Open Access
Subscription Access
Open Access
Subscription Access
Prevalence of Upper Limb Dysfunction in Subjects with Chronic non Specific Neck Pain in Bangalore City, Karnataka
Subscribe/Renew Journal
Objective: To find out the prevalence of upper limb dysfunction in subjects with non specific neck pain. Summary of the background data: Non specific neck pain is highly prevalent in women particularly of working age. Upper limb disorder and disability/ dysfunction are one of the most important factors that have been discovered in the management outcome for nonspecific neck pain. Single Arm Military Press (SAMP) test has been used to measure the level of upper limb dysfunction in neck pain population. With a high prevalence of non specific neck pain in India either due to their occupation or age it becomes important to quantify the rate of upper limb dysfunction in Indian population in their working environment so that further measures can be taken to address upper limb dysfunction in the course of management of non specific neck pain.
Method: Seventy two (72) subjects fulfilling the inclusion criteria and exclusion criteria were taken up for the study. The upper limb dysfunction was measured for all the subjects for both the hands. Descriptive statistical analysis was carried out for this study. Results on continuous measurements are presented on Mean SD (Min-Max) and results on categorical measurements are presented in Number (%) with level of significance set at 0.05. The comparison between the categorical measurements has been analyzed using one sample t- test.
Results: Of the 72 subjects 93.1% had upper limb dysfunction as determined by the test scores. The mean and standard deviation of SAMP score for the right hand was 20.44 ± 5.25 and for the left hand it was 18.49 ± 4.49. The comparison between the mean scores of right and left upper limb was done to show a cumulative finding using one sample t- test and it was found to be statistically significant (p < 0.001).
Conclusion: Upper limb dysfunction has been found to be highly prevalent in subjects with non specific neck pain working women in Bangalore city, India.
Keywords
- Hakala P, Rimpela A, Salminen JJ, Virtanen SM, Rimpela M. Back, neck, and shoulder pain in Finnish adolescents: national cross sectional surveys. BMJ. 2002; 325:743.
- Bot SD, Waal JM, Terwee CB, Windt DA, Schellevis FG, Bouter LM, Dekker J. (2005) Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis. 2005; 64(1):118-123.
- Rekola K. Health service utilization for musculoskeletal disorders in Finnish primary health care. Acta Univ Oul. 1993; D259:53-59.
- Mantyselka PT. Patient pain in general practice. 1998 Kuopio, Finland. Kuopio University Publications.
- Ferrari R, Russell AS. Regional musculoskeletal conditions: neck pain. Best Pract Res Clin Rheumatol. 2003; 17:57–70.
- Ihlebaek C, Brage S, Eriksen HR. Health complaints and sickness absence in Norway, 1996-2003. Occup Med (Lond). 2007; 57;43–9.
- Staudte HW, Duhr N. Age- and sex-dependent force-related function of the cervical spine. Eur Spine J. 1994; 3:155–161.
- Ylinen J, Takala EP, Nykanen M, Hakkinen A, Malkia E, Pohjolainen T, Karppi SL, Kautiainen H, Airaksinen O. Active Neck Muscle Training In The Treatment Of Chronic Neck Pain In Women. JAMA. 2003; 289(19):2509-16.
- Taimela S, Takala EP, Asklöf T, Seppälä K. Active treatment of chronic neck pain: a prospective randomized intervention. Spine. 2000; 25(8):1021– 1027.
- Bernard B. Musculoskeletal disorders and workplace factors- A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. Cincinnati (OH): United States Department of Health and Human Sciences, National Institute for Occupational Health and Safety. 1997; 2.1—2.90.
- McLean SM, Taylor J, Balasoobramanien T, Kulkarni M, Patekar P, Darne R, Jain V. Measuring upper limb disability in non-specific neck pain: A clinical performance measure. International Journal of Physiotherapy and Rehabilitation. 2010; 1(1):44-52.
- Frank AO, De Souza LH, Frank CA. Neck pain and disability: a cross-sectional survey of the demographic and clinical characteristics of neck pain seen in a rheumatology clinic. International Journal of Clinical Practice. 2005; 59(2):173-182.
- McLean S. Conservative management of nonspecific neck pain: Effectiveness of treatment, predictors of treatment outcome and upper limb disability. PhD dissertation, University of Hull; Hull. 2007.
- McLean SM, Moffett JK, Sharp DM, Gardiner E. An investigation to determine the association between neck pain and upper limb disability for patients with non-specific neck pain: A secondary analysis. Manual Therapy. 2011; 16:434-439.
- Daffner SD, Hilibrand AS, Hanscom BS, Brislin BT, Vaccaro AR, Albert TJ. Impact Of Neck And Arm Pain On Overall Health Status. Spine. 2003; 28(17):2030-2035.
- Cassou B, Derrienmic F, Monforz C, Norton J, Touranchet A. Chronic neck and shoulder pain, age and working conditions; longitudinal results from a large random sample in France. Occup Environ Med. 2002; 59:337-544.
- Andersson IH, Ejlertsson G, Leden I, Rosenberg C. Chronic pain in a geographically-defined general population: Studies on differences in age, gender, social class, and pain localization. Clinical J Pain. 1993; 9:174-82.
- Fredriksson K, Alfredsson L, Köster M, Thorbjörnsson CB, Toomingas A, Torgén M, Kilbom A. Risk factors for neck and upper limb disorders: results from 24 years of follow up. Occup Environ Med. 1999; 56:59–66.
Abstract Views: 503
PDF Views: 0