Document Detail


Segmental percentage contributions of cervical spine during different motion ranges of flexion and extension.
MedLine Citation:
PMID:  20068468     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A blind, repeated-measure design was employed in the study. OBJECTIVE: To quantitatively measure the percentage contribution of segmental angular motion during different motion ranges of cervical flexion-extension for clinical applications and better understanding of cervical biomechanics. SUMMARY OF BACKGROUND DATA: Restriction of cervical motion is a major symptom in patients suffering from neck injuries or pathologies. Although segmental angular motion alternation is a criterion for the detection of neck related impairments, the percentage contribution throughout cervical movements is not well understood. METHODS: A total of 384 image sequences during cervical flexion-extension obtained from 48 healthy adult subjects were analyzed with a precise image protocol using dynamic videofluoroscopic techniques. RESULTS: The middle cervical spines demonstrated significantly greater angular percentage contributions at C3/4 (29.89%) and C4/5 (37.14%) angles during the initial 1/3 flexion movement; whereas the lower cervical spines revealed statistically greater angular contributions (C5/6: 22.57% to 29.45%; C6/7: 28.80% to 37.42%) from the middle to final 1/3 ranges of flexion movement (P<0.001). With regard to cervical extension motion, the majority of segmental percentage contributions statistically shifted initially from C5/6 level (30.21%) to C4/5 (24.96%) and C5/6 (26.12%) levels, and finally to the C3/4 (27.55%) and C4/5 (29.77%) segments (P<0.001). CONCLUSIONS: The segmental percentage contributions in this study might imply that the cervical flexion movement initially relied more on the middle cervical segments and later on the lower ones, whereas a motion pattern trend from lower to middle segments was observed during cervical extension.
Authors:
Shyi-Kuen Wu; Li-Chieh Kuo; Haw-Chang H Lan; Sen-Wei Tsai; Fong-Chin Su
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of spinal disorders & techniques     Volume:  23     ISSN:  1539-2465     ISO Abbreviation:  J Spinal Disord Tech     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-07     Completed Date:  2010-09-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140323     Medline TA:  J Spinal Disord Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  278-84     Citation Subset:  IM    
Affiliation:
Department of Physical Therapy, HungKuang University, Taichung, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Analysis of Variance
Biomechanics / physiology
Cervical Vertebrae / physiology*
Female
Fluoroscopy
Humans
Male
Movement / physiology*
Range of Motion, Articular / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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