Hong Kong Physiotherapy Journal
Volume 22, Issue 1 , Pages 2-6 , 2004

Diagnosis of Cervical Disorders: Exploring a Mechanistic Approach

  • Gwendolen Jull, MPhty, PhD, FACP

      Affiliations

    • Corresponding Author InformationReprint requests and correspondence to: Professor Gwendolen Jull, The Cervical Spine and Whiplash Research Unit, Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane 4072, Queensland, Australia

Received 13 September 2004 ,Accepted 13 September 2004.

References 

  1. Ariens G , Borghouts A , Koes B . Neck pain . In:  Crombie I editors. Epidemiology of Pain . Seattle: IASP Press; 1999;p. 235–255
  2. Cote P , Cassidy JD , Carrol L . The Saskatchewan health and back pain survey: the prevalence of neck pain and related disability in Saskatchewan adults . Spine . 1998;23:1689–1698
  3. Helewa A , Goldsmith CH , Lee P , et al.   The prevalence of neck pain in a university community . Phys Ther . 1994;74:S26
  4. Cote P , Cassidy J , Carroll L . The factors associated with neck pain and its related disability in the Saskatchewan population . Spine . 2000;25:1109–1117
  5. Wright A , Mayer T , Gatchel R . Outcomes of disabling cervical spine disorders in compensation injuries. A prospective comparison to tertiary rehabilitation response for chronic lumbar spinal disorders . Spine . 1999;24:178–183
  6. Gore D , Sepic S , Gardner G , et al.   Neck pain: a long-term follow-up of 205 patients . Spine . 1987;12:1–5
  7. Australian Acute Musculoskeletal Pain Guidelines. Evidence Based Management of Acute Musculoskeletal Pain . Brisbane: Australian Academic Press; 2003;
  8. Dall'Alba P , Sterling M , Treleaven J , et al.   Cervical range of motion discriminates between asymptomatic and whiplash subjects . Spine . 2001;26:2090–2094
  9. Amiri M . In: Cervical Musculoskeletal Impairment in Frequent Intermittent Headache . Brisbane: School of Health and Rehabilitation Sciences, The University of Queensland; 2004;p. 273
  10. Zwart JA . Neck mobility in different headache disorders . Headache . 1997;37:6–11
  11. Gijsberts TJ , Duquet W , Stoekart R , et al.   Pain-provocation tests for C0–4 as a tool in the diagnosis of cervicogenic headache . Cephalalgia . 1999;19:436
  12. Jull G , Bogduk N , Marsland A . The accuracy of manual diagnosis for cervical zygapophysial joint pain syndromes . Med J Aust . 1988;148:233–236
  13. Jull G , Zito G , Trott P , et al.   Inter-examiner reliability to detect painful upper cervical joint dysfunction . Aust J Physiother . 1997;43:125–129
  14. Lord SM , Barnsley L , Wallis BJ , et al.   Third occipital nerve headache: a prevalence study . J Neurol Neurosurg Psychiatry . 1994;57:1187–1190
  15. Marcus DA , Scharff L , Mercer S , et al.   Musculoskeletal abnormalities in chronic headache: a controlled comparison of headache diagnostic groups . Headache . 1999;39:21–27
  16. Sandmark H , Nisell R . Validity of five common manual neck pain provoking tests . Scand J Rehabil Med . 1995;27:131–136
  17. Hoving JL , Koes BW , de Vet HC , et al.   Manual therapy, physical therapy or continued care by a general practitioner for patients with neck pain . Ann Intern Med . 2002;136:713–722
  18. Jull G , Trott P , Potter H , et al.   A randomized controlled trial of exercise and manipulative therapy for cervicogenic headache . Spine . 2002;27:1835–1843
  19. Rosenfeld M , Gunnarsson R , Borenstein P , et al.   Early intervention in whiplash associated disorders: a comparison of two treatment protocols . Spine . 2000;25:1782–1787
  20. Rosenfeld M , Seferiadis A , Carlsson J , et al.   Active intervention in patients with whiplash-associated disorders improves long-term prognosis: a randomized controlled clinical trial . Spine . 2003;28:2491–2498
  21. Sterling M , Jull G , Wright A . Cervical mobilisation: concurrent effects on pain, motor function and sympathetic nervous system activity . Man Ther . 2001;6:72–81
  22. Vicenzino B , Collins D , Wright A . The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia . Pain . 1996;68:69–74
  23. Gross A , Hoving J , Haines T , et al.   A Cochrane review of manipulation and mobilization for mechanical neck disorders . Spine . 2004;29:1541–1548
  24. Sterling M , Jull G , Vicenzino B , et al.   Development of motor system dysfunction following whiplash injury . Pain . 2003;103:65–73
