Journal
JOURNAL OF APPLIED BIOMECHANICS
Volume 35, Issue 3, Pages 209-215Publisher
HUMAN KINETICS PUBL INC
DOI: 10.1123/jab.2018-0033
Keywords
dynamometry; ratios; muscle performance; impairment
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Funding
- National Health and Medical Research Council (NHMRC) of Australia Research Training Fellowship
- Health Practitioner Research Fellowship (Queensland Health [Royal Brisbane and Women's Hospital])
- Health Practitioner Research Fellowship (University of Queensland [CCRE Spinal Pain, Injury and Health])
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Isometric strength and endurance performance of cervical flexor and extensor muscles were compared in women with (n = 30) and without (n = 30) idiopathic neck pain at the craniocervical and cervicothoracic axes. Strength and endurance time (time to task failure in seconds) at 50% maximal voluntary contraction were recorded in 4 directions (craniocervical flexion/extension and cervicothoracic flexion/extension) and 6 strength and endurance ratios were calculated. Participants in both groups were matched for body mass index. The idiopathic neck pain group demonstrated significantly less strength for the cervicothoracic flexors and extensors (1.58-4.7 N.m [12.4%-17.9%] less, P < .04) and significantly less endurance time for the cervicothoracic and craniocervical flexors (10.77-10.9 s [23.3%-27.5%] less, P < .03). The cervicothoracic extension to craniocervical flexion strength ratio was also lower in the idiopathic neck pain group (P = .01); however, no other strength or endurance ratio was significantly different between groups. This exploratory study suggests assessing specific performance parameters accounting for regional muscular differences in the upper and lower neck is potentially informative to understanding impairments in neck pain conditions, particularly as impairments may not be uniform across muscle groups.
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