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Lateral Flexion (lateral + flexion)
Selected AbstractsHeadache, neck pain, and neck mobility after acute whiplash injury: a prospective study. (Aarhus University Hospital, Denmark) Spine.PAIN PRACTICE, Issue 4 20011251., 1994;26:124 This article discussed a 6-month prospective study of neck mobility in patients with acute whiplash injury and a control group with acute ankle distortion. The results of this study indicated that patients with whiplash injury had significantly reduced flexion, extension, lateral flexion, and rotation of the neck as compared with patients with ankle distortion injury. Neck mobility, however, was similar in the 2 groups after 3 months. Conclude that neck mobility is reduced immediately after, but not 3 months after, a whiplash trauma. Headache and neck mobility are related inversely and neck pain and neck mobility are related inversely during the first 6 months after acute whiplash injury. [source] Are cervical physical outcome measures influenced by the presence of symptomatology?PHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 3 2002Michele Sterling Abstract Background and Purpose Outcome measures must be repeatable over time to judge changes as a result of treatment. It is unknown whether the presence of neck pain can affect measurement reliability over a time period when some change could be expected as a result of an intervention. The present study investigated the reliability of two measures, active cervical range of movement (AROM) and pressure pain thresholds (PPTs), in symptomatic and asymptomatic subjects. Method A repeated-measures study design with one week between testing sessions was used. Nineteen healthy asymptomatic subjects and 19 subjects with chronic neck pain participated in the study. The neck movements measured were: flexion, extension, right and left lateral flexion, and axial rotation. PPTs were measured over six bilateral sites, both local and remote to the cervical spine. Results The between-week intra-class correlation coefficients (ICCs2,1) for AROM ranged from 0.67 to 0.93 (asymptomatic group) and from 0.64 to 0.88 (chronic neck pain group). Standard error of measurement (SEM) was similar in both groups, from 2.66° to 5.59° (asymptomatic group) and from 2.36° to 6.72° (chronic neck pain group). ICCs2,1 for PPTs ranged from 0.70 to 0.91 (asymptomatic group) and from 0.69 to 0.92 (chronic neck pain group). SEM ranged from 11.14 to 87.71 kPa (asymptomatic group) and from 14.25 to 102.95 kPa (chronic neck pain group). Conclusions The findings of moderate to very high between-week reliability of measures of AROM and PPTs in both asymptomatic and chronic neck pain subjects suggest the presence of symptomatology does not adversely affect reliability of these measures. The results support the use of these measures for monitoring change in chronic neck pain conditions. Copyright © 2002 Whurr Publishers Ltd. [source] The effect of measurement protocol on active cervical motion in healthy subjectsPHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 3 2002Professor Zeevi Dvir Abstract Background and Purpose Although the assessment of cervical motion is routinely performed in clinical practice, no standard protocol for this procedure has ever been established formally. The specific aim of the present study was to select from four different measurement protocols the one which was most stable in terms of reproducibility and was appropriate for clinical and/or medicolegal applications. Method A repeated measurement, test,retest of cervical motion study design using an ultrasound-based system for three-dimensional (3D) motion analysis; cervical range of motion was measured along the six primary directions: flexion; extension; right and left rotation; and right and left lateral flexion, in 20 healthy subjects who were tested twice over a period of lasting from one to four weeks. ,Protocol A' (reciprocal,intermittent testing) consisted of moving the head along a given primary direction, return to the neutral position, a pause and then motion to the opposite primary direction and return to neutral position. These movements were repeated three times. ,Protocol B' (reciprocal,continuous testing) was identical to Protocol A, but without the pause between the primary directions. ,Protocol C' consisted of three repetitions of the same primary direction with a break between two consecutive primary directions. Three sets of six randomly ordered primary directions constituted ,Protocol D'. Results Protocol D was associated with a significantly smaller range of motion and with the least intra-test reproducibility, as indicated by the coefficient of variation. The differences between the other protocols were largely negligible. Conclusion In routine clinical practice, either of protocols A, B or C may be applied. Copyright © 2002 Whurr Publishers Ltd. [source] Reliability of measurement of angular movements of the pelvis and lumbar spine during treadmill walkingPHYSIOTHERAPY RESEARCH INTERNATIONAL, Issue 4 2001Nicholas Taylor Abstract Background and Purpose Angular movements of the pelvis and lumbar spine