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Clin Rehabil. 2003 Nov;17(7):768-74.

A study of five cervicocephalic relocation tests in three different subject groups.

Author information

1
Faculty of Medicine, The University of Iceland, Reykjavík, Iceland. eythork@simnet.is

Abstract

OBJECTIVE:

To compare head relocation accuracy in traumatic (whiplash), insidious onset neck pain patients and asymptomatic subjects when targeting a natural head posture (NHP) and complex predetermined positions.

DESIGN:

A case-control study.

SETTING:

University-based musculoskeletal research clinic.

PARTICIPANTS:

Sixty-three volunteers divided into three groups of similar gender and age: Group 1 (n = 21) an asymptomatic group; group 2 (n = 20) insidious onset neck pain; group 3 (n = 22) a history of whiplash injury.

INTERVENTION:

Five randomly ordered tests designed to detect relocation accuracy of the head.

OUTCOME MEASURES:

A 3-Space Fastrak system measured the mean absolute relocation error of three trials of each relocation test.

RESULTS:

A significant difference was found between groups in one of the tests targeting the NHP (p = 0.001). Post-hoc pairwise comparisons revealed a significant difference (p < or = 0.05) between the asymptomatic group and each symptomatic group. The difference between the symptomatic groups just failed to reach significance (p = 0.07). None of the other four tests revealed significant differences.

CONCLUSION:

The test of targeting the NHP indicates that relocation inaccuracy exists in patients with neck pain with a trend to suggest that the deficit may be greater in whiplash patients. Tests employing unfamiliar postures or more complex movement were not successful in differentiating subject groups.

PMID:
14606744
DOI:
10.1191/0269215503cr676oa
[Indexed for MEDLINE]

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