorders to prevent underidentification or overidentification of a disorder. Conclusions Early identification of a true disorder has been shown to prevent language and literacy difficulties, given that children are able to achieve grade-level reading skills when given intervention. Clinical knowledge and skills are strongly required so that children receive evidence-based assessment to support their academic development. Learning Goal Readers will gain an understanding of the factors that support evidence-based assessment of bilingual and multilingual language learners.

Treatment Considerations for Adolescents Who Exhibit Cognitive/Communication Problems: A Neuroscience Perspective

2020 ◽  
Vol 5 (6) ◽  
pp. 1767-1775
Author(s):  
Martha S. Burns
Keyword(s):  
Social Communication ◽  
Transition Period ◽  
Clinical Intervention ◽  
Review Article ◽  
Sensitive Period ◽  
Clinical Implications ◽  
Evidence Based ◽  
Communication Problems ◽  
Treatment Considerations ◽  
Behavioral Growth

Purpose Adolescence is a period of substantial neurophysiological and behavioral growth, representing a second sensitive period of brain development. It is a psychological and social transition period between childhood and adulthood with many beneficial changes occurring, especially with respect to potential responsiveness to clinical intervention. However, adolescent behavioral complexities introduce clinical challenges as well. The purpose of this review article is to review the current neuroimaging research on neurophysiological changes observed during adolescence and the cognitive and social behavioral counterparts, with specific attention to the clinical implications. The review article will then summarize currently available intervention tools that can be utilized by speech-language pathologists working with this population. It will conclude with available evidence-based social-communication approaches that may be applicable as well as available evidence-based supplemental technological cognitive interventions that may be useful in working with adolescents who exhibit language and communication issues. Conclusion As a transition period between childhood and adulthood, adolescence represents a second sensitive period during which there is opportunity for clinically derived beneficial cognitive and communication growth.

scholarly journals Cervicovestibular rehabilitation in adult with mild traumatic brain injury: a randomised controlled trial protocol

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Pierre Langevin ◽  
Philippe Fait ◽  
Pierre Frémont ◽  
Jean-Sébastien Roy
Keyword(s):  
Traumatic Brain Injury ◽  
Cervical Spine ◽  
Brain Injury ◽  
Neck Pain ◽  
Mild Traumatic Brain Injury ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Conventional Approach ◽  
Persistent Symptoms ◽  
Link Type

Abstract Background Mild traumatic brain injury (mTBI) is an acknowledged public health problem. Up to 25% of adult with mTBI present persistent symptoms. Headache, dizziness, nausea and neck pain are the most commonly reported symptoms and are frequently associated with cervical spine and vestibular impairments. The most recent international consensus statement (2017 Berlin consensus) recommends the addition of an individualized rehabilitation approach for mTBI with persistent symptoms. The addition of an individualized rehabilitation approach including the evaluation and treatment of cervical and vestibular impairments leading to symptoms such as neck pain, headache and dizziness is, however, recommended based only on limited scientific evidence. The benefit of such intervention should therefore be further investigated. Objective To compare the addition of a 6-week individualized cervicovestibular rehabilitation program to a conventional approach of gradual sub-threshold physical activation (SPA) alone in adults with persistent headache, neck pain and/or dizziness-related following a mTBI on the severity of symptoms and on other indicators of clinical recovery. We hypothesize that such a program will improve all outcomes faster than a conventional approach (between-group differences at 6-week and 12-week). Methods In this single-blind, parallel-group randomized controlled trial, 46 adults with subacute (3 to12 weeks post-injury) persistent mTBI symptoms will be randomly assigned to: 1) a 6-week SPA program or 2) SPA combined with a cervicovestibular rehabilitation program. The cervicovestibular rehabilitation program will include education, cervical spine manual therapy and exercises, vestibular rehabilitation and home exercises. All participants will take part in 4 evaluation sessions (baseline, week 6, 12 and 26) performed by a blinded evaluator. The primary outcome will be the Post-Concussion Symptoms Scale. The secondary outcomes will be time to clearance to return to function, number of recurrent episodes, Global Rating of Change, Numerical Pain Rating Scale, Neck Disability Index, Headache Disability Inventory and Dizziness Handicap Inventory. A 2-way ANOVA and an intention-to-treat analysis will be used. Discussion Controlled trials are needed to determine the best rehabilitation approach for mTBI with persistent symptoms such as neck pain, headache and dizziness. This RCT will be crucial to guide future clinical management recommendations. Trial registration ClinicalTrials.gov Identifier - NCT03677661, Registered on September, 15th 2018.

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