Undershooting of a neutral reference position by asymptomatic subjects after cervical motion in the sagittal plane.

OBJECTIVE: The objective of this study was to determine if blindfolded, asymptomatic subjects undershoot or overshoot a self-selected neutral reference position (NRP) when performing a full-cycle, head repositioning accuracy test in the sagittal plane. METHODS: An asymptomatic group of subjects, con...

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Published in:Journal of Manipulative & Physiological Therapeutics Vol. 31; no. 7; pp. 547 - 553
Main Authors: Hallgren RC, Andary MT
Format: pictorial research tables/charts Journal Article
Published: Elsevier B.V. Sep2008
Online Access:View this record in EBSCOhost
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      dt: Sep2008
      vid: 31
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      pub: Elsevier B.V.
      place: Philadelphia, Pennsylvania
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        10.1016/j.jmpt.2008.08.011
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        atl: Undershooting of a neutral reference position by asymptomatic subjects after cervical motion in the sagittal plane.
      aug:
        au:
          Hallgren RC
          Andary MT
        affil: Department of Physical Medicine and Rehabilitation, College of Osteopathic Medicine, Michigan State University, East Lansing, Michigan 48824, USA. hallgren@msu.edu
      sug:
        subj:
          Cervical Vertebrae Pathology
          Neck Pain Rehabilitation
          Adult
          Descriptive Statistics
          Extension
          Female
          Fisher's Exact Test
          Flexion
          Funding Source
          Male
          Middle Age
          P-Value
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVE: The objective of this study was to determine if blindfolded, asymptomatic subjects undershoot or overshoot a self-selected neutral reference position (NRP) when performing a full-cycle, head repositioning accuracy test in the sagittal plane. METHODS: An asymptomatic group of subjects, consisting of 7 men and 5 women with no history of head and neck pain, were recruited for the study. Subjects, performing a full-cycle series of head/neck movements in the sagittal plane, attempted to return to a self-selected NRP, defined at the beginning of the movement sequence, without benefit of visual clues. Data were collected for each subject, and repositioning errors were calculated. The sign of the error was used to determine if undershooting or overshooting of the NRP had occurred. RESULTS: Subjects undershot a self-selected NRP at statistically significant levels (P < .01) when performing the head repositioning accuracy test while blindfolded. Subjects undershot the NRP 83% of the time when moving from flexion to the NRP and undershot the NRP 92% of the time when moving from extension to the NRP. A Fisher exact test showed no significant difference between the number of times subjects undershot the NRP when moving from either flexion to the NRP or from extension to the NRP. To our knowledge, neither undershooting nor overshooting of an NRP has previously been reported for asymptomatic subjects at statistically significant levels. CONCLUSION: Knowing that asymptomatic subjects undershoot an NRP may help to direct treatment and rehabilitation of patients who have experienced whiplash-type injuries and are shown to overshoot the NRP when performing the same test.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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