Skip to main content
Erschienen in: European Spine Journal 8/2012

01.08.2012 | Original Article

Cervical range of motion and strength in 4,293 young male adults with chronic neck pain

verfasst von: Max Daniel Kauther, Michael Piotrowski, Bjoern Hussmann, Sven Lendemans, Christian Wedemeyer

Erschienen in: European Spine Journal | Ausgabe 8/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The correlation of cervical biomechanics and neck pain in young patients has, to date, only been described in terms of small cohorts. This study focuses on the correlation of chronic neck pain and cervical biomechanics.

Methods

Neck pain, cervical range of motion (CROM) and maximal cervical torque were recorded in 746 patients with conservatively treated chronic neck pain and 3,547 participants of physiotherapy training without chronic neck pain aged 16–32 years.

Results

The “neck pain” group had a highly significant (s < 0.001) higher neck disability index (44.7 vs. 10.4 %), longer history of neck pain (3.47 vs. 0.59 years), higher pain intensity (VAS 5.93 vs. 0.93), higher pain frequency (VAS 6.98 vs. 1.09). No differences of CROM and maximal torque in the sagittal, frontal and transverse plane were found.

Conclusion

This study describes the largest cohort of biomechanical data of the cervical spine in young adult recorded to date. The findings demonstrate that no correlation was found between neck pain, CROM and maximal torque in the study cohort. On this basis, we conclude that the CROM and maximal cervical torque should not be used as indicators to measure the progress of chronic neck pain in physiotherapy training and sports medicine for the young adult.
Literatur
1.
Zurück zum Zitat Bellach BM, Ellert U, Radoschweski M (2000) Epidemiology of pain. Bundesgesundheitsblatt 43:424–431CrossRef Bellach BM, Ellert U, Radoschweski M (2000) Epidemiology of pain. Bundesgesundheitsblatt 43:424–431CrossRef
2.
Zurück zum Zitat Garces GL, Medina D, Milutinovic L, Garavote P, Guerado E (2002) Normative database of isometric cervical strength in a healthy population. Med Sci Sports Exerc 34:464–470PubMedCrossRef Garces GL, Medina D, Milutinovic L, Garavote P, Guerado E (2002) Normative database of isometric cervical strength in a healthy population. Med Sci Sports Exerc 34:464–470PubMedCrossRef
3.
Zurück zum Zitat Makela M, Heliovaara M, Sievers K, Impivaara O, Knekt P, Aromaa A (1991) Prevalence, determinants, and consequences of chronic neck pain in Finland. Am J Epidemiol 134:1356–1367PubMed Makela M, Heliovaara M, Sievers K, Impivaara O, Knekt P, Aromaa A (1991) Prevalence, determinants, and consequences of chronic neck pain in Finland. Am J Epidemiol 134:1356–1367PubMed
4.
Zurück zum Zitat Ylinen J, Takala EP, Kautiainen H, Nykanen M, Hakkinen A, Pohjolainen T, Karppi SL, Airaksinen O (2004) Association of neck pain, disability and neck pain during maximal effort with neck muscle strength and range of movement in women with chronic non-specific neck pain. Eur J Pain 8:473–478PubMedCrossRef Ylinen J, Takala EP, Kautiainen H, Nykanen M, Hakkinen A, Pohjolainen T, Karppi SL, Airaksinen O (2004) Association of neck pain, disability and neck pain during maximal effort with neck muscle strength and range of movement in women with chronic non-specific neck pain. Eur J Pain 8:473–478PubMedCrossRef
5.
Zurück zum Zitat Ylinen J, Salo P, Nykanen M, Kautiainen H, Hakkinen A (2004) Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements. Arch Phys Med Rehabil 85:1303–1308PubMedCrossRef Ylinen J, Salo P, Nykanen M, Kautiainen H, Hakkinen A (2004) Decreased isometric neck strength in women with chronic neck pain and the repeatability of neck strength measurements. Arch Phys Med Rehabil 85:1303–1308PubMedCrossRef
6.
Zurück zum Zitat Bogduk N, Mercer S (2000) Biomechanics of the cervical spine. I: normal kinematics. Clin Biomech (Bristol, Avon) 15:633–648CrossRef Bogduk N, Mercer S (2000) Biomechanics of the cervical spine. I: normal kinematics. Clin Biomech (Bristol, Avon) 15:633–648CrossRef
7.
Zurück zum Zitat Lansade C, Laporte S, Thoreux P, Rousseau MA, Skalli W, Lavaste F (2009) Three-dimensional analysis of the cervical spine kinematics: effect of age and gender in healthy subjects. Spine (Phila Pa 1976) 34:2900–2906CrossRef Lansade C, Laporte S, Thoreux P, Rousseau MA, Skalli W, Lavaste F (2009) Three-dimensional analysis of the cervical spine kinematics: effect of age and gender in healthy subjects. Spine (Phila Pa 1976) 34:2900–2906CrossRef
