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        • 2014-09, Wheelchair Users' Joy Ride 輪椅使用者之興奮
        • 2014-10, MTR Onsite Test 通過地鐵公司的嚴格測試
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        • 2015-02, 頭條日報
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        • 2015-04, Geneva Inventions Gold Awards 瑞士日內瓦發明金獎
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        • 2015-05, Celebrity congratulates 名人祝賀
        • 2015-06, Celebrity congratulates 名人祝賀
        • 2015-10, 威爾斯醫院
        • 2015-10, at Nursing Home 在安老院當義工
        • 2015-10, Celebrity congratulates 名人祝賀
        • 2015-11, TVB, 貿發局廣告
        • 2015-11, Fedex Grant contest FedEx中小企拓展業務大賽勝出得到大獎
        • 2015-12, Elderly Joy Ride 長者之興奮
        • 2015-12, HK Chamber of Commerce Award ​香港工商業科技獎
      • 2016
        • 2016-02, TVB, 敢創, 香港
        • 2016-03, TVB, 學是學非
        • 2016-04, Mediazone Award 媒體大獎
        • 2016-05, 人大委員長張德江到科學園
        • 2016-08, B-Free Ranger Pilot Run 必飛越野號試航
        • 2016-09, SCMP 香港精神奬
        • 2016-10, Cybathlon, Switzerland 瑞士殘疾人士科技競賽
      • 2017
        • 2017-03, B-Free in Birmingham 必飛被邀請到英國伯明翰參展
        • 2017-05, B-Free in New York 必飛被邀請到美國紐約參展
        • 2017-07, B-Free in Shanghai 必飛被邀請到中國上海參展
        • 2017-07, B-Free in Toyko 必飛被邀請到日本東京參展
        • 2017-10, B-Free in Vienna 必飛被邀請到奧地利維也納參展
        • 2017-12, 諾貝爾學人卓越科技獎
      • 2018
  • Health Info 健康資訊
    • Headaches
      • Cervical headaches
      • Headaches & Manipulative
    • Neck
      • Neck pain by Gwen Jull, Part I
      • Neck pain by Gwen Jull, Part II
      • Neck pain by Gwen Jull, Part III
      • Neck pain position statement
      • Neck Pain
      • Neck, Dizziness and Vertigo
    • Back
      • Thoracic extension (upper back backward bending) and chest expansion
    • Low back
      • Acute, treat early for best results
      • Education for low back pain
      • Management of acute to prevent chronic LBP
      • Non-specific low back pain
      • Sciatica, 1
      • Sciatica, 2
      • Mobility to maintain lumbar lordosis
    • Hip
      • Common hip joint exercises
      • Other hip joint exercises
    • Case study series
      • Limp & Wasting From Lumbar, 76 yr
      • Sciatica
    • Crisis Plan Series
      • Acute shoulder pain
      • Acute thoracic pain
      • Ankle sprain
      • Carpal tunnel syndrome
      • FHP, Neck pain
      • Hip strain
      • lumbar lordosis
      • PF Joint
      • Plantar fasciitis
      • Subacute shoulder pain
      • Tennis elbow
    • Exercise
      • Calf stretches for cramp, swollen-aching leg
      • Exercises for OA
      • Fitness exercise advice, postural to sporting
      • Karate training
      • Marathon Prerequiite
      • Postural Exercises, Flexion Exercises Cause Injury
      • Scoliosis Screening, Exercise Program
      • Stretches for RSI, tendinitis
      • Stretch to prevent injury
      • Stretching exercises, the challenge
      • Swimming, To swim or not to swim?
      • Therapeutic Exercises, Importance of Different Type
      • To exercise or not to exercise?
      • To stretch or not to stretch?
      • Wii as an Exerise Device
      • Wii, Exer-gaming, More Evidence
      • Work athlete, marathon workers
      • XBOX 360 Kinect
    • General Advice
      • Back pain, more than a clinical symptom
      • Common sayings or Heuristics for patients
      • Cost effectiveness of physiotherapy
    • Posutre
      • Core awareness belt
      • Core stabilization for sports & ADL
      • Core stabilization, motor control
      • Dental saddle stool
      • Dr Mandal, balanced sitting posture on forward sloping seat #1
      • Dr Mandal, balanced sitting posture on forward sloping seat #2
      • Evolution figures for postural advice
      • Kyphosis, more common, need of early detection
      • Need of postural training for patients with neck pain
      • Olympic athletes, lifting with lordosis & bracing
      • Postural muscle training I
      • Postural muscle training II
      • Treadmill desk
  • About Us 關於我們
    • Found's Profile
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  • Announcement 通告
    • 2018-05-31
  • Subsidiaries 子公司
    • Smart-Office
    • Beauty & Health
  • Home 主頁
  • B-Free Products 必飛產品
    • B-Free Ranger (Wired model) 必飛越野號 (原創有線版)
    • B-Free Ranger (Remote control model) 必飛越野號(創新遙控版)
    • B-Free Flash (Wired model) 必飛閃電號 (原創有線版)
    • B-Free Flash (Remote control model) 必飛閃電號(創新遙控版)
    • B-Free Double Flash (latest model) 必飛閃電號升級版 (創新遙控版)
    • FAQ about Stair-Climbing Wheelchairs, 常見問題
    • Our Growing Path 我們成長之路
      • 2014
        • 2014-09, Wheelchair Users' Joy Ride 輪椅使用者之興奮
