Variations in the axis of motion during head repositioning - A comparison of subjects with whiplash-associated disorders or non-specific neck pain and healthy controls.

Grip H; Sundelin G; Gerdle B; Karlsson JS

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Variations in the axis of motion during head repositioning - A comparison of subjects with whiplash-associated disorders or non-specific neck pain and healthy controls.

机译：头部重新定位过程中运动轴的变化-患有鞭打相关疾病或非特异性颈部疼痛的受试者与健康对照者的比较。

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BACKGROUND: The ability to reproduce head position can be affected in patients after a neck injury. The repositioning error is commonly used as a measure of proprioception, but variations in the movement might provide additional information. METHODS: The axis of motion and target performance were analyzed during a head repositioning task (flexion, extension and side rotations) for 24 control subjects, 22 subjects with whiplash-associated disorders and 21 with non-specific neck pain. Questionnaires regarding pain intensity and fear avoidance were collected. Head position and axis of motion parameters were calculated using a helical axis model with a moving window of 4 degrees . FINDINGS: During flexion the whiplash group had a larger constant repositioning error than the control group (-1.8(2.9) degrees vs. 0.1(2.4) degrees , P=0.04). The axis was more inferior in both neck pain groups (12.0(1.6)cm vs. 14.5(2.0)cm, P<0.05) indicating movement at a lower level in the spine. Including pain intensity from shoulder and neck region as covariates showed an effect on the axis position (P=0.03 and 0.04). During axial rotation to the left there was more variation in axis direction for neckpain groups as compared with controls (4.0(1.7) degrees and 3.7(2.4) degrees vs. 2.3(1.9) degrees , P=0.01 and 0.05). No significant difference in fear avoidance was found between the two neck pain groups. INTERPRETATION: Measuring variation in the axis of motion together with target performance gives objective measures on proprioceptive ability that are difficult to quantify by visual inspection. Repositioning errors were in general small, suggesting it is not sufficient as a single measurement variable in a clinical situation, but should be measured in combination with other tests, such as range of motion.

机译：背景：颈部受伤后患者的头部位置重现能力会受到影响。重新定位误差通常用作本体感觉的量度，但是运动的变化可能会提供其他信息。方法：分析了头部重定位任务（屈曲，伸展和侧旋）中的运动轴和目标性能，研究对象为24名对照受试者，22名与鞭打相关疾病的受试者和21名非特异性颈部疼痛的受试者。收集有关疼痛强度和避免恐惧的问卷。头部位置和运动轴参数使用螺旋轴模型（移动窗口为4度）计算。结果：在屈曲期间，鞭打组的恒定重定位误差比对照组大（-1.8（2.9）度对0.1（2.4）度，P = 0.04）。在两个颈部疼痛组中，轴均较差（12.0（1.6）cm对14.5（2.0）cm，P <0.05），表明脊柱运动水平较低。包括来自肩膀和颈部区域的疼痛强度作为协变量，显示了对轴位置的影响（P = 0.03和0.04）。在向左轴向旋转期间，与对照组相比，颈痛组的轴向变化更大（4.0（1.7）度和3.7（2.4）度与2.3（1.9）度，P = 0.01和0.05）。在两个颈部疼痛组之间，在避免恐惧方面没有显着差异。解释：测量运动轴的变化以及目标性能可提供客观的本体感受能力测量值，这些测量值很难通过视觉检查量化。重新定位误差通常很小，这表明在临床情况下，重新定位误差不足以作为单个测量变量，但是应结合其他测试（例如运动范围）一起进行测量。

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《Clinical biomechanics》 |2007年第8期|共9页
作者
Grip H; Sundelin G; Gerdle B; Karlsson JS;
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正文语种 eng
中图分类临床医学;
关键词
Motion; Neck Pain; Whiplash Injuries; Head; 运动(Motion); 颈痛; 颈椎飞鞭损伤; 头部;

机译：Motion;Neck Pain;Whiplash Injuries;Head;运动(Motion);颈痛;颈椎飞鞭损伤;头部;

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1. Variations in the axis of motion during head repositioning - A comparison of subjects with whiplash-associated disorders or non-specific neck pain and healthy controls. [J] . Grip H, Sundelin G, Gerdle B, Clinical biomechanics . 2007,第8期

机译：头部重新定位过程中运动轴的变化-患有鞭打相关疾病或非特异性颈部疼痛的受试者与健康对照者的比较。
2. Position sense acuity of the upper extremity and tracking performance in subjects with non-specific neck and upper extremity pain and healthy controls. [J] . Huysmans MA, Hoozemans MJ, van der Beek AJ, Journal of rehabilitation medicine : . 2010,第9a14期

机译：在患有非特异性颈部和上肢疼痛以及健康对照的受试者中，上肢的位置感知敏锐度和跟踪性能。
3. Are non-steroidal anti-inflammatory drugs effective for the management of neck pain and associated disorders, whiplash-associated disorders, or non-specific low back pain? A systematic review of systematic reviews by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration [J] . Wong Jessica J., Cote Pierre, Ameis Arthur, European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society . 2016,第1期

机译：非甾体类抗炎药对颈部疼痛和相关疾病，鞭打相关疾病或非特异性下腰痛的治疗是否有效？安大略省交通伤害管理协议（OPTIMa）合作进行的系统评价的系统评价
4. Comparison between healthy subjects and low back pain patients based on surface electromyography features [C] . Fang Zhou, Huihui Li, Gaojun Song, International Conference on Automatic Control and Dynamic Optimization Techniques . 2016

机译：基于表面肌电图特征的健康受试者与腰痛患者之间的比较
5. The effects of a hydrostatic oral appliance on head, neck, and face pain in subjects with temporomandibular joint dysfunction [D] . Hughes, Christopher. 2003

机译：静水压力口腔矫治器对颞下颌关节功能障碍患者头部，颈部和面部疼痛的影响
6. Repositioning accuracy and movement parameters in low back pain subjects and healthy control subjects [O] . Martin Descarreaux, Jean-Sébastien Blouin, Normand Teasdale 2005

机译：下腰痛受试者和健康对照受试者的重定位准确性和运动参数
7. Using the cervical range of motion (CROM) device to assess head repositioning accuracy in individuals with cervical radiculopathy in comparison to neck- healthy individuals [O] . Wibault, Johanna, Vaillant, Jacques, Vuillerme, Nicolas, 2013

机译：与颈部健康个体相比，使用颈椎运动范围（CROM）设备评估患有颈神经根病的个体的头部重新定位准确性

Variations in the axis of motion during head repositioning - A comparison of subjects with whiplash-associated disorders or non-specific neck pain and healthy controls.

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