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Volume 3 Journal of Physiotherapy & Physical Rehabilitation Physicians 2018
August 15-16, 2018
August 15-16, 2018 Tokyo, Japan
8th World Physiotherapists and Physicians Summit
Associations between neck kinematics and pain in individuals with chronic idiopathic neck pain
Sarah Blyton
University of Newcastle, Australia
Aim: To determine associations between kinematics and chronic idiopathic neck pain intensity.
Method: Three-dimensional motion capture quantified kinematics in 10 individuals with chronic idiopathic neck pain
performing overhead reach to the right and putting on a seatbelt at baseline, 6 weeks and 6 months. Kinematic variables
included maximum joint angle (°), time to maximum (% movement phase), total range of motion (°) and velocity (m/s) for
Head segment relative to Neck (HN) and Head/Neck segment relative to Thoracic (HNT). Visual analogue scale quantified
pain at each time point. Mixed regression models determined associations between pain and kinematic variables both over
time and cross-sectionally at each time point.
Results: Higher pain associated with less maximum HN rotation at baseline (reach: β=-0.32°, 95% CI -0.13 to -0.52, p=0.003;
seatbelt: β=-0.52°, 95% CI -0.30 to -0.72, p<0.001) and less HN total rotation range of motion at baseline (seatbelt: β=-0.29°,
95% CI 0.10 to -0.49, p=0.006) and 6 months (reach: β=-0.19°, 95% CI -0.38 to -0.002, p=0.048). Higher pain associated
with delayed timing to reach maximum HNT rotation over time (reach: β=0.46%, 95% CI 0.099 to 0.82, p=0.015). Pain not
associated with other kinematic variables.
Conclusion: Higher neck pain associated with lower maximum and total rotation during functional tasks requires cervical
rotation. This results supports clinical observation of altered movement strategies in individuals with chronic idiopathic neck pain.
Biography
Sarah Blyton has completed her Bachelor of Physiotherapy degree at the University of Newcastle. She has presented her research at the University of Newcastle
and at a national conference. She currently works in private practice treating primarily musculoskeletal conditions and on weekends works as a Physiotherapist for
a Local Netball Association.
Sarah Blyton, Physiother Rehabil 2018, Volume 3
DOI: 10.4172/2573-0312-C2-006