3D measurement of clavicular and scapular orientations: the association with clinical characteristics and responsiveness to scapular repositioning in patients with neck pain
3D measurement of clavicular and scapular orientations: the association with clinical characteristics and responsiveness to scapular repositioning in patients with neck pain
Background: Clavicular and scapular orientations vary between neck pain patients as do clinical features and responses (changes in pain and rotation range) to scapular repositioning. Associations between these factors are unknown. Objectives: To identify subgroups of neck pain patients based on three-dimensional (3D) measures of clavicular and scapular orientations and differences between subgroups in clinical characteristics and responses to scapular repositioning. Design: Cross-sectional study. Methods: Eligible participants were recruited as part of a larger study. The 3D clavicular and scapular orientations were analyzed on the more painful side of the neck using a hierarchical cluster analysis. Clinical characteristics were neck pain location, intensity, duration, disability and presence of headache. Responses to scapular repositioning were classified as “yes and no”. Results: Fifty-eight participants (29 responsive; 29 non-responsive to scapular repositioning) participated in the study. Analysis identified two distinct subgroups: subgroup1 had greater clavicular retraction and scapular downward rotation (n = 26) and subgroup2 had greater clavicular elevation and scapular internal rotation and anterior tilt (n = 32). Headache and dominant pain in the upper neck were more frequent in subgroup 1 while dominant pain in the lower neck was frequent in subgroup 2 (p < 0.01). Most participants who responded positively to scapular repositioning (88.5%) were in subgroup1 and most non-responsive participants (81.2%) in subgroup2. Conclusions: The 3D clavicular and scapular orientations identified two subgroups of neck pain patients. Participants with predominantly downward scapular rotation were distinguished by pain in the upper neck, presence of headache and a positive response to scapular repositioning.
Clavicle, Cluster analysis, Neck pain, Posture, Scapula
Wannaprom, Nipaporn
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Jull, Gwendolen
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Treleaven, Julia
359c6578-1cee-4508-a5f9-5a70e2123174
Warner, Martin
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Kamnardsiri, Teerawat
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Uthaikhup, Sureeporn
3dd07cf5-0dda-4f36-91e8-f78d74d159d7
1 December 2022
Wannaprom, Nipaporn
0a44564c-860d-4123-9949-fd60232eae13
Jull, Gwendolen
abf0adf0-6373-4d71-8fbc-a4dcc18a2aec
Treleaven, Julia
359c6578-1cee-4508-a5f9-5a70e2123174
Warner, Martin
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, Kamnardsiri, Teerawat and Uthaikhup, Sureeporn
(2022)
3D measurement of clavicular and scapular orientations: the association with clinical characteristics and responsiveness to scapular repositioning in patients with neck pain.
Musculoskeletal Science and Practice, 62, [102656].
(doi:10.1016/j.msksp.2022.102656).
Abstract
Background: Clavicular and scapular orientations vary between neck pain patients as do clinical features and responses (changes in pain and rotation range) to scapular repositioning. Associations between these factors are unknown. Objectives: To identify subgroups of neck pain patients based on three-dimensional (3D) measures of clavicular and scapular orientations and differences between subgroups in clinical characteristics and responses to scapular repositioning. Design: Cross-sectional study. Methods: Eligible participants were recruited as part of a larger study. The 3D clavicular and scapular orientations were analyzed on the more painful side of the neck using a hierarchical cluster analysis. Clinical characteristics were neck pain location, intensity, duration, disability and presence of headache. Responses to scapular repositioning were classified as “yes and no”. Results: Fifty-eight participants (29 responsive; 29 non-responsive to scapular repositioning) participated in the study. Analysis identified two distinct subgroups: subgroup1 had greater clavicular retraction and scapular downward rotation (n = 26) and subgroup2 had greater clavicular elevation and scapular internal rotation and anterior tilt (n = 32). Headache and dominant pain in the upper neck were more frequent in subgroup 1 while dominant pain in the lower neck was frequent in subgroup 2 (p < 0.01). Most participants who responded positively to scapular repositioning (88.5%) were in subgroup1 and most non-responsive participants (81.2%) in subgroup2. Conclusions: The 3D clavicular and scapular orientations identified two subgroups of neck pain patients. Participants with predominantly downward scapular rotation were distinguished by pain in the upper neck, presence of headache and a positive response to scapular repositioning.
Text
3D measurement of clavicular and scapular orientations
- Accepted Manuscript
More information
Accepted/In Press date: 10 August 2022
e-pub ahead of print date: 14 August 2022
Published date: 1 December 2022
Keywords:
Clavicle, Cluster analysis, Neck pain, Posture, Scapula
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Local EPrints ID: 469861
URI: http://eprints.soton.ac.uk/id/eprint/469861
ISSN: 2468-7812
PURE UUID: bda8b545-e52f-42f8-a215-a04516ade55b
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Date deposited: 27 Sep 2022 16:39
Last modified: 17 Mar 2024 07:31
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Contributors
Author:
Nipaporn Wannaprom
Author:
Gwendolen Jull
Author:
Julia Treleaven
Author:
Teerawat Kamnardsiri
Author:
Sureeporn Uthaikhup
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