A1 Journal article (refereed)
Associations of neck muscle strength and cervical spine mobility with future neck pain and disability : a prospective 16-year study (2021)


Multanen, J., Häkkinen, A., Kautiainen, H., & Ylinen, J. (2021). Associations of neck muscle strength and cervical spine mobility with future neck pain and disability : a prospective 16-year study. BMC Musculoskeletal Disorders, 22, Article 911. https://doi.org/10.1186/s12891-021-04807-3


JYU authors or editors


Publication details

All authors or editors: Multanen, Juhani; Häkkinen, Arja; Kautiainen, Hannu; Ylinen, Jari

Journal or series: BMC Musculoskeletal Disorders

eISSN: 1471-2474

Publication year: 2021

Publication date: 29/10/2021

Volume: 22

Article number: 911

Publisher: Springer Science and Business Media LLC

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1186/s12891-021-04807-3

Publication open access: Openly available

Publication channel open access: Open Access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/78445


Abstract

Background
Neck pain has been associated with weaker neck muscle strength and decreased cervical spine range of motion. However, whether neck muscle strength or cervical spine mobility predict later neck disability has not been demonstrated. In this 16-year prospective study, we investigated whether neck muscle strength and cervical spine mobility are associated with future neck pain and related disability in women pain-free at baseline.

Methods
Maximal isometric neck muscle strength and passive range of motion (PROM) of the cervical spine of 220 women (mean age 40, standard deviation (SD) 12 years) were measured at baseline between 2000 and 2002. We conducted a postal survey 16 years later to determine whether any subjects had experienced neck pain and related disability. Linear regression analysis adjusted for age and body mass index was used to determine to what extent baseline neck strength and PROM values were associated with future neck pain and related disability assessed using the Neck Disability Index (NDI).

Results
The regression analysis Beta coefficient remained below 0.1 for all the neck strength and PROM values, indicating no association between neck pain and related disability. Of the 149 (68%) responders, mean NDI was lowest (3.3, SD 3.8) in participants who had experienced no neck pain (n = 50), second lowest (7.7, SD 7.1) in those who had experienced occasional neck pain (n = 94), and highest (19.6, SD 22.0) in those who had experienced chronic neck pain (n = 5).

Conclusions
This 16-year prospective study found no evidence for an association between either neck muscle strength or mobility and the occurrence in later life of neck pain and disability. Therefore, screening healthy subjects for weaker neck muscle strength or poorer cervical spine mobility cannot be recommended for preventive purposes.


Keywords: nape of the neck; cervical vertebrae; muscles; muscle strength; trajectories; pain; analgesia

Free keywords: neck pain; neck disability; association; muscle strength; range of motion


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Preliminary JUFO rating: 1


Last updated on 2021-01-11 at 14:30