کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2625581 1135953 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Interactive cervical motion kinematics: Sensitivity, specificity and clinically significant values for identifying kinematic impairments in patients with chronic neck pain
ترجمه فارسی عنوان
سینماتیک حرکتی مصنوعی گردنی: حساسیت، خاصیت و ارزش بالینی معنی دار برای شناسایی اختلالات سینماتیک در بیماران مبتلا به درد مزمن گردن
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب مکمل و جایگزین
چکیده انگلیسی

Chronic neck pain has been consistently shown to be associated with impaired kinematic control including reduced range, velocity and smoothness of cervical motion, that seem relevant to daily function as in quick neck motion in response to surrounding stimuli. The objectives of this study were: to compare interactive cervical kinematics in patients with neck pain and controls; to explore the new measures of cervical motion accuracy; and to find the sensitivity, specificity, and optimal cutoff values for defining impaired kinematics in those with neck pain.In this cross-section study, 33 patients with chronic neck pain and 22 asymptomatic controls were assessed for their cervical kinematic control using interactive virtual reality hardware and customized software utilizing a head mounted display with built-in head tracking. Outcome measures included peak and mean velocity, smoothness (represented by number of velocity peaks (NVP)), symmetry (represented by time to peak velocity percentage (TTPP)), and accuracy of cervical motion.Results demonstrated significant and strong effect-size differences in peak and mean velocities, NVP and TTPP in all directions excluding TTPP in left rotation, and good effect-size group differences in 5/8 accuracy measures.Regression results emphasized the high clinical value of neck motion velocity, with very high sensitivity and specificity (85%–100%), followed by motion smoothness, symmetry and accuracy. These finding suggest cervical kinematics should be evaluated clinically, and screened by the provided cut off values for identification of relevant impairments in those with neck pain. Such identification of presence or absence of kinematic impairments may direct treatment strategies and additional evaluation when needed.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Manual Therapy - Volume 20, Issue 2, April 2015, Pages 295–302
نویسندگان
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