Clavicular and scapular, but not spinal kinematics vary with scapular dyskinesis type during arm elevation and lowering in persons with neck pain
Clavicular and scapular, but not spinal kinematics vary with scapular dyskinesis type during arm elevation and lowering in persons with neck pain
Background: Scapular dyskinesis is often observed in patients with neck pain. However, it is unknown whether clavicular, scapular and spinal kinematics vary with different types of scapular dyskinesis during arm movement. Research question: Are there differences in clavicular, scapular and spinal kinematics during unilateral arm elevation and lowering among neck pain patients presenting with (i) scapular winging, (ii) with dysrhythmia, (iii) with no scapular abnormality and (iv) healthy controls? Methods: Sixty participants with neck pain (20 in each group) and 20 asymptomatic controls were recruited. The 3D kinematic data were measured during unilateral arm elevation and lowering at 30°, 60°, 90°, and 120° in the scapular plane. A three-way mixed-effects ANOVA was used to determine the main effects (group, phase and angle) and the interactions between three independent variables on the kinematic data. Results: The neck pain group with scapular winging had decreased clavicular retraction and increased scapular internal rotation and anterior tilt compared to the other neck pain and control groups at all angles during both phases of arm movement (p < 0.01). The neck pain group with scapular dysrhythmia had decreased scapular upward rotation compared to all other groups (p < 0.01). Some alterations in the kinematics existed during the lowering phase compared to the raising phase for all groups (p < 0.05). Spinal kinematics were similar across all groups (p > 0.05). Significance: Specific patterns of clavicular and scapular kinematics were identified during arm movement relevant to the type of observed scapular dyskinesis in patients with neck pain. Such findings stand to inform more precise and relevant motor training in rehabilitation and improve understanding of the association between altered scapular kinematics and neck pain.
Clavicle, Dyskinesis, Kinematics, Neck pain, Scapula
48-55
Wannaprom, Nipaporn
0a44564c-860d-4123-9949-fd60232eae13
Jull, Gwendolen
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Treleaven, Julia
359c6578-1cee-4508-a5f9-5a70e2123174
Warner, Martin B.
f4dce73d-fb87-4f71-a3f0-078123aa040c
Kamnardsiri, Teerawat
f380ea91-5a8a-4e8b-898d-d3ec0fa6d252
Uthaikhup, Sureeporn
3dd07cf5-0dda-4f36-91e8-f78d74d159d7
September 2022
Wannaprom, Nipaporn
0a44564c-860d-4123-9949-fd60232eae13
Jull, Gwendolen
abf0adf0-6373-4d71-8fbc-a4dcc18a2aec
Treleaven, Julia
359c6578-1cee-4508-a5f9-5a70e2123174
Warner, Martin B.
f4dce73d-fb87-4f71-a3f0-078123aa040c
Kamnardsiri, Teerawat
f380ea91-5a8a-4e8b-898d-d3ec0fa6d252
Uthaikhup, Sureeporn
3dd07cf5-0dda-4f36-91e8-f78d74d159d7
Wannaprom, Nipaporn, Jull, Gwendolen, Treleaven, Julia, Warner, Martin B., Kamnardsiri, Teerawat and Uthaikhup, Sureeporn
(2022)
Clavicular and scapular, but not spinal kinematics vary with scapular dyskinesis type during arm elevation and lowering in persons with neck pain.
Gait & Posture, 97, .
(doi:10.1016/j.gaitpost.2022.07.236).
Abstract
Background: Scapular dyskinesis is often observed in patients with neck pain. However, it is unknown whether clavicular, scapular and spinal kinematics vary with different types of scapular dyskinesis during arm movement. Research question: Are there differences in clavicular, scapular and spinal kinematics during unilateral arm elevation and lowering among neck pain patients presenting with (i) scapular winging, (ii) with dysrhythmia, (iii) with no scapular abnormality and (iv) healthy controls? Methods: Sixty participants with neck pain (20 in each group) and 20 asymptomatic controls were recruited. The 3D kinematic data were measured during unilateral arm elevation and lowering at 30°, 60°, 90°, and 120° in the scapular plane. A three-way mixed-effects ANOVA was used to determine the main effects (group, phase and angle) and the interactions between three independent variables on the kinematic data. Results: The neck pain group with scapular winging had decreased clavicular retraction and increased scapular internal rotation and anterior tilt compared to the other neck pain and control groups at all angles during both phases of arm movement (p < 0.01). The neck pain group with scapular dysrhythmia had decreased scapular upward rotation compared to all other groups (p < 0.01). Some alterations in the kinematics existed during the lowering phase compared to the raising phase for all groups (p < 0.05). Spinal kinematics were similar across all groups (p > 0.05). Significance: Specific patterns of clavicular and scapular kinematics were identified during arm movement relevant to the type of observed scapular dyskinesis in patients with neck pain. Such findings stand to inform more precise and relevant motor training in rehabilitation and improve understanding of the association between altered scapular kinematics and neck pain.
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Clavicular and scapular, but not spinal kinematics vary with scapular dyskinesis type during arm elevation and lowering in persons with neck pain
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Accepted/In Press date: 18 July 2022
e-pub ahead of print date: 19 July 2022
Published date: September 2022
Additional Information:
Funding Information:
This work was supported by the Thailand Research Fund and National Research Council of Thailand through the Royal Golden Jubilee Ph.D. Program (Grant No. PHD/0153/2560 ). The funder was not involved in study design, data collection, data analysis, data interpretation or the preparation of or editing of the manuscript and the decision to submit the article for publication.
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© 2022 Elsevier B.V.
Keywords:
Clavicle, Dyskinesis, Kinematics, Neck pain, Scapula
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Local EPrints ID: 468896
URI: http://eprints.soton.ac.uk/id/eprint/468896
ISSN: 0966-6362
PURE UUID: bc3b5cf8-89ed-405d-9217-2938c8af37bc
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Date deposited: 31 Aug 2022 16:54
Last modified: 17 Mar 2024 07:26
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Author:
Nipaporn Wannaprom
Author:
Gwendolen Jull
Author:
Julia Treleaven
Author:
Teerawat Kamnardsiri
Author:
Sureeporn Uthaikhup
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