  25. Falla D , Jull G , Edwards S , et al.   Neuromuscular efficiency of the sternocleidomastoid and anterior scalene muscles in patients with chronic neck pain . Dis Rehabil . 2004;26:712–717
  26. Falla D , Rainoldi A , Merletti R , et al.   Myoelectric manifestations of sternocleidomastoid and anterior scalene muscle fatigue in chronic neck pain patients . Clin Neurophysiol . 2003;114:488–495
  27. Gogia PP , Sabbahi MA . Electromyographic analysis of neck muscle fatigue in patients with osteoarthritis of the cervical spine . Spine . 1994;19:502–506
  28. Falla D , Jull G , Hodges PW . Feedforward activity of the cervical flexor muscles during voluntary arm movements is delayed in chronic neck pain . Exp Brain Res . 2004;157:43–48
  29. Falla D , Jull G , Hodges P . Patients with neck pain demonstrate reduced electromyographic activity of the deep cervical flexor muscles during performance of the craniocervical flexion test . Spine . 2004;29:2108–2114
  30. Jull G , Kristjansson E , Dall'Alba P . Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients . Man Ther . 2004;9:89–94
  31. Jull GA . Deep cervical neck flexor dysfunction in whiplash . J Musculoskelet Pain . 2000;8:143–154
  32. Falla D , Bilenkij G , Jull G . Chronic neck pain patients demonstrate altered patterns of muscle activation during performance of a functional upper limb task . Spine . 2004;29:1436–1440
  33. Nederhand MJ , Ijzerman MJ , Hermens HJ , et al.   Cervical muscle dysfunction in chronic whiplash associated disorder grade 11 (WAD-II) . Spine . 2000;25:1938–1943
  34. Jull G , Falla D , Treleaven J , et al.   A therapeutic exercise approach for cervical disorders . In:  Boyling J ,  Jull G editor. Grieves' Modern Manual Therapy . 3rd edition. London: Elsevier; 2004; (in press).
  35. McPartland JM , Brodeur RR , Hallgren RC . Chronic neck pain, standing balance, and suboccipital muscle atrophy - a pilot study . J Manipulative Physiol Ther . 1997;20:24–29
  36. Kristjansson E , Dall'Alba P , Jull G . A study of five cervico-cephalic relocation tests in three subject groups . Clin Rehabil . 2003;17:768–774
  37. Treleaven J , Jull G , Sterling M . Dizziness and unsteadiness following whiplash injury - characteristic features and relationship to cervical joint position error . J Rehabil Med . 2003;35:36–43
  38. Treleaven J , Murison R , Jull G , et al.   Is signal analysis important for measuring standing balance in chronic whiplash? . Gait Posture . 2004; (in press).
  39. Treleaven J , Jull G , LowChoy N . Smooth pursuit neck torsion test in whiplash associated disorders - relationship to self reports of neck pain and disability, dizziness and anxiety . J Rehabil Med . 2004; (in press).
  40. Revel M , Minguet M , Gergoy P , et al.   Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study . Arch Phys Med Rehabil . 1994;75:895–899
  41. Humphreys B , Ingrens P . The effect of a rehabilitation program on head repositioning accuracy and reported levels of pain in chronic neck pain subjects . J Whiplash and Related Disorders . 2002;1:99–112
  42. Heikkila H , Johansson M , Wenngren B . Effect of acupuncture, cervical manipulation and NSAID therapy on dizziness and impaired head repositioning of suspected cervical origin: a pilot study . Man Ther . 2000;5:151–157
  43. Provinciala L , Baroni M , Illuminati L , et al.   Postural and symptomatic improvement after physiotherapy in patients with dizziness of suspected cervical origin . Scand J Rehabil Med . 1996;77:874–882
  44. Jull G , Stanton W . Predictors of responsiveness to physiotherapy management of cervicogenic headache . Cephalalgia . 2004; (in press).
  45. Sterling M , Treleaven J , Edwards S , et al.   Pressure pain thresholds in chronic whiplash associated disorder: further evidence of altered central pain processing . J Musculoskelet Pain . 2002;10:69–81
  46. Scott D , Sterling M , Jull G . A psychophysical investigation of pain processing mechanisms in chronic neck pain . Clin J Pain . 2004; (in press).
  47. Sterling M , Jull G , Vicenzino B , et al.   Sensory hypersensitivity occurs soon after whiplash injury and is associated with poor recovery . Pain . 2003;104:509–517

PII: S1013-7025(09)70043-0

doi: 10.1016/S1013-7025(09)70043-0

Hong Kong Physiotherapy Journal
Volume 22, Issue 1 , Pages 2-6 , 2004