are thought to play an important role in walking. However, little is known about the amount of unpredictable variability in measurement of these movements during human walking. The aim of the present study was to determine the retest reliability of measuring the angular movements of the pelvis and lumbar spine during unimpaired familiarized treadmill walking. Method Retest reliability for 26 subjects without pathology was determined over a one-week interval. Subjects walked on a treadmill at self-selected or a slower speed while measurements of the three-dimensional angular movements were taken with a computer-based video analysis system. Results The frontal plane movements of pelvic list and lumbar lateral flexion (relative to the pelvis) could be measured with high retest reliability at both self-selected and slow walking speeds (intraclass coefficient (ICC) (2,1) , 0.81). In contrast, transverse and sagittal plane movements demonstrated moderate reliability at both speeds (0.37 , ICC (2,1) , 0.76). Averaging the measurement over six strides resulted in increased observed reliability (self-selected walking speed summary Pearson's r = 0.71, slow walking speed summary Pearson's r = 0.79) compared to taking the measurement based on a single stride (self-selected walking speed summary Pearson's r = 0.63, slow walking speed summary Pearson's r = 0.67). Unlike pelvic and lumbar movements (relative to the pelvis), the measurement of lumbar movements (relative to the global reference frame) appeared to depend on whether subjects were walking at self-selected or slow speeds. Conclusions Measurement of pelvic list and lumbar lateral flexion (relative to the pelvis) could be applied with confidence to hypothesis testing about individuals or groups. Movements in the transverse and sagittal planes are unlikely to be appropriate in hypothesis testing about individuals and hence clinical practice, but may still have experimental applications in hypothesis testing about groups. Copyright © 2001 Whurr Publishers Ltd. [source] Morphology and function of the lumbar spine of the Kebara 2 NeandertalAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 4 2010Ella Been Abstract The morphology of the lumbar spine is crucial for upright posture and bipedal walking in hominids. The excellent preservation of the lumbar spine of Kebara 2 provides us a rare opportunity to observe a complete spine and explore its functionally relevant morphology. The lumbar spine of Kebara 2 is analyzed and compared with the lumbar spines of modern humans and late Pleistocene hominids. Although no size differences between the vertebral bodies and pedicles of Kebara 2 and modern humans are found, significant differences in the size and orientation of the transverse processes (L1 -L4), and the laminae (L5, S1) are demonstrated. The similarity in the size of the vertebral bodies and pedicles of Kebara 2 and modern humans suggests similarity in axial load transmission along the lumbar spine. The laterally projected (L2 -L4) and the cranially oriented (L1, L3) transverse processes of Kebara 2 show an advantage for lateral flexion of the lumbar spine compared with modern humans. The characteristic morphology of the lumbar spine of Kebara 2 might be related to the wide span of its pelvic bones. Am J Phys Anthropol 142:549,557, 2010. © 2010 Wiley-Liss, Inc. [source] Motor performance in very preterm infants before and after implementation of the newborn individualized developmental care and assessment programme in a neonatal intensive care unitACTA PAEDIATRICA, Issue 6 2009Anna Ullenhag Abstract Aim: To compare motor performance in supine position at the age of 4-months corrected age (CA) in very preterm (VPT) infants cared for in a neonatal intensive care unit (NICU) before and after the implementation of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP). Methods: Assessments of motor performance in supine position according to level of motor development and quality of motor performance were made, using the Structured Observation of Motor Performance in Infants (SOMP-I). Subjects: VPT infants cared for in a NICU at a Swedish university hospital before, Group A (n = 68), and after, Group B (n = 58), the implementation of developmentally supportive care based on NIDCAP. Results: The infants who were treated after the introduction of NIDCAP showed higher level of motor development in the arms/hands and trunk. No significant group differences were noted in total deviation score for the respective limbs, but lower frequency of lateral flexion in head movements, extension,external rotation,abduction, extension,internal rotation,adduction and varus and valgus position in the feet was found in the NIDCAP group, compared with those treated before the introduction. Conclusion: The infants who were treated after NIDCAP care had been implemented showed a higher level of motor development in arms/hand and trunk and fewer deviations in head, legs and feet at 4-months CA than infants treated before NIDCAP implementation. The observed changes may be due to NIDCAP and/or improved perinatal and neonatal care during the studied time period. [source] | ||||||||||