THE RANGE AND NATURE OF FLEXION EXTENSION MOTION IN THE CERVICAL-SPINE

被引:91
作者
HOLMES, A
WANG, C
HAN, ZH
DANG, GT
机构
[1] Department of Orthopaedics, The Third Teaching Hospital, Beijing Medical University, Beijing
关键词
CERVICAL SPINE; ANGULAR RANGE OF MOTION; PROPORTIONAL RANGE OF MOTION; MYELOPATHY;
D O I
10.1097/00007632-199411001-00003
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective. The full flexion to full extension angular ranges of motion (ROM) from C2 to C7 were measured for 78 normal subjects and 50 cervical myelopathic cases to examine the cervical motions for these two groups in a Chinese population. Methods. Measurements were all taken from standard lateral radiographs. Results. The normal group showed an average total ROM slightly less than in Western subjects, but a similar distribution of motion throughout C2 to C7. The proportion of motion at levels C4:C5 and C5:C6 were functions of the total ROM, the greatest proportion of motion being at C4:C5 for low (<50-degrees) total ROM and moving to C5:C6 for high (>90-degrees) total ROM. The myelopathic group showed a similar but less clearly established pattern of motion to this. A significantly lower average total ROM than in the normal group was also found. Conclusions. This work suggests that the reduction in total angular ROM concomitant with aging results in the emphasis of cervical flexion-extension motion moving from C5:C6 to C4:C5, both in normal cases and those suffering from cervical myelopathy.
引用
收藏
页码:2505 / 2510
页数:6
相关论文
共 12 条
[1]  
Bakke S., Roentgenologische beobachtungen ueber die be- wegungen der halswirbelsaule, Acta Radiol, 13, (1931)
[2]  
Buetti-Bauml C., Funktionelle Roentgendiagnostik der halswirbelsaule, Archiv Atlas, 70, pp. 19-23, (1954)
[3]  
Deseze C., Dijian A., Abdelmoula M., Etude radiologique de la dynamique cervical dans le plain sagittal, Revue Rheu- Matisme, 18, pp. 37-46, (1951)
[4]  
Dvorak J., Froehlich D., Penning L., Baumgartner H., Panjabi M.M., Functional radiographic diagnosis of the cervical spine: Flexion/extension, Spine, 13, pp. 748-755, (1988)
[5]  
Dvorak J., Panjabi M.M., Novotny J.E., Antinnes J.A., In vivo flexion/extension of the normal cervical spine, J Orthop Res, 9, pp. 828-834, (1991)
[6]  
Dvorak J., Antinnes J.A., Panjabi M., Loustalot D., Bonomo M., Age and gender related motion of the cervical spine, Spine, 17, pp. 393-398, (1992)
[7]  
Fielding J.W., Cineroentgenography of the normal cervical spine, J Bone Joint Surg, 39A, pp. 1280-1288, (1957)
[8]  
Friedenberg Z.B., Edeiken J., Spencer H.N., Tolentino S.C., Degenerative changes in the cervical spine, J Bone Joint Surg, 41A, pp. 61-70, (1959)
[9]  
Hayashi H., Okada K., Hamada M., Tada K., Ueno R., Etiologic factors of myelopathy, Clin Orthop Rel Res, 214, pp. 200-209, (1987)
[10]  
Johnson R.M., Hart D.L., Simmons E.F., Ramsby G.R., South- Wick W.O., Cervical orthoses: A study comparing their effectiveness in restricting cervical motion in normal subjects, J Bone Joint Surg, 59A, pp. 332-339, (1979)