Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-24486
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Head kinematics in patients with neck pain compared to asymptomatic controls : a systematic review
Authors: Franov, Esther
Straub, Matthias
Bauer, Christoph
Ernst, Markus
et. al: No
DOI: 10.1186/s12891-022-05097-z
10.21256/zhaw-24486
Published in: BMC Musculoskeletal Disorders
Volume(Issue): 23
Issue: 156
Issue Date: 16-Feb-2022
Publisher / Ed. Institution: BioMed Central
ISSN: 1471-2474
Language: English
Subjects: Biomechanical phenomena; Head movement; Movement task; Neck pain; Whiplash; Biomechanical phenomena; Human; Movement
Subject (DDC): 615.82: Physical therapy
617.5: Orthopaedic surgery
Abstract: Background: Neck pain is one of the most common musculoskeletal disorders encountered by healthcare providers. A precise assessment of functional deficits, including sensorimotor control impairment, is regarded necessary for tailored exercise programmes. Sensorimotor control can be measured by kinematic characteristics, such as velocity, acceleration, smoothness, and temporal measures, or by assessing movement accuracy. This systematic review aims to identify movement tasks and distinct outcome variables used to measure kinematics and movement accuracy in patients with neck pain and present their results in comparison to asymptomatic controls. Methods: Electronic searches were conducted in MEDLINE, PEDro, Cochrane Library and CINAHL databases from inception to August 2020. Risk of bias of included studies was assessed. Movement tasks and specific outcome parameters used were collated. The level of evidence for potential group differences in each outcome variable between patients with neck pain and controls was evaluated. Results: Twenty-seven studies examining head kinematics and movement accuracy during head-aiming, functional and unconstrained movement tasks of the head were included. Average Risk of Bias of included studies was moderate. In total, 23 different outcome variables were assessed. A strong level of evidence for an increased movement time and for an increased number of errors during head aiming tasks was found. Moderate evidence was found in traumatic neck pain for a decreased mean velocity, peak acceleration, and reaction time, and for point deviation and time on target during head aiming tasks. Moderate evidence was found for decreased acceleration during unconstrained movements, too. Results on the remaining movement task and outcome variables showed only limited, very limited or even conflicting level of evidence for patients with neck pain to differ from controls. Conclusions: Sensorimotor control in NP in the way of kinematic and movement accuracy characteristics of head motion was examined in head aiming, functional or unconstrained movement tasks. The results from this review indicate that for some characteristics that describe sensorimotor control, patients with NP differ from healthy controls. Systematic review registration: PROSPERO registration number: CRD42020139083.
URI: https://digitalcollection.zhaw.ch/handle/11475/24486
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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Franov, E., Straub, M., Bauer, C., & Ernst, M. (2022). Head kinematics in patients with neck pain compared to asymptomatic controls : a systematic review. BMC Musculoskeletal Disorders, 23(156). https://doi.org/10.1186/s12891-022-05097-z
Franov, E. et al. (2022) ‘Head kinematics in patients with neck pain compared to asymptomatic controls : a systematic review’, BMC Musculoskeletal Disorders, 23(156). Available at: https://doi.org/10.1186/s12891-022-05097-z.
E. Franov, M. Straub, C. Bauer, and M. Ernst, “Head kinematics in patients with neck pain compared to asymptomatic controls : a systematic review,” BMC Musculoskeletal Disorders, vol. 23, no. 156, Feb. 2022, doi: 10.1186/s12891-022-05097-z.
FRANOV, Esther, Matthias STRAUB, Christoph BAUER und Markus ERNST, 2022. Head kinematics in patients with neck pain compared to asymptomatic controls : a systematic review. BMC Musculoskeletal Disorders. 16 Februar 2022. Bd. 23, Nr. 156. DOI 10.1186/s12891-022-05097-z
Franov, Esther, Matthias Straub, Christoph Bauer, and Markus Ernst. 2022. “Head Kinematics in Patients with Neck Pain Compared to Asymptomatic Controls : A Systematic Review.” BMC Musculoskeletal Disorders 23 (156). https://doi.org/10.1186/s12891-022-05097-z.
Franov, Esther, et al. “Head Kinematics in Patients with Neck Pain Compared to Asymptomatic Controls : A Systematic Review.” BMC Musculoskeletal Disorders, vol. 23, no. 156, Feb. 2022, https://doi.org/10.1186/s12891-022-05097-z.


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