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老年受试者颅颈屈曲试验的表现有所改变。

Performance in the cranio-cervical flexion test is altered in elderly subjects.

作者信息

Uthaikhup Sureeporn, Jull Gwendolen

机构信息

Division of Physiotherapy, The University of Queensland, St. Lucia, Queensland 4072, Australia.

出版信息

Man Ther. 2009 Oct;14(5):475-9. doi: 10.1016/j.math.2008.12.003. Epub 2009 Jan 26.

Abstract

The cranio-cervical flexion test (CCFT) tests the coordination of the deep and superficial cervical flexor muscles during a cranio-cervical flexion task. The test has revealed impairments in muscle function in younger/middle aged patients with various neck pain disorders. Neck pain and headache are common in elders but it is unknown if age alone affects performance in the CCFT. This study compared performance in the CCFT between healthy asymptomatic elderly and younger subjects. Electromyographic (EMG) amplitude in the sternocleidomastoid (SCM), angle of cranio-cervical flexion and ability to target the pressure levels of each test stage were examined in 44 elderly and 39 young participants. The results indicated that the elderly group had higher measures of normalized EMG signal amplitude in the SCM during the test (p<0.001), greater shortfalls from the target pressures of all stages of the test (p<0.01), except for the 22 mm Hg stage (p=0.13), and larger variability of the cranio-cervical flexion range of motion for the five successive stages of the test (particularly at 26, 28 and 30 mm Hg stages) compared to young subjects. Clinicians must be aware of this occurrence when assessing performance in the CCFT in elders with neck pain.

摘要

颅颈屈曲试验(CCFT)在颅颈屈曲任务期间测试深层和浅层颈屈肌的协调性。该试验揭示了患有各种颈部疼痛疾病的年轻/中年患者的肌肉功能受损。颈部疼痛和头痛在老年人中很常见,但仅年龄是否会影响CCFT的表现尚不清楚。本研究比较了健康无症状老年人和年轻受试者在CCFT中的表现。对44名老年人和39名年轻参与者的胸锁乳突肌(SCM)肌电图(EMG)幅度、颅颈屈曲角度以及达到每个测试阶段压力水平的能力进行了检查。结果表明,老年组在测试期间SCM中标准化EMG信号幅度的测量值更高(p<0.001),除了22毫米汞柱阶段(p=0.13)外,测试所有阶段与目标压力的差距更大(p<0.01),并且与年轻受试者相比,测试五个连续阶段的颅颈屈曲运动范围的变异性更大(特别是在26、28和30毫米汞柱阶段)。临床医生在评估颈部疼痛老年人的CCFT表现时必须意识到这种情况。

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