Article

OBJECTIVES: To quantify differences in active cervical range of motion (aCROM)
between patients with neck pain and those without neck pain, in patients with
whiplash-associated disorders (WADs) and nontraumatic neck pain, and in patients
with acute complaints versus those with chronic complaints. DATA SOURCES: Seven
bibliographic databases were searched from inception to April 2015. In addition,
a manual search was performed. STUDY SELECTION:
Full articles on a numerical
comparison of aCROM in patients with neck pain and asymptomatic control persons
of similar ages were included. Two reviewers independently selected studies and
assessed risk of bias. DATA EXTRACTION: Two reviewers extracted the data. Pooled
mean differences of aCROM were calculated using a random-effects model. DATA
SYNTHESIS: The search yielded 6261 hits; 27 articles (2366 participants, 13 low
risk of bias) met the inclusion criteria. The neck pain group showed less aCROM
in all movement directions compared with persons without neck pain. Mean
differences ranged from -7.04 degrees (95% CI, -9.70 degrees to -4.38 degrees )
for right lateral bending (11 studies) to -89.59 degrees (95% CI, -131.67 degrees
to -47.51 degrees ) for total aCROM (4 studies). Patients with WADs had less
aCROM than patients with nontraumatic neck pain. No conclusive differences in
aCROM were found between patients with acute and patients with chronic
complaints. CONCLUSIONS: Patients with neck pain have a significantly decreased
aCROM compared with persons without neck pain, and patients with WADs have less
aCROM than those with nontraumatic neck pain.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS