Inactive individuals with chronic neck pain have changes in range of motion and functional performance of the shoulder

2018 ◽  
Vol 23 (4) ◽  
pp. e1739 ◽  
Author(s):  
Rafaela Maria da Silva ◽  
Mariana Alves Bezerra ◽  
Aldair Darlan Santos-de-Araújo ◽  
Cid André Fidelis de Paula Gomes ◽  
Cesário da Silva Souza ◽  
...  
2020 ◽  
Author(s):  
Martin Weigl ◽  
Josefine Letzel ◽  
Felix Angst

Abstract Background: Recent clinical studies support the effectiveness of chronic neck pain specific multidisciplinary biopsychosocial rehabilitation programmes, but prognostic factors for improvement in pain and disability are unknown. The aim of this study was to identify predictors of improvement in patients with chronic neck pain after participation in a three-week multidisciplinary biopsychosocial rehabilitation programme. Methods: In this observational prospective cohort study patients were assessed at the beginning and the end of a multidisciplinary biopsychosocial rehabilitation programme. Inclusion for participation in the rehabilitation programme depended upon an interdisciplinary pain assessment. Consecutive patients who fulfilled the inclusion criteria were invited to participate in the study. A total of 112 patients participated. The primary outcomes, pain and disability, were measured by the Northern American Spine Society questionnaire (NASS), quantified by effect sizes (ES), and modelled with various co-factors. Secondary outcomes were mental health measured by the Short-Form 36 and total cervical active range of motion measured by a reliable, validated cervical range of motion instrument.Results: Patients’ mean age was 59.7 years (standard deviation=10.8); 70.5% were female. Patients improved significantly (p<0.001) in pain+disability (ES=0.56), mental health (ES=0.45) and cervical range of motion (ES=0.39). Prognostic factors for improvement in pain+disability were worse baseline scores (partial, adjusted correlation r=0.41, p<0.001), higher age (r=0.22, p=0.024), higher improvement in cervical range of motion (r=0.21, p=0.033) and higher improvement in mental health scale (r=0.20; p=0.047). Conclusions: Better outcomes for patients with improvement in neck range of motion, improvement of mental health, and higher age support the use of multidisciplinary biopsychosocial rehabilitation that combines physical and psychological treatment components. Furthermore, the results suggest that older patients may improve more compared to younger patients.


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254262
Author(s):  
Faisal Asiri ◽  
Ravi Shankar Reddy ◽  
Jaya Shanker Tedla ◽  
Mohammad A. ALMohiza ◽  
Mastour Saeed Alshahrani ◽  
...  

Chronic neck pain (CNP) incidence in the general population is high and contributes to a significant health problem. Kinesiophobia (fear of pain to movement or re-injury) combined with emotions and physical variables may play a vital role in assessing and managing individuals with CNP. The study’s objectives are 1) to evaluate the relationship between kinesiophobia, neck pain intensity, proprioception, and functional performance; 2) to determine if kinesiophobia predicts pain intensity, proprioception, and functional performance among CNP individuals. Sixty-four participants with CNP (mean age 54.31 ± 9.41) were recruited for this cross-sectional study. The following outcome measures were evaluated: Kinesiophobia using the Tampa Scale of Kinesiophobia (TSK), neck pain intensity using the visual analog scale (VAS), cervical proprioceptive joint position errors (in flexion, extension, and rotation directions) using cervical range of motion (CROM) device and handgrip strength as a measure of functional performance using the Baseline® hydraulic hand dynamometer. Kinesiophobia showed a strong positive correlation with neck pain intensity (r = 0.81, p<0.001), a mild to a moderate positive correlation with proprioception joint position errors (JPE) in extension, rotation left and right directions (p<0.05), but no correlation in flexion direction (p = 0.127). Also, there was a moderate negative correlation with handgrip strength (r = -0.65, p<0.001). Regression analysis proved that kinesiophobia was a significant predictor of pain intensity, proprioception, and functional performance (p<0.05). This study infers that kinesiophobia in individuals with CNP predicts pain, proprioception, and functional performance. Kinesiophobia assessment should be considered in regular clinical practice to understand the barriers that can influence rehabilitation outcomes in CNP individuals.


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 ◽  
...  

PLoS ONE ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. e0170274 ◽  
Author(s):  
Thomas Rudolfsson ◽  
Martin Björklund ◽  
Åsa Svedmark ◽  
Divya Srinivasan ◽  
Mats Djupsjöbacka

2015 ◽  
Vol 21 (4) ◽  
pp. 223-228 ◽  
Author(s):  
Benjamin G. Rohe ◽  
Ronald Carter ◽  
William R. Thompson ◽  
Randall L. Duncan ◽  
Carlton R. Cooper

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