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dc.contributor.authorNipaporn Wannapromen_US
dc.contributor.authorGwendolen Jullen_US
dc.contributor.authorJulia Treleavenen_US
dc.contributor.authorMartin B. Warneren_US
dc.contributor.authorTeerawat Kamnardsirien_US
dc.contributor.authorSureeporn Uthaikhupen_US
dc.description.abstractBackground: Scapular dyskinesis is often observed in patients with neck pain. However, it is unknown whether clavicular, scapular and spinal kinematics vary with different types of scapular dyskinesis during arm movement. Research question: Are there differences in clavicular, scapular and spinal kinematics during unilateral arm elevation and lowering among neck pain patients presenting with (i) scapular winging, (ii) with dysrhythmia, (iii) with no scapular abnormality and (iv) healthy controls? Methods: Sixty participants with neck pain (20 in each group) and 20 asymptomatic controls were recruited. The 3D kinematic data were measured during unilateral arm elevation and lowering at 30°, 60°, 90°, and 120° in the scapular plane. A three-way mixed-effects ANOVA was used to determine the main effects (group, phase and angle) and the interactions between three independent variables on the kinematic data. Results: The neck pain group with scapular winging had decreased clavicular retraction and increased scapular internal rotation and anterior tilt compared to the other neck pain and control groups at all angles during both phases of arm movement (p < 0.01). The neck pain group with scapular dysrhythmia had decreased scapular upward rotation compared to all other groups (p < 0.01). Some alterations in the kinematics existed during the lowering phase compared to the raising phase for all groups (p < 0.05). Spinal kinematics were similar across all groups (p > 0.05). Significance: Specific patterns of clavicular and scapular kinematics were identified during arm movement relevant to the type of observed scapular dyskinesis in patients with neck pain. Such findings stand to inform more precise and relevant motor training in rehabilitation and improve understanding of the association between altered scapular kinematics and neck pain.en_US
dc.subjectBiochemistry, Genetics and Molecular Biologyen_US
dc.titleClavicular and scapular, but not spinal kinematics vary with scapular dyskinesis type during arm elevation and lowering in persons with neck painen_US
article.title.sourcetitleGait and Postureen_US
article.volume97en_US University of Queenslanden_US of Southamptonen_US Mai Universityen_US
Appears in Collections:CMUL: Journal Articles

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