Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck Pain

Background: Neck pain (NP) is a frequent condition in women, characterized by exhibiting distinct clinical manifestations such as the presence of deep neck (DN) muscle weakness. Endurance and ultrasonography of the DN muscles, and patient-reported outcome measures, are commonly used outcomes in clin...

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Main Authors: Pilar Pardos-Aguilella, Luis Ceballos-Laita, Sara Cabanillas-Barea, Silvia Pérez-Guillén, Gianluca Ciuffreda, Sandra Jiménez-del-Barrio, Andoni Carrasco-Uribarren
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/18/10106
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author Pilar Pardos-Aguilella
Luis Ceballos-Laita
Sara Cabanillas-Barea
Silvia Pérez-Guillén
Gianluca Ciuffreda
Sandra Jiménez-del-Barrio
Andoni Carrasco-Uribarren
author_facet Pilar Pardos-Aguilella
Luis Ceballos-Laita
Sara Cabanillas-Barea
Silvia Pérez-Guillén
Gianluca Ciuffreda
Sandra Jiménez-del-Barrio
Andoni Carrasco-Uribarren
author_sort Pilar Pardos-Aguilella
collection DOAJ
description Background: Neck pain (NP) is a frequent condition in women, characterized by exhibiting distinct clinical manifestations such as the presence of deep neck (DN) muscle weakness. Endurance and ultrasonography of the DN muscles, and patient-reported outcome measures, are commonly used outcomes in clinical practice. The aim of this study is to assess and correlate the endurance of the DN muscles and their morphological characteristics with pain intensity, neck disability and headache impact. Methods: An observational and correlational study was carried out. Eighty-two women were recruited, and endurance tests of neck flexor and extensor (chin tuck flexion test and neck extensor muscles endurance test), ultrasonography of the DN muscles, pain intensity, disability (neck disability index) and headache impact (HIT-6) were measured. Spearman’s rho was used to evaluate the correlation between the outcome variables, and a simple linear regression analysis was carried out to explain the model in detail. Results: Statistically significant negative correlations between the chin tuck neck flexion test and neck disability index (NDI) (r = −0.38; <i>p</i> < 0.001) and HIT-6 (r = −0.26; <i>p</i> = 0.02) were found. The neck extensor muscles endurance test showed a negative correlation with NDI (r = −0.27; <i>p</i> = 0.01) and HIT-6 (r = −0.26; <i>p</i> = 0.02). The simple linear regression analysis showed an R squared of 26.7% and was statistically significant (NDI: R squared = 0.267; F = 3.13; <i>p</i> = 0.004) for NDI. Conclusion: A negative correlation between deep neck muscle endurance test results and self-reported outcome measures in women with low cervical disability and neck pain were observed. This suggests that lower endurance in the deep neck muscles may be associated with poorer self-reported symptoms and functionality in these patients. The chin tuck neck flexion test and deep extensor muscles endurance test could predict self-perceived neck disability in women with low cervical disability and NP.
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spelling doaj.art-ab45aab2a1354a8eb674e394765d62342023-11-19T09:23:05ZengMDPI AGApplied Sciences2076-34172023-09-0113181010610.3390/app131810106Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck PainPilar Pardos-Aguilella0Luis Ceballos-Laita1Sara Cabanillas-Barea2Silvia Pérez-Guillén3Gianluca Ciuffreda4Sandra Jiménez-del-Barrio5Andoni Carrasco-Uribarren6Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, SpainDepartment of Surgery, Ophthalmology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), 08195 Barcelona, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), 08195 Barcelona, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), 08195 Barcelona, SpainDepartment of Surgery, Ophthalmology and Physiotherapy, Faculty of Health Sciences, University of Valladolid, 42004 Soria, SpainDepartment of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya (UIC), 08195 Barcelona, SpainBackground: Neck pain (NP) is a frequent condition in women, characterized by exhibiting distinct clinical manifestations such as the presence of deep neck (DN) muscle weakness. Endurance and ultrasonography of the DN muscles, and patient-reported outcome measures, are commonly used outcomes in clinical practice. The aim of this study is to assess and correlate the endurance of the DN muscles and their morphological characteristics with pain intensity, neck disability and headache impact. Methods: An observational and correlational study was carried out. Eighty-two women were recruited, and endurance tests of neck flexor and extensor (chin tuck flexion test and neck extensor muscles endurance test), ultrasonography of the DN muscles, pain intensity, disability (neck disability index) and headache impact (HIT-6) were measured. Spearman’s rho was used to evaluate the correlation between the outcome variables, and a simple linear regression analysis was carried out to explain the model in detail. Results: Statistically significant negative correlations between the chin tuck neck flexion test and neck disability index (NDI) (r = −0.38; <i>p</i> < 0.001) and HIT-6 (r = −0.26; <i>p</i> = 0.02) were found. The neck extensor muscles endurance test showed a negative correlation with NDI (r = −0.27; <i>p</i> = 0.01) and HIT-6 (r = −0.26; <i>p</i> = 0.02). The simple linear regression analysis showed an R squared of 26.7% and was statistically significant (NDI: R squared = 0.267; F = 3.13; <i>p</i> = 0.004) for NDI. Conclusion: A negative correlation between deep neck muscle endurance test results and self-reported outcome measures in women with low cervical disability and neck pain were observed. This suggests that lower endurance in the deep neck muscles may be associated with poorer self-reported symptoms and functionality in these patients. The chin tuck neck flexion test and deep extensor muscles endurance test could predict self-perceived neck disability in women with low cervical disability and NP.https://www.mdpi.com/2076-3417/13/18/10106neck paindeep neck musclesmuscle enduranceultrasonography
spellingShingle Pilar Pardos-Aguilella
Luis Ceballos-Laita
Sara Cabanillas-Barea
Silvia Pérez-Guillén
Gianluca Ciuffreda
Sandra Jiménez-del-Barrio
Andoni Carrasco-Uribarren
Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck Pain
Applied Sciences
neck pain
deep neck muscles
muscle endurance
ultrasonography
title Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck Pain
title_full Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck Pain
title_fullStr Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck Pain
title_full_unstemmed Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck Pain
title_short Correlation between Neck Muscle Endurance Tests, Ultrasonography, and Self-Reported Outcomes in Women with Low Cervical Disability and Neck Pain
title_sort correlation between neck muscle endurance tests ultrasonography and self reported outcomes in women with low cervical disability and neck pain
topic neck pain
deep neck muscles
muscle endurance
ultrasonography
url https://www.mdpi.com/2076-3417/13/18/10106
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