Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
A longitudinal study is designed to assess the influence of acute non-specific neck pain on kinematic parameters during a fast-head axial rotation task standardized with the DidRen laser test device. First, the investigators will compare kinematic parameters between patients and healthy control. Second, the investigators will assess whether neck upper or lower pain location influenced kinematic parameters. Finally, the investigators will examine the short-term effect of passive cervical mobilizations in patients on these kinematic variables.
At baseline, all participants will be asked to fill in four questionnaires.
The investigators will assess the Fast Neck Rotation with the DidRen Test:
Also, clinical examination will include Cervical Rotation Testing, Manual Spinal Examination.
On the basis of the findings of the region of pain, subjects will enter either in the upper or lower cervical region group.
Regular baseline on the fast-head rotation task strategies standardized with the "DidRen Laser" device will be done by analyzing data from a control group constituted by asymptomatic subjects. As Manual Spinal Examination (P/A) has showed more sensitivity than specificity, asymptomatic subjects will also be excluded by the second assessor if during cervical Rotation ROM testing procedure and/or cervical manual examination.
Evaluation of Rotation ROM, Spinal Examination and first DidRen Test, will have already been completed.
The participant's treatment will include P/A mobilization . After treatment, Cervical ROM testing and the assessment of the fast Neck Rotation with the DidRen Test will be undergone by the participant:
The Therapist will apply PPIVM's at the symptomatic levels or PAIVM's either central posterior-anterior (central P/A) directed force toward the spinous process ora posterior-anterior directed force directed to the articular pillars (unilateral P/A) on spinal level(s) which were primary recorded as painful sites during the first spinal examination and referred to as "primary painful sites". As a treatment, Maitland Grade 3 and 4 will be used for the joint(s) mobilization(s) and could be performed at others symptomatic levels (these levels will be referred to as "secondary painful sites") depending on the subject's condition (which also contributes to reproduce familiar pain and /or stiffness). During treatment, the Musculoskeletal Physiotherapist will note all cervical levels mobilized, time and grades of movement used. The decision of the end of the treatment will be decided with minimal clinically important improvement (MCI) in pain and in disability. The MCI in pain is defined as a decrease by at least 2 points in pain intensity score at follow-up compared to baseline. The MCI in disability was defined as a decrease by at least 1 point in pain related disability (ROM) score at follow-up compared to baseline.
Assessment of cervical ROM (active + over pressure) by the IMU.The treatment will be performed a second time if no change occurs (MCI disability) after the first manual spinal treatment.
Assessment by the Didren laser test will be performed by the participant. After the DidRen test, participants will complete NPRS, in order to assess if the pain intensity could interfere with the performance of the test.
Musculoskeletal experience. · For blinding purposes, a second assessor will complete the DidRen Laser test.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| neck pain patients | Patients with acute non-specific neck pain were consecutively recruited from a private manual physiotherapy center as sample of convenience. Inclusion criteria were acute (<3months) non-specific neck pain with a neck disability index (NDI) > 8% and a Numerical Pain Rating Scale (NPRS) >3 . Patients were excluded if they reported any of the following: a history of neck surgery, dizziness caused by neck or head movements and cervical radiculopathy diagnosed by a physician. | ||
| healthy | Healthy control participants were included if they reported a NDI < 8% and a NPRS =0. They were excluded if they reported neck pain during the last year, radiating symptoms in the shoulder or arm regions, or headache. Participants with a history of neck trauma or in treatment for spinal disorders or reporting pain during the manual assessment were excluded as well. |
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| Change of head rotational speed (in °s-1) | The head rotational speed (°s-1) was recorded using an inertial motion unit sensor. DYSKIMOT is an Ultra-Low-Cost Inertial Sensor to Assess Head's Rotational Kinematics in Adults during the Didren-Laser Test. | T0: Before treatment; T1: after 6 weeks |
| Change of head rotational acceleration (in °s-2) | The head rotational acceleration (°s-2) was recorded using an inertial motion unit sensor. DYSKIMOT is an Ultra-Low-Cost Inertial Sensor to Assess Head's Rotational Kinematics in Adults during the Didren-Laser Test. | T0: Before treatment; T1: after 6 weeks |
| Change of head angular displacement (in °) | The head angular displacement (°) was recorded using an inertial motion unit sensor. The DYSKIMOT is an Ultra-Low-Cost Inertial Sensor to Assess Head's Rotational Kinematics in Adults during the Didren-Laser Test. | T0: Before treatment; T1: after 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change of Numerical Pain Rating Scale (NPRS). | The Numerical Pain Rating Scale (NPRS) is a commonly used outcome to assess patients with neck pain. It uses an 11-point scale, ranging from 0 (no pain) to 10 (worst pain imaginable) | T0: Before treatment; T1: after 6 weeks |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Patients with acute non-specific neck pain were consecutively recruited from a private manual physiotherapy center as sample of convenience. Healthy were recruited from student population.
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Christine Detrembleur, PhD | Cliniques universitaires Saint-Luc- Université Catholique de Louvain | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Detrembleur | Brussels | 1200 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34863120 | Derived | Hage R, Detrembleur C, Dierick F, Brismee JM, Roussel N, Pitance L. Sensorimotor performance in acute-subacute non-specific neck pain: a non-randomized prospective clinical trial with intervention. BMC Musculoskelet Disord. 2021 Dec 4;22(1):1017. doi: 10.1186/s12891-021-04876-4. |
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
Not provided
Not provided
Not provided