Health Sciences (Physiotherapy), University of Newcastle, Newcastle, Australia.
School of Environmental and Life Sciences, University of Newcastle, Ourimbah, Australia.
Physiotherapy. 2019 Dec;105(4):421-433. doi: 10.1016/j.physio.2019.01.007. Epub 2019 Jan 21.
Chronic neck pain is common, impacting a person's ability to complete functional tasks. One method of quantifying functional movement is three dimensional (3D) motion analysis, however, it is unknown whether it may detect alterations in movement kinematics in individuals with neck pain.
To systematically review studies to determine possible differences in cervical and thoracic kinematics during functional movement as measured by 3D motion analysis in individuals with neck pain compared to controls.
Medline, Amed, Scopus, Cochrane, Embase, CINAHL searched on 11/11/2017.
Studies reported 3D kinematics of functional movement (based on real-world situational biomechanics, i.e., multi-planar movements) of the cervical and thoracic spine in individuals with and without neck pain.
Two reviewers assessed study quality; studies were summarised using discussion.
Four thousand four hundred and sixteen title/abstracts were screened, 11 full texts retrieved. Common reasons for exclusion were participants ≤8years of age and studies that did not investigate functional movement. Included studies (n=5) used 3D motion analysis to assess kinematics during functional tasks including typing, gaming and resting posture. Participants with neck pain displayed greater neck flexion postures, reduced head velocity and smoothness of movement.
Variations in measurement methods and participant samples prevented meta-analysis.
Though few studies were identified, altered kinematics were observed in individuals with neck pain, suggesting further research examining cervical spine kinematics is warranted. Recognising kinematic differences is important for clinicians to identify possible movement risk factors in individuals with neck pain that may be targeted with treatment.
CRD42017076053.
慢性颈痛很常见，会影响人们完成日常功能活动的能力。量化功能运动的一种方法是三维（3D）运动分析，但目前尚不清楚它是否可以检测到颈痛患者运动运动学的改变。
系统综述研究，以确定颈痛患者与对照组相比，在 3D 运动分析测量的功能性运动中颈椎和胸椎运动学是否存在差异。
2017 年 11 月 11 日检索 Medline、Amed、Scopus、Cochrane、Embase、CINAHL。
报告了颈痛患者和无颈痛患者颈椎和胸椎 3D 运动学的功能性运动（基于真实情境生物力学，即多平面运动）的研究。
两位审查员评估了研究质量；使用讨论对研究进行了总结。
筛选出 4416 篇标题/摘要，检索到 11 篇全文。排除的常见原因是参与者年龄≤8 岁和未研究功能性运动的研究。纳入的研究（n=5）使用 3D 运动分析评估了打字、游戏和休息姿势等功能性任务中的运动学。颈痛患者的颈椎前屈姿势更大，头部速度降低，运动平稳度降低。
测量方法和参与者样本的差异使得无法进行荟萃分析。
尽管确定的研究很少，但颈痛患者的运动学发生了改变，这表明有必要进一步研究颈椎运动学。认识运动学差异对临床医生识别颈痛患者可能的运动风险因素很重要，这些因素可能是治疗的目标。
系统评价注册号 PROSPERO：CRD42017076053。