8.
Zurück zum Zitat Reynolds J, Marsh D, Koller H, Zenenr J, Bannister G (2009) Cervical range of movement in relation to neck dimension. Eur Spine J 18:863–868PubMedCrossRef Reynolds J, Marsh D, Koller H, Zenenr J, Bannister G (2009) Cervical range of movement in relation to neck dimension. Eur Spine J 18:863–868PubMedCrossRef
9.
Zurück zum Zitat Salo PK, Ylinen JJ, Malkia EA, Kautiainen H, Hakkinen AH (2006) Isometric strength of the cervical flexor, extensor, and rotator muscles in 220 healthy females aged 20–59 years. J Orthop Sports Phys Ther 36:495–502PubMedCrossRef Salo PK, Ylinen JJ, Malkia EA, Kautiainen H, Hakkinen AH (2006) Isometric strength of the cervical flexor, extensor, and rotator muscles in 220 healthy females aged 20–59 years. J Orthop Sports Phys Ther 36:495–502PubMedCrossRef
10.
Zurück zum Zitat Jordan A, Mehlsen J, Bulow PM, Ostergaard K, Danneskiold-Samsoe B (1999) Maximal isometric strength of the cervical musculature in 100 healthy volunteers. Spine (Phila Pa 1976) 24:1343–1348CrossRef Jordan A, Mehlsen J, Bulow PM, Ostergaard K, Danneskiold-Samsoe B (1999) Maximal isometric strength of the cervical musculature in 100 healthy volunteers. Spine (Phila Pa 1976) 24:1343–1348CrossRef
11.
Zurück zum Zitat Cagnie B, Cools A, De Loose V, Cambier D, Danneels L (2007) Differences in isometric neck muscle strength between healthy controls and women with chronic neck pain: the use of a reliable measurement. Arch Phys Med Rehabil 88:1441–1445PubMedCrossRef Cagnie B, Cools A, De Loose V, Cambier D, Danneels L (2007) Differences in isometric neck muscle strength between healthy controls and women with chronic neck pain: the use of a reliable measurement. Arch Phys Med Rehabil 88:1441–1445PubMedCrossRef
12.
Zurück zum Zitat Ang BO, Monnier A, Harms-Ringdahl K (2009) Neck/shoulder exercise for neck pain in air force helicopter pilots: a randomized controlled trial. Spine (Phila Pa 1976) 34:E544–E551CrossRef Ang BO, Monnier A, Harms-Ringdahl K (2009) Neck/shoulder exercise for neck pain in air force helicopter pilots: a randomized controlled trial. Spine (Phila Pa 1976) 34:E544–E551CrossRef
13.
Zurück zum Zitat Ylinen JJ, Hakkinen AH, Takala EP, Nykanen MJ, Kautiainen HJ, Malkia EA, Pohjolainen TH, Karppi SL, Airaksinen OV (2006) Effects of neck muscle training in women with chronic neck pain: one-year follow-up study. J Strength Cond Res 20:6–13PubMed Ylinen JJ, Hakkinen AH, Takala EP, Nykanen MJ, Kautiainen HJ, Malkia EA, Pohjolainen TH, Karppi SL, Airaksinen OV (2006) Effects of neck muscle training in women with chronic neck pain: one-year follow-up study. J Strength Cond Res 20:6–13PubMed
14.
Zurück zum Zitat Hakkinen A, Ylinen J, Rinta-Keturi M, Talvitie U, Kautiainen H, Rissanen A (2004) Decreased neck muscle strength is highly associated with pain in cervical dystonia patients treated with botulinum toxin injections. Arch Phys Med Rehabil 85:1684–1688PubMedCrossRef Hakkinen A, Ylinen J, Rinta-Keturi M, Talvitie U, Kautiainen H, Rissanen A (2004) Decreased neck muscle strength is highly associated with pain in cervical dystonia patients treated with botulinum toxin injections. Arch Phys Med Rehabil 85:1684–1688PubMedCrossRef
15.
Zurück zum Zitat Vernon H (2008) The neck disability index: state-of-the-art, 1991–2008. J Manip Physiol Ther 31:491–502CrossRef Vernon H (2008) The neck disability index: state-of-the-art, 1991–2008. J Manip Physiol Ther 31:491–502CrossRef
16.
Zurück zum Zitat Williams MA, McCarthy CJ, Chorti A, Cooke MW, Gates S (2010) A systematic review of reliability and validity studies of methods for measuring active and passive cervical range of motion. J Manip Physiol Ther 33:138–155CrossRef Williams MA, McCarthy CJ, Chorti A, Cooke MW, Gates S (2010) A systematic review of reliability and validity studies of methods for measuring active and passive cervical range of motion. J Manip Physiol Ther 33:138–155CrossRef
17.
Zurück zum Zitat Rezasoltani A, Ylinen J, Bakhtiary AH, Norozi M, Montazeri M (2008) Cervical muscle strength measurement is dependent on the location of thoracic support. Br J Sports Med 42:379–382PubMedCrossRef Rezasoltani A, Ylinen J, Bakhtiary AH, Norozi M, Montazeri M (2008) Cervical muscle strength measurement is dependent on the location of thoracic support. Br J Sports Med 42:379–382PubMedCrossRef
