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The Relationship between Neck and Shoulder Pain and the Sagittal Alignment of the Spine in Standing in Younger Generation

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DOI: 10.4236/ojo.2015.511045    3,624 Downloads   4,333 Views   Citations

ABSTRACT

Background: The relationship between chronic neck and shoulder pain and posture remains controversial. The purpose of this study was to investigate the relationship between chronic neck and shoulder pain and spinal sagittal alignment in standing posture in younger generation. Methods: Subjects included 57 females and 32 males (average age, 29.9 ± 5.7 years). All subjects were 20s or 30s. Spinal curvature was assessed using SpinalMouse. The subjects were also divided into a normal group (VAS zero group) and a pain group by VAS results. Statistical analysis was performed by Student’s t-test. Significance was defined as p < 0.05. Results: The normal group and pain group included 29 and 60 subjects, respectively. In terms of location of pain, thirty-one subjects felt neck pain, 50 felt pain above the scapula, and 17 felt pain between the thoracic spine and scapula. Thoracic kyphosis and lumbar lordosis in the pain group were significantly higher than those in the normal group (p = 0.013 and p = 0.020, respectively). Thoracic kyphosis in subjects with neck pain or pain above scapula was significantly higher than that in subjects without pain (p = 0.0075 and p = 0.025, respectively). Lumbar lordosis in subjects with pain above the scapula or interscapula was significantly higher than that in subjects without pain (p = 0.016).

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Kenmoku, T. , Suzuki, T. , Ochiai, N. , Ebata, T. , Miyajima, G. , Nagura, N. , Nakawaki, M. , Tazawa, R. , Hiramatsu, S. , Yamazaki, H. , Sasaki, Y. , Yamaguchi, T. , Hashimoto, E. , Onuma, K. , Takahira, N. , Takahashi, K. and Takaso, M. (2015) The Relationship between Neck and Shoulder Pain and the Sagittal Alignment of the Spine in Standing in Younger Generation. Open Journal of Orthopedics, 5, 337-344. doi: 10.4236/ojo.2015.511045.

