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Impaired Trunk Muscle Function In Sub-acute Neck Pain: Etiologic In The Subsequent Development Of Low Back Pain?
Published 2004 · Medicine
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Low back pain (LBP) and neck pain are associated with dysfunction of the trunk and neck muscles, respectively, and may involve common or similar mechanisms. In both cases, dysfunction may compromise spinal control. Anecdotally, neck pain patients commonly develop LBP. This study investigated the possibility that trunk muscle function is compromised in neck pain patients and that compromised trunk muscle function is associated with increased risk of LBP. Fifty-four neck pain patients and 52 controls were assessed on an abdominal drawing-in task (ADIT) and on self-report tests. Performance on the ADIT was able to detect neck pain patients with 85% sensitivity and 73% specificity. Catastrophizing and McGill pain questionnaire (affective) scores were higher in patients with an abnormal task response than in patients with an uncertain or normal response, although the self-report data did not predict task performance. Fifty subjects from each group were contactable by telephone at 2 years. They were asked whether they had experienced persistent or recurrent LBP since the assessment. Subjects (patients and controls) who obtained an abnormal response on the ADIT were 3 to 6 times more likely to develop persistent or recurrent LBP than those who obtained an uncertain or normal response. ADIT performance was the main predictor of development of LBP in patients. The results suggest that reduced voluntary trunk muscle control in neck pain patients is associated with an increased risk of developing LBP.
This paper references
Cervical Muscle Dysfunction in the Chronic Whiplash Associated Disorder Grade II (WAD-II)
M. Nederhand (2000)
The McGill pain questionnaire: from description to measurement.
R. Melzack (2005)
Cervical Muscle Dysfunction in Chronic Whiplash-Associated Disorder Grade 2: The Relevance of the Trauma
M. Nederhand (2002)
Do beliefs, coping, and catastrophizing independently predict functioning in patients with chronic pain?
J. Turner (2000)
The effect of musculoskeletal pain on motor activity and control.
M. Sterling (2001)
Changes in motor planning of feedforward postural responses of the trunk muscles in low back pain
P. Hodges (2001)
The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity.
J. Lund (1991)
Long-Term Effects of Specific Stabilizing Exercises for First-Episode Low Back Pain
J. Hides (2001)
The Pain Catastrophizing Scale: Development and validation.
M. Sullivan (1995)
Fear of movement/(re)injury and muscular reactivity in chronic low back pain patients: an experimental investigation
J. Vlaeyen (1999)
Inefficient Muscular Stabilization of the Lumbar Spine Associated With Low Back Pain: A Motor Control Evaluation of Transversus Abdominis
P. Hodges (1996)
The Neck Disability Index:: Patient Assessment and Outcome Monitoring in Whiplash
H. Vernon (1996)
Clinical and physiological investigation of the psychophysiology of pain and movement
Therapeutic Exercise for Spinal Segmental Stabilization in Low Back Pain
G. Rankin (2000)
Isokinetic performance capacity of trunk muscles. Part II: Coefficient of variation in isokinetic measurement in maximal effort and in submaximal effort.
S. Luoto (1996)
The McGill Pain Questionnaire: Major properties and scoring methods
R. Melzack (1975)
Chronic neck pain disability due to an acute whiplash injury
M. Nederhand (2003)
Is there a role for transversus abdominis in lumbo - pelvic stability ?
PW Hodges (1999)
Evidence for the Role of Psychological Factors in Abnormal Paraspinal Activity in Patients with Chronic Low Back Pain
P. Watson (1997)
Fear of low back pain delays postural activation of transversus abdominis in healthy subjects
L. Moseley (2002)
Pain differs from non-painful attention-demanding or stressful tasks in its effect on postural control patterns of trunk muscles
G. Moseley (2003)
Preparatory trunk motion accompanies rapid upper limb movement
P. Hodges (1999)
Evaluation of the relationship between laboratory and clinical tests of transversus abdominis function.
P. Hodges (1996)
In vivo measurement of the effect of intra-abdominal pressure on the human spine.
P. Hodges (2001)
The Effects of Abdominal Muscle Coactivation on Lumbar Spine Stability
M. Gardner-Morse (1998)
The Neck Disability Index: a study of reliability and validity.
H. Vernon (1991)
Is there a role for transversus abdominis in lumbo-pelvic stability?
P. Hodges (1999)
Behavioural rehabilitation of chronic low back pain: comparison of an operant treatment, an operant-cognitive treatment and an operant-respondent treatment.
J. Vlaeyen (1995)
Catastrophizing, pain, and disability in patients with soft-tissue injuries
M. Sullivan (1998)
Are the Changes in Postural Control Associated With Low Back Pain Caused by Pain Interference?
G. Moseley (2005)
Fear of pain disrupts postural control of the back muscles, but it depends on the anatomical relevance of the impending pain
L. Moseley (2002)
Further Clinical Clarification of the Muscle Dysfunction in Cervical Headache
G. Jull (1999)
What's wrong with Bonferroni adjustments
T. Perneger (1998)
Transversus abdominis and the superficial abdominal muscles are controlled independently in a postural task
P. Hodges (1999)
Experimental muscle pain changes feedforward postural responses of the trunk muscles
P. Hodges (2003)
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Motor control changes and low back pain: cause or effect?
J. V. Dieen (2013)
Changes in movements of neck, trunk, and hip according to height and foot position during sit-to-stand
Jungbin Lee (2016)
Abdominal muscle response to a simulated weight-bearing task by elite Australian Rules football players.
J. Hyde (2012)
Movement control impairment as a sub-group of non-specific low back pain : evaluation of movement control test battery as a practical tool in the diagnosis of movement control impairment and treatment of this dysfunction
H. Luomajoki (2010)
The association between asymmetric hip mobility and neck pain in young adults.
H. Lee (2013)
Abnormal performance of cervical stabilizer muscles in individuals with low back pain
Chattrachoo Thongprasert (2018)
Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases.
R. Edwards (2006)
The effectiveness of a 6-week Pilates programme on outcome measures in a population of chronic neck pain patients: a pilot study.
Germaine Mallin (2013)
The Effects of Isometric Lower Limb Contraction on the Activation of Contralateral Trunk Muscles in Healthy Young Adults in Supine Position
H. Park (2012)
Intrasession reliability and influence of breathing during clinical assessment of lumbar spine postural control
D. Lafond (2009)
An 8-week thoracic spine stabilization exercise program improves postural back pain, spine alignment, postural sway, and core endurance in university students:a randomized controlled study.
S. Toprak Celenay (2017)
The effect of lumbar support on the ultrasound measurements of trunk muscles: a single-blinded randomized controlled trial.
M. Rostami (2014)
Hypertrophy in the cervical muscles and thoracic discs in bed rest?
D. Belavy (2013)
CABEZA HACIA ADELANTE: UNA MIRADA DESDE LA BIOMECÁNICA Y SUS IMPLICACIONES SOBRE EL MOVIMIENTO CORPORAL HUMANO
I. Ríos (2015)
Chapter 4 – The analysis of movement
J. Key (2010)
The relationship of transversus abdominis and lumbar multifidus clinical muscle tests in patients with chronic low back pain.
J. Hides (2011)
People With Chronic Neck Pain Walk With a Stiffer Spine
D. Falla (2017)
The Effect of Functional Postural Trunk Exercise on Pain, Activities of Daily Living, Range of Motion, Deep Cranio-cervical Flexor Muscle Endurance in Neck Pain Patient by Acute Whiplash-Associated Disorders
Hyun-Woong Choi (2013)
Effects of different segmental spinal stabilization exercise protocols on postural stability in asymptomatic subjects: randomized controlled trial.
D. O. Kaya (2012)
The effect of motor control exercise versus placebo in patients with chronic low back pain [ACTRN012605000262606]
C. Maher (2005)
Maladaptive Cognitions and Chronic Pain: Epidemiology, Neurobiology, and Treatment
Jonathan M Borkum (2010)
Fitness, motor competence and body composition as correlates of adolescent neck/shoulder pain: an exploratory cross-sectional study
Mark C. Perry (2008)
Cervicogenic dizziness – musculoskeletal findings before and after treatment and long-term outcome
E. Malmström (2007)
The Effect of Current Low Back Pain on Volitional Preemptive Abdominal Activation During a Loaded Forward Reach Activity
Vittal R. Nagar (2017)
Difference in lateral abdominal muscle thickness during forceful exhalation in healthy smokers and non-smokers.
L. J. Kim (2012)
The effect of experimental neck pain on pressure pain sensitivity and axioscapular motor control.
S. Christensen (2015)
Superficial Lumbopelvic Muscle Overactivity and Decreased Cocontraction After 8 Weeks of Bed Rest
D. Belavy (2007)
Reliability of a test measuring transversus abdominis muscle recruitment with a pressure biofeedback unit.
Katharina von Garnier (2009)
The relationships between measures of stature recovery, muscle activity and psychological factors in patients with chronic low back pain.
S. Lewis (2012)
Developing biologically-based assessment tools for physical therapy management of neck pain.
J. MacDermid (2009)
Retraining motor control of abdominal muscles among elite cricketers with low back pain
J. Hides (2010)
Chapter 7 – Changed control of posture and movement: the dysfunctional state
Josephine Key (2010)See more