18.
Zurück zum Zitat Vogt L, Segieth C, Banzer W, Himmelreich H (2007) Movement behaviour in patients with chronic neck pain. Physiother Res Int 12:206–212PubMedCrossRef Vogt L, Segieth C, Banzer W, Himmelreich H (2007) Movement behaviour in patients with chronic neck pain. Physiother Res Int 12:206–212PubMedCrossRef
19.
Zurück zum Zitat Klein P, Sommerfeld P (2007) Biomechanik der Wirbelsäule: Grundlagen, Erkenntnisse und Fragestellungen. Elsevier, Urban & Fischer, Munich Klein P, Sommerfeld P (2007) Biomechanik der Wirbelsäule: Grundlagen, Erkenntnisse und Fragestellungen. Elsevier, Urban & Fischer, Munich
20.
Zurück zum Zitat Lecompte J, Maisetti O, Guillaume A, Skalli W, Portero P (2008) Neck strength and EMG activity in fighter pilots with episodic neck pain. Aviat Space Environ Med 79:947–952PubMedCrossRef Lecompte J, Maisetti O, Guillaume A, Skalli W, Portero P (2008) Neck strength and EMG activity in fighter pilots with episodic neck pain. Aviat Space Environ Med 79:947–952PubMedCrossRef
21.
Zurück zum Zitat De Loose V, Van den Oord M, Burnotte F, Van Tiggelen D, Stevens V, Cagnie B, Danneels L, Witvrouw E (2009) Functional assessment of the cervical spine in F-16 pilots with and without neck pain. Aviat Space Environ Med 80:477–481PubMedCrossRef De Loose V, Van den Oord M, Burnotte F, Van Tiggelen D, Stevens V, Cagnie B, Danneels L, Witvrouw E (2009) Functional assessment of the cervical spine in F-16 pilots with and without neck pain. Aviat Space Environ Med 80:477–481PubMedCrossRef
22.
Zurück zum Zitat Seng KY, Lam PM, Lee VS (2003) Acceleration effects on neck muscle strength: pilots vs. non-pilots. Aviat Space Environ Med 74:164–168PubMed Seng KY, Lam PM, Lee VS (2003) Acceleration effects on neck muscle strength: pilots vs. non-pilots. Aviat Space Environ Med 74:164–168PubMed
23.
Zurück zum Zitat Nikander R, Malkia E, Parkkari J, Heinonen A, Starck H, Ylinen J (2006) Dose–response relationship of specific training to reduce chronic neck pain and disability. Med Sci Sports Exerc 38:2068–2074PubMedCrossRef Nikander R, Malkia E, Parkkari J, Heinonen A, Starck H, Ylinen J (2006) Dose–response relationship of specific training to reduce chronic neck pain and disability. Med Sci Sports Exerc 38:2068–2074PubMedCrossRef
24.
Zurück zum Zitat Sovelius R, Oksa J, Rintala H, Huhtala H, Ylinen J, Siitonen S (2006) Trampoline exercise vs. strength training to reduce neck strain in fighter pilots. Aviat Space Environ Med 77:20–25PubMed Sovelius R, Oksa J, Rintala H, Huhtala H, Ylinen J, Siitonen S (2006) Trampoline exercise vs. strength training to reduce neck strain in fighter pilots. Aviat Space Environ Med 77:20–25PubMed
25.
Zurück zum Zitat Webb A, Darekar A, Rassoulian H (2011) The influence of age, anthropometrics and range of motion on the morphometry of the synovial folds of the lateral atlanto-axial joints: a pilot study. Eur Spine J 20(4):542–549PubMedCrossRef Webb A, Darekar A, Rassoulian H (2011) The influence of age, anthropometrics and range of motion on the morphometry of the synovial folds of the lateral atlanto-axial joints: a pilot study. Eur Spine J 20(4):542–549PubMedCrossRef
26.
Zurück zum Zitat Webb AL, Collins P, Rassoulian H, Mitchell BS (2011) Synovial folds—a pain in the neck? Man Ther 16(2):118–124PubMedCrossRef Webb AL, Collins P, Rassoulian H, Mitchell BS (2011) Synovial folds—a pain in the neck? Man Ther 16(2):118–124PubMedCrossRef
Metadaten
Titel
Cervical range of motion and strength in 4,293 young male adults with chronic neck pain
verfasst von
Max Daniel Kauther
Michael Piotrowski
Bjoern Hussmann
Sven Lendemans
Christian Wedemeyer
Publikationsdatum
01.08.2012
Verlag
Springer-Verlag
Erschienen in
European Spine Journal / Ausgabe 8/2012
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-012-2369-x

Weitere Artikel der Ausgabe 8/2012

European Spine Journal 8/2012 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

29.05.2024 Periprothetische Infektionen Nachrichten

Zur Zementierung einer Knie-TEP wird in Deutschland zu über 98% Knochenzement verwendet, der mit einem Antibiotikum beladen ist. Ob er wirklich besser ist als Zement ohne Antibiotikum, kann laut Registerdaten bezweifelt werden.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Traumatologische Notfälle Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.