Moustafa Ibrahim, Youssef Ahmed S A, Ahbouch Amal, Harrison Deed
Department of Physiotherapy, University of Sharjah, United Arab Emirates.
Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei, China.
J Athl Train. 2021 Apr 1;56(4):427-436. doi: 10.4085/1062-6050-0481.19.
Sagittal-plane cervical spine alignment has emerged as one of the most important clinical outcomes in health care. Nevertheless, the quantity and quality of research on the role that cervical sagittal alignment plays in improving sensorimotor and autonomic nervous functions are limited.
To investigate the immediate and long-term effects of cervical lordosis restoration and correction of anterior head translation (AHT) on pain, disability, autonomic nervous system function, and cervical sensorimotor control in athletes with chronic nonspecific neck pain.
Randomized controlled clinical trial.
University research laboratory.
A total of 110 patients (59 males, 51 females) with chronic nonspecific neck pain and a defined hypolordotic cervical spine and AHT posture.
INTERVENTION(S): Patients were randomly assigned to the control or intervention group. Both groups received a multimodal program; the intervention group also received Denneroll cervical traction. Treatments were applied 3 times per week for 10 weeks.
MAIN OUTCOME MEASURE(S): Outcome measures were cervical lordosis from C2 to C7, AHT, neck disability index, pain intensity, smooth-pursuit neck-torsion test, overall stability index, left- and right-rotation head repositioning accuracy, and amplitude and latency of skin sympathetic response. The measures were assessed 3 times: at baseline, after 10 weeks of treatment, and at 1-year follow-up.
The general linear model with repeated measures indicated group × time effects in favor of the intervention group for the following management outcomes: cervical lordosis, AHT, neck disability index, pain intensity, smooth-pursuit neck-torsion test, overall stability index, left- and right-rotation head repositioning accuracy, and amplitude and latency of the skin sympathetic response (P values < .001).
Restoration of cervical sagittal alignment in the athletic population had a direct influence on pain, disability, autonomic nervous system dysfunction, and sensorimotor control. Our results should guide treatment planning for athletes and optimize their recovery time.
ClinicalTrials.gov: NCT04306640.
矢状面颈椎排列已成为医疗保健中最重要的临床结果之一。然而，关于颈椎矢状面排列在改善感觉运动和自主神经功能方面所起作用的研究数量和质量有限。
探讨颈椎前凸恢复和纠正头部前伸（AHT）对慢性非特异性颈部疼痛运动员的疼痛、功能障碍、自主神经系统功能和颈椎感觉运动控制的即时和长期影响。
随机对照临床试验。
大学研究实验室。
共有110例慢性非特异性颈部疼痛患者（59例男性，51例女性），颈椎生理前凸减少且存在AHT姿势。
患者被随机分配到对照组或干预组。两组均接受多模式方案；干预组还接受Denneroll颈椎牵引。治疗每周进行3次，共10周。
观察指标包括C2至C7节段的颈椎前凸、AHT、颈部功能障碍指数、疼痛强度、平稳跟踪颈部扭转试验、整体稳定性指数、左右旋转头部重新定位准确性以及皮肤交感反应的幅度和潜伏期。这些指标在3个时间点进行评估：基线时、治疗10周后和1年随访时。
重复测量的一般线性模型表明，在以下治疗结果方面，组×时间效应有利于干预组：颈椎前凸、AHT、颈部功能障碍指数、疼痛强度、平稳跟踪颈部扭转试验、整体稳定性指数、左右旋转头部重新定位准确性以及皮肤交感反应的幅度和潜伏期（P值<0.001）。
运动员人群中颈椎矢状面排列的恢复对疼痛、功能障碍、自主神经系统功能障碍和感觉运动控制有直接影响。我们的结果应指导运动员的治疗计划并优化其恢复时间。
ClinicalTrials.gov：NCT04306640。
