Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Relationship of Cervicothoracic Curvature with Muscle Strength and Endurance in Subjects with Neck Pain


Affiliations
1 Amar Jyoti Institute of Physiotherapy, Delhi, India
2 Swami Vivekanand National Institute of Rehabilitation Training and Research, Orissa, India
     

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Purpose: The purpose of the study is to determine the changes seen in cervicothoracic curvature with increasing age in normal and neck pain subjects and also to study, relationship of cervicothoracic curvature with deep neck flexor muscle function and pain level.

Material & Method: A group of 10 normal subjects were recruited for reliability study of photographic method. Age and sex matched 30 normal and 30 neck pain subjects were also recruited. Both the groups were divided into three age groups i.e.31-40, 41-50 and 51-60 years with 10 subjects in each. To determine cervicothoracic curvature, lateral profile photographs were taken for both the groups and using AutoCAD software cervicothoracic kyphosis angles were measured at C6 (C4 - C6- T4), C7 (C4 - C7- T4) and T1 (C4 - C6- T4) levels. For neck pain subjects, the angle average (of all the 3 levels) was compared with deep flexor muscle strength, endurance and pain level.

Results : The intraclass correlation coefficients for Interrater reliability indicated high reliability with ICC at C6=0.86, at C7=0.80 and at T1=0.88. Statistical analysis was done using one-way ANOVA & Tukey's HSD at all three levels for both the groups. Cervicothoracic kyphosis was increased with age and the increase was more prominent in subjects with neck pain. At C7, angle showed early changes i.e. in forth decade in neck pain subjects compared to normal. The pain intensity and muscle functions were correlated with average cervicothoracic angle using Pearson's co-relation in neck pain subjects. There was statistically significant positive correlation between cervicothoracic angle average and deep flexor muscle strength (r=.598, p=.000). However, no statistically significant relationship was established for muscle endurance and pain intensity.

Conclusion: It was concluded that degenerative changes at C7 vertebra were progressed early in neck pain subjects and their deep flexors strength reduces as the cervicothoracic kyphosis increases.


Keywords

Cervicothoracic Angles, Deep Flexor Muscles, Forward Head Posture
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  • McKenzie RA. The cervical and thoracic spine: mechanical diagnosis and treatment. Spinal publications :( N. Z.) Ltd; 1990.

  • Harms-Ringdahl K. On assessment of shoulder exercises & load elicited pain in cervical spine: biomechanical analysis of load EMG methodological studies pain provoked by extreme position. Scand J Rehab Med.1986; 14:1.

  • Boyle J. Influence of age on cervicothoracic spinal curvature: an ex vivo radiographic survey. Clinical Biomechanics 2002; 17: 361-367.

  • Phillip SE. Assessment of spine: the cervicothoracic junction. 1st ed. Churchill Livingstone: 2004; 159-176.

  • Placzek JD. The influence of the cervical spine on chronic headache in women: a pilot study. J of manipulative and physiologic therapeutics.1999; 7: 33-39.

  • Kendall, FP, McCeary EK. Muscle testing and function with posture and pain. 5th ed. Williams and Wilkins: Baltimore; 1982.

  • Jull G, Trott P, Potter H. A randomized control trial of exercise & manipulative therapy for cervicogenic headache. Spine 2002; 27: 1835 –43.

  • Cholewicki J, Punjabi NM. A stabilizing function of the trunk flexion-extension muscle around a neutral spine. Spine 1997; 22: 2207-2212.


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  • Relationship of Cervicothoracic Curvature with Muscle Strength and Endurance in Subjects with Neck Pain

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Authors

Parminder Kaur
Amar Jyoti Institute of Physiotherapy, Delhi, India
Monalisa Pattnaik
Swami Vivekanand National Institute of Rehabilitation Training and Research, Orissa, India
Patit Paban Mohanty
Swami Vivekanand National Institute of Rehabilitation Training and Research, Orissa, India

Abstract


Purpose: The purpose of the study is to determine the changes seen in cervicothoracic curvature with increasing age in normal and neck pain subjects and also to study, relationship of cervicothoracic curvature with deep neck flexor muscle function and pain level.

Material & Method: A group of 10 normal subjects were recruited for reliability study of photographic method. Age and sex matched 30 normal and 30 neck pain subjects were also recruited. Both the groups were divided into three age groups i.e.31-40, 41-50 and 51-60 years with 10 subjects in each. To determine cervicothoracic curvature, lateral profile photographs were taken for both the groups and using AutoCAD software cervicothoracic kyphosis angles were measured at C6 (C4 - C6- T4), C7 (C4 - C7- T4) and T1 (C4 - C6- T4) levels. For neck pain subjects, the angle average (of all the 3 levels) was compared with deep flexor muscle strength, endurance and pain level.

Results : The intraclass correlation coefficients for Interrater reliability indicated high reliability with ICC at C6=0.86, at C7=0.80 and at T1=0.88. Statistical analysis was done using one-way ANOVA & Tukey's HSD at all three levels for both the groups. Cervicothoracic kyphosis was increased with age and the increase was more prominent in subjects with neck pain. At C7, angle showed early changes i.e. in forth decade in neck pain subjects compared to normal. The pain intensity and muscle functions were correlated with average cervicothoracic angle using Pearson's co-relation in neck pain subjects. There was statistically significant positive correlation between cervicothoracic angle average and deep flexor muscle strength (r=.598, p=.000). However, no statistically significant relationship was established for muscle endurance and pain intensity.

Conclusion: It was concluded that degenerative changes at C7 vertebra were progressed early in neck pain subjects and their deep flexors strength reduces as the cervicothoracic kyphosis increases.


Keywords


Cervicothoracic Angles, Deep Flexor Muscles, Forward Head Posture

References