Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/20827
Title: Movement coordination and differential kinematics of the cervical and thoracic spines in people with chronic neck pain
Authors: Tsang, SMH
Szeto, GPY 
Lee, RYW
Keywords: Cervical
Chronic neck pain
Differential kinematics
Movement coordination
Thoracic Spine
Issue Date: 2013
Publisher: Pergamon Press
Source: Clinical biomechanics, 2013, v. 28, no. 6, p. 610-617 How to cite?
Journal: Clinical biomechanics 
Abstract: Background: Research on the kinematics and inter-regional coordination of movements between the cervical and thoracic spines in motion adds to our understanding of the performance and interplay of these spinal regions. The purpose of this study was to examine the effects of chronic neck pain on the three-dimensional kinematics and coordination of the cervical and thoracic spines during active movements of the neck. Methods: Three-dimensional spinal kinematics and movement coordination between the cervical, upper thoracic, and lower thoracic spines were examined by electromagnetic motion sensors in thirty-four individuals with chronic neck pain and thirty-four age- and gender-matched asymptomatic subjects. All subjects performed a set of free active neck movements in three anatomical planes in sitting position and at their own pace. Spinal kinematic variables (angular displacement, velocity, and acceleration) of the three defined regions, and movement coordination between regions were determined and compared between the two groups. Findings: Subjects with chronic neck pain exhibited significantly decreased cervical angular velocity and acceleration of neck movement. Cross-correlation analysis revealed consistently lower degrees of coordination between the cervical and upper thoracic spines in the neck pain group. The loss of coordination was most apparent in angular velocity and acceleration of the spine. Interpretation: Assessment of the range of motion of the neck is not sufficient to reveal movement dysfunctions in chronic neck pain subjects. Evaluation of angular velocity and acceleration and movement coordination should be included to help develop clinical intervention strategies to promote restoration of differential kinematics and movement coordination.
URI: http://hdl.handle.net/10397/20827
ISSN: 0268-0033
EISSN: 1879-1271
DOI: 10.1016/j.clinbiomech.2013.05.009
Appears in Collections:Journal/Magazine Article

Access
View full-text via PolyU eLinks SFX Query
Show full item record

SCOPUSTM   
Citations

11
Last Week
0
Last month
0
Citations as of Apr 23, 2018

WEB OF SCIENCETM
Citations

10
Last Week
0
Last month
0
Citations as of Apr 25, 2018

Page view(s)

53
Last Week
3
Last month
Citations as of Apr 22, 2018

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.