Cervicocephalic force steadiness and force sense in people with and without neck pain

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-02-09 DOI:10.1016/j.msksp.2025.103284

Daniel J. English , Nivan Weerakkody , Anita Zacharias , Rodney A. Green , Tegan French , Cassandra Hocking , Marcos de Noronha , Rodrigo Rico Bini

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引用次数: 0

Abstract

Background

Proprioceptive and motor control impairments have been identified in people with neck pain, but there is limited data regarding deficits and reliability of cervical force steadiness and force sense.

Objectives

To evaluate between-group differences and test-retest reliability of cervical force steadiness and force sense in people with and without neck pain.

Design

Cross-sectional comparative study.

Method

Fourteen people with chronic neck pain (CNP) and 15 healthy participants of comparable age range completed a force-matching protocol of randomised isometric contractions for cervical flexion, extension, rotation (left and right), and lateral flexion (left and right) at intensities of 10% and 25% of their maximal voluntary contraction (MVC). Twenty-four participants completed a second session 4–7 days later to evaluate reliability. Force was converted to coefficient of variation (COV) to measure force steadiness, and absolute error (AE), constant error (CE), and variable error (VE) for force sense.

Results

CNP participants demonstrated worse total VE at 10% MVC (mean difference 36.96%, p < .001). Reliability of force sense varied between poor to good, with best reliability shown for CE (ICC estimates 0.21–0.88). Force steadiness was significantly worse in the CNP population for 10% MVC (mean difference 42.26%, p < .001) and 25% MVC (mean difference 23.97%, p < .001), and reliability was moderate-good for all contractions (ICC estimates 0.53–0.87) except two.

Conclusions

People with CNP demonstrated impairments in force steadiness and force sense, particularly at 10% MVC intensity contractions. Reliability was varied for force sense and most contractions demonstrated moderate-good reliability for force steadiness.

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.