References

[1] Ministry of Health (2015) Labour and Welfare of Japan.
http://www.mhlw.go.jp/toukei/saikin/hw/k-tyosa/k-tyosa10/3-1.html
[2] Bogduk, N. and Marsland, A. (1988) The Cervical Zygapophysial Joints as a Source of Neck Pain. Spine, 13, 610-617.
http://dx.doi.org/10.1097/00007632-198813060-00003
[3] Cloward, R.B. (1959) Cervical Diskography. A Contribution to the Etiology and Mechanism of Neck, Shoulder, and Arm Pain. Annals of Surgery, 150, 1052-1064.
http://dx.doi.org/10.1097/00000658-195912000-00013
[4] Crosbie, J., Kilbreath, S.L., Hollmann, L. and York, S. (2008) Scapulohumeral Rhythm and Associated Spinal Motion. Clinical Biomechanics, 23, 184-192.
http://dx.doi.org/10.1016/j.clinbiomech.2007.09.012
[5] Ferrari, R. and Schrader, H. (2001) The Late Whiplash Syndrome: A Biopsychosocial Approach. Journal of Neurology, Neurosurgery, and Psychiatry, 70, 722-726.
http://dx.doi.org/10.1136/jnnp.70.6.722
[6] Tanaka, Y., Kokubu, S. and Sato, T. (1998) Cervical Radiculopathy and Its Unsolved Problems. Current Orthopaedics, 12, 1-6.
http://dx.doi.org/10.1016/S0268-0890(98)90001-9
[7] Wenzel, H.G., Mykletun, A. and Nilsen, T.I. (2009) Symptom Profile of Persons Self-Reporting Whiplash: A Norwegian Population-Based Study (HUNT 2). European Spine Journal, 18, 1363-1370.
http://dx.doi.org/10.1007/s00586-009-1106-6
[8] Greenfield, B., Catlin, P.A., Coats, P.W., Green, E., McDonald, J.J. and North, C. (1995) Posture in Patients with Shoulder Overuse Injuried and Healthy Individuals. Journal of Orthopaedic & Sports Physical Therapy, 21, 287-295.
http://dx.doi.org/10.2519/jospt.1995.21.5.287
[9] Haughie, L.J., Fiebert, I.M. and Roach, K.E. (1995) Relationship of Forward Head Posture and Cervical Backward Bending to Neck Pain. Journal of Manual & Manipulative Therapy, 3, 91-97.
http://dx.doi.org/10.1179/jmt.1995.3.3.91
[10] Kebaetse, M., McClure, E. and Pratt, N.E. (1999) Thoracic Position Effect on Shoulder Range of Motion, Strength, and Three-Dimensional Scapular Kinematics. Archives of Physical Medicine and Rehabilitation, 80, 945-950.
http://dx.doi.org/10.1016/S0003-9993(99)90088-6
[11] Kibler, W.B. and McMullen, J. (2003) Scapular Dyskinesis and Its Relation to Shoulder Pain. Journal of the American Academy of Orthopaedic Surgeons, 11, 142-151.
[12] Lewis, J.S., Green, A. and Wright, C. (2005) Subacrominal Impingement Syndrome: The Role of Posture and Muscle Imbalance. Journal of Shoulder and Elbow Surgery, 14, 385-392.
http://dx.doi.org/10.1016/j.jse.2004.08.007
[13] Vialle, R., Levassor, N., Rillardon, L., Templier, A., Skalli, W. and Guigui, P. (2005) Radiographic Analysis of the Sagittal Alignment and Balance of the Spine in Asymptomatic Subjects. The Journal of Bone & Joint Surgery, 87, 260-267.
http://dx.doi.org/10.2106/JBJS.D.02043
[14] Finley, M.A. and Lee, R.Y. (2003) Effect of Sitting Posture on 3-Dimensional Scapular Kinematics Measured by Skin-Mounted Electromagnetic Tracking Sensors. Archives of Physical Medicine and Rehabilitation, 84, 563-568.
http://dx.doi.org/10.1053/apmr.2003.50087
[15] Weon, J.H., Oh, J.S., Cynn, H.S., Kim, Y.W., Kwon, O.Y. and Yi, C.H. (2010) Influence of Forward Head Posture on Scapular Upward Rotators during Isometric Shoulder Flexion. Journal of Bodywork and Movement Therapies, 14, 367-374.
http://dx.doi.org/10.1016/j.jbmt.2009.06.006
[16] Takagishi, K., Hoshino, Y., Ide, J., Sugihara, T., Hata, Y., Sano, H., et al. (2008) Project Research on Katakori. The Journal of the Japanese Orthopaedic Association, 82, 901-911. (In Japanese)
[17] Kellis, E., Adamou, G., Tzilios, G. and Emmanouilidou, M. (2008) Reliability of Spinal Range of Motion in Healthy Boys Using a Skin-Surface Device. Journal of Manipulative and Physiological Therapeutics, 31, 570-576.
http://dx.doi.org/10.1016/j.jmpt.2008.09.001
[18] Mannion, A.F., Knecht, K., Balaban, G., Dvorak, J. and Grob, D. (2004) A New Skin-Surface Device for Measuring the Curvature and Global and Segmental Ranges of Motion of the Spine: Reliability of Measurements and Comparison with Data Reviewed from the Literature. European Spine Journal, 13, 122-136.
http://dx.doi.org/10.1007/s00586-003-0618-8
[19] Post, R.B. and Leferink, V.J. (2004) Spinal Mobility: Sagittal Range of Motion Measured with the SpinalMouse, a New Non-Invasive Device. Archives of Orthopaedic and Trauma Surgery, 124, 187-192.
http://dx.doi.org/10.1007/s00402-004-0641-1
[20] McLean, L. (2005) The Effect of Postural Correction on Muscle Activation Amplitudes Recorded from Cervicobrachial Region. Journal of Electromyography and Kinesiology, 15, 527-535.
http://dx.doi.org/10.1016/j.jelekin.2005.06.003
[21] Tsunoda, D., Iizuka, Y., Iizuka, H., Niahinome, M., Kobayashi, R., Ara, T., Yamamoto, A. and Takagishi, K. (2013) Associations between Neck and Shoulder Pain (Called Katakori in Japanese) and Sagittal Alignment Parameters among the General Population. Journal of Orthopaedic Science, 18, 216-219.
http://dx.doi.org/10.1007/s00776-012-0341-6
[22] Jackson, R.P. and McManus, A.C. (1994) Radiographic Analysis of Sagittal Plane Alignment and Balance in Standing Volunteers and Patients with Low Back Pain Matched for Age, Sex, and Size. A Prospective Controlled Clinical Study. Spine, 19, 1611-1618.
http://dx.doi.org/10.1097/00007632-199407001-00010
[23] Jackson, R.P., Kanemura, T., Kawakami, N. and Hales, C. (2000) Lumbopelviclordosis and Pelvic Balance on Repeated Standing Lateral Radiographs of Adult Volunteers and Untreated Patients with Constant Low Back Pain. Spine, 25, 575-586.
http://dx.doi.org/10.1097/00007632-200003010-00008
[24] Legaye, J., Duval-Beaupere, G., Hecquet, J. and Marty, C. (1998) Pelvic Incidence: A Fundamental Pelvic Parameter for Three-Dimensional Regulation of Spinal Sagittal Curves. European Spine Journal, 7, 99-103.
http://dx.doi.org/10.1007/s005860050038
[25] Sahrmann, S.A. (2002) Diagnosis and Treatment of Movement Impairment Syndrome. Mosby, St. Louis, 30-31.

  
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