De Loose Veerle, Van den Oord Mariek, Burnotte Frédéric, Van Tiggelen Damien, Stevens Veerle, Cagnie Barbara, Danneels Lieven, Witvrouw Erik
Medical Component, Belgian Defense, Military Hospital of Base Queen Astrid, Brussels, Belgium.
Aviat Space Environ Med. 2009 May;80(5):477-81. doi: 10.3357/asem.2408.2009.
Spinal symptoms in fighter pilots are a serious aeromedical problem. The most common neck complaints are muscular pain and strain. The aim of the current study was to determine possible differences in the cervical range of motion (CROM), neck position sense, and neck muscle strength between pilots with and without neck pain.
There were 90 male F-16 pilots who volunteered, of which 17 had experienced bilateral neck pain. A standardized questionnaire was used to collect personal information. The maximum isometric neck flexion/extension and lateral flexion strength, the neck position sense, and the cervical range of motion were measured.
There were no significant differences between healthy pilots and those with neck pain concerning neck muscle strength and neck position sense. The neck pain group had a limited CROM in the sagittal plane (130 degrees; CI: 116 degrees-144 degrees) and in the transversal plane (155 degrees; CI: 140 degrees-170 degrees) compared to the healthy pilots.
In the current study we screened for different motor skills so that deficits could be detected and retraining programs could be implemented when necessary. According to our results, individual retraining programs might reduce neck pain and therefore a well-instructed training program to maintain a proper active CROM should be implemented. Future studies should investigate the effectiveness of this kind of program.
战斗机飞行员的脊柱症状是一个严重的航空医学问题。最常见的颈部不适是肌肉疼痛和劳损。本研究的目的是确定有颈部疼痛和无颈部疼痛的飞行员在颈椎活动范围（CROM）、颈部位置觉和颈部肌肉力量方面是否存在差异。
90名男性F - 16飞行员自愿参与，其中17人曾经历双侧颈部疼痛。使用标准化问卷收集个人信息。测量最大等长颈部屈伸和侧屈力量、颈部位置觉以及颈椎活动范围。
健康飞行员与颈部疼痛飞行员在颈部肌肉力量和颈部位置觉方面无显著差异。与健康飞行员相比，颈部疼痛组在矢状面（130度；置信区间：116度 - 144度）和横断面（155度；置信区间：140度 - 170度）的颈椎活动范围有限。
在本研究中，我们筛查了不同的运动技能，以便在必要时能够检测到缺陷并实施再训练计划。根据我们的结果，个性化的再训练计划可能会减轻颈部疼痛，因此应实施一个指导良好的训练计划以维持适当的主动颈椎活动范围。未来的研究应调查这类计划的有效性。
