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dc.date.accessioned2013-11-27T09:44:23Z
dc.date.available2013-11-27T09:44:23Z
dc.date.created2013-11-25T15:02:22Z
dc.date.issued2013
dc.identifier.citationVikne, Harald Bakke, Eva Sigrid Liestøl, Knut Engen, Stian Rugsveen Vøllestad, Nina Køpke . Muscle activity and head kinematics in unconstrained movements in subjects with chronic neck pain; cervical motor dysfunction or low exertion motor output?. BMC Musculoskeletal Disorders. 2013, 14(1), 314
dc.identifier.urihttp://hdl.handle.net/10852/37786
dc.description.abstractBackground: Chronic neck pain after whiplash associated disorders (WAD) may lead to reduced displacement and peak velocity of neck movements. Dynamic neck movements in people with chronic WAD are also reported to display altered movement patterns such as increased irregularity, which is suggested to signify impaired motor control. As movement irregularity is strongly related to the velocity and displacement of movement, we wanted to examine whether the increased irregularity in chronic WAD could be accounted for by these factors. Methods: Head movements were completed in four directions in the sagittal plane at three speeds; slow (S), preferred (P) and maximum (M) in 15 men and women with chronic WAD and 15 healthy, sex and age-matched control participants. Head kinematics and measures of movement smoothness and symmetry were calculated from position data. Surface electromyography (EMG) was recorded bilaterally from the sternocleidomastoid and splenius muscles and the root mean square (rms) EMG amplitude for the accelerative and decelerative phases of movement were analyzed. Results: The groups differed significantly with regard to movement velocity, acceleration, displacement, smoothness and rmsEMG amplitude in agonist and antagonist muscles for a series of comparisons across the test conditions (range 17 – 121%, all p-values < 0.05). The group differences in peak movement velocity and acceleration persisted after controlling for movement displacement. Controlling for differences between the groups in displacement and velocity abolished the difference in measures of movement smoothness and rmsEMG amplitude. Conclusions: Simple, unconstrained head movements in participants with chronic WAD are accomplished with reduced velocity and displacement, but with normal muscle activation levels and movement patterns for a given velocity and displacement. We suggest that while reductions in movement velocity and displacement are robust changes and may be of clinical importance in chronic WAD, movement smoothness of unconstrained head movements is not.
dc.languageEN
dc.publisherBioMed Central
dc.rightsAttribution 2.0 Generic
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/
dc.titleMuscle activity and head kinematics in unconstrained movements in subjects with chronic neck pain; cervical motor dysfunction or low exertion motor output?
dc.typeJournal article
dc.creator.authorVikne, Harald
dc.creator.authorBakke, Eva Sigrid
dc.creator.authorLiestøl, Knut
dc.creator.authorEngen, Stian Rugsveen
dc.creator.authorVøllestad, Nina Køpke
cristin.unitcode185,50,0,0
cristin.unitnameDet medisinske fakultet
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.cristin1069090
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMC Musculoskeletal Disorders&rft.volume=14&rft.spage=314&rft.date=2013
dc.identifier.jtitleBMC Musculoskeletal Disorders
dc.identifier.volume14
dc.identifier.doi10.1186/1471-2474-14-314
dc.identifier.urnURN:NBN:no-39804
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn1471-2474
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/37786/2/Muscle_activity_2013.pdf
dc.type.versionPublishedVersion
cristin.articleid314


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