Evaluation of Cervical Endurance by Craniocervical Flexion Test in Patients with Subacromial Impingement Syndrome: A Preliminary Study

Abstract

Aim: The aim of the study is to evaluate deep cervical flexor endurance in patients with subacromial impingement syndrome (SIS) and compare it with norm values proven in the literature in asymptomatic individuals. Materials and Methods: The patients’ age, weight, height, duration of complaints and dominant side information were recorded. 35 patients (25 female, 10 male) diagnosed with SIS by physicians participated in the study. Pain intensity was evaluated by numerical rating scale at rest, during elevation and at night. Craniocervical flexion test (CFT) is used for evaluating cervical endurance. “Stabilizer Pressure Biofeedback” device is used for this test. Two types of points are obtained as a result of this test. One is the CFT activation score, which expresses the activation level of the deep cervical muscles, and the other is the CFT performance index, which expresses the endurance of the deep cervical muscles. Results: Both the activation score (3.9±1.9) and the performance index (31.4±14.2) of CFT were significantly different in patients with SIS when compared with those of asymptomatic individuals. Conclusion: Cervical endurance is reduced in patients with SIS. Treatments including cervical stabilization should be planned in these patients.

Keywords

• Cervical Endurance
• Craniocervical Flexion Test
• Subacromial Impingement Syndrome
• Subacromial Pain
• Cervical Stabilization

Subakromiyal Sıkışma Sendromlu Hastalarda Servikal Dayanıklılığın Kranioservikal Fleksiyon Testi ile Değerlendirilmesi: Ön Çalışma

Öz

Amaç: Çalışmanın amacı, subakromiyal sıkışma sendromu (SSS) olan hastalarda derin servikal fleksör dayanıklılığı değerlendirmek ve literatürde asemptomatik bireylerde kanıtlanmış norm değerlerle karşılaştırmaktır. Materyal ve Metot: Hastaların yaşı, kilosu, boyu, şikayet süresi ve dominant taraf bilgileri kaydedildi. Çalışmaya hekimler tarafından SSS tanısı konulan 35 hasta (25 kadın, 10 erkek) katıldı. İstirahatte, gece ve elevasyon sırasındaki ağrı yoğunluğu sayısal derecelendirme ölçeği ile değerlendirildi. Servikal dayanıklılığı değerlendirmek için kranioservikal fleksiyon testi (KFT) kullanılır. Bu test için “Stabilizer Basınç Biofeedback” cihazı kullanılmaktadır. Bu test sonucunda iki tür puan elde edilir. Biri derin servikal kasların aktivasyon seviyesini ifade eden KFT aktivasyon skoru, diğeri ise derin servikal kasların dayanıklılığını ifade eden KFT performans indeksidir. Bulgular: SSS’li hastalarda KFT’nin hem aktivasyon skoru (3,9±1,9) hem de performans indeksi (31,4±14,2) asemptomatik bireylerinki ile karşılaştırıldığında anlamlı olarak farklıydı. Sonuç: SSS’li hastalarda servikal endurans azalır. Bu hastalarda servikal stabilizasyonu içeren tedaviler planlanmalıdır. araştırılmalı, FM’nin kardiyovasküler riske katkısını azaltmak için farmakolojik ve nonfarmakolojik tedavi yöntemleri uygulanmalıdır.

Anahtar Kelimeler

• Servikal endurans
• kranioservikal fleksiyon testi
• subakromiyal sıkışma sendromu
• subakromiyal ağrı
• servikal stabilizasyon

Kaynakça

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