        • 2014-10, MTR Onsite Test 通過地鐵公司的嚴格測試
        • 2014-12, Wheelchair Users' Joy Ride 輪椅使用者之興奮
      • 2015
        • 2015-02, 頭條日報
        • 2015-04, 東張西望
        • 2015-04, Geneva Inventions Gold Awards 瑞士日內瓦發明金獎
        • 2015-04, Celebrity congratulates 名人祝賀
        • 2015-05, Celebrity congratulates 名人祝賀
        • 2015-06, Celebrity congratulates 名人祝賀
        • 2015-10, 威爾斯醫院
        • 2015-10, at Nursing Home 在安老院當義工
        • 2015-10, Celebrity congratulates 名人祝賀
        • 2015-11, TVB, 貿發局廣告
        • 2015-11, Fedex Grant contest FedEx中小企拓展業務大賽勝出得到大獎
        • 2015-12, Elderly Joy Ride 長者之興奮
        • 2015-12, HK Chamber of Commerce Award ​香港工商業科技獎
      • 2016
        • 2016-02, TVB, 敢創, 香港
        • 2016-03, TVB, 學是學非
        • 2016-04, Mediazone Award 媒體大獎
        • 2016-05, 人大委員長張德江到科學園
        • 2016-08, B-Free Ranger Pilot Run 必飛越野號試航
        • 2016-09, SCMP 香港精神奬
        • 2016-10, Cybathlon, Switzerland 瑞士殘疾人士科技競賽
      • 2017
        • 2017-03, B-Free in Birmingham 必飛被邀請到英國伯明翰參展
        • 2017-05, B-Free in New York 必飛被邀請到美國紐約參展
        • 2017-07, B-Free in Shanghai 必飛被邀請到中國上海參展
        • 2017-07, B-Free in Toyko 必飛被邀請到日本東京參展
        • 2017-10, B-Free in Vienna 必飛被邀請到奧地利維也納參展
        • 2017-12, 諾貝爾學人卓越科技獎
      • 2018
  • Health Info 健康資訊
    • Headaches
      • Cervical headaches
      • Headaches & Manipulative
    • Neck
      • Neck pain by Gwen Jull, Part I
      • Neck pain by Gwen Jull, Part II
      • Neck pain by Gwen Jull, Part III
      • Neck pain position statement
      • Neck Pain
      • Neck, Dizziness and Vertigo
    • Back
      • Thoracic extension (upper back backward bending) and chest expansion
    • Low back
      • Acute, treat early for best results
      • Education for low back pain
      • Management of acute to prevent chronic LBP
      • Non-specific low back pain
      • Sciatica, 1
      • Sciatica, 2
      • Mobility to maintain lumbar lordosis
    • Hip
      • Common hip joint exercises
      • Other hip joint exercises
    • Case study series
      • Limp & Wasting From Lumbar, 76 yr
      • Sciatica
    • Crisis Plan Series
      • Acute shoulder pain
      • Acute thoracic pain
      • Ankle sprain
      • Carpal tunnel syndrome
      • FHP, Neck pain
      • Hip strain
      • lumbar lordosis
      • PF Joint
      • Plantar fasciitis
      • Subacute shoulder pain
      • Tennis elbow
    • Exercise
      • Calf stretches for cramp, swollen-aching leg
      • Exercises for OA
      • Fitness exercise advice, postural to sporting
      • Karate training
      • Marathon Prerequiite
      • Postural Exercises, Flexion Exercises Cause Injury
      • Scoliosis Screening, Exercise Program
      • Stretches for RSI, tendinitis
      • Stretch to prevent injury
      • Stretching exercises, the challenge
      • Swimming, To swim or not to swim?
      • Therapeutic Exercises, Importance of Different Type
      • To exercise or not to exercise?
      • To stretch or not to stretch?
      • Wii as an Exerise Device
      • Wii, Exer-gaming, More Evidence
      • Work athlete, marathon workers
      • XBOX 360 Kinect
    • General Advice
      • Back pain, more than a clinical symptom
      • Common sayings or Heuristics for patients
      • Cost effectiveness of physiotherapy
    • Posutre
      • Core awareness belt
      • Core stabilization for sports & ADL
      • Core stabilization, motor control
      • Dental saddle stool
      • Dr Mandal, balanced sitting posture on forward sloping seat #1
      • Dr Mandal, balanced sitting posture on forward sloping seat #2
      • Evolution figures for postural advice
      • Kyphosis, more common, need of early detection
      • Need of postural training for patients with neck pain
      • Olympic athletes, lifting with lordosis & bracing
      • Postural muscle training I
      • Postural muscle training II
      • Treadmill desk
  • About Us 關於我們
    • Found's Profile
  • Contact Us 聯絡我們
  • Announcement 通告
    • 2018-05-31
  • Subsidiaries 子公司
    • Smart-Office
    • Beauty & Health
Tel: 2899 2893

Neck pain by Gwen Jull, Part II

Assessment of movement and manual examination of the cervical (neck) spine are fairly routine assessment conducted by physiotherapists. Range of cervical spine movement is a generic measure of neck impairment and lacks specificity to an explicit disorder or stage of a disorder. However, from a diagnostic sense, it has value as a measure to characterize patients with neck disorders. For example, range of movement can discriminate patients with chronic (long-standing) whiplash-associated disorders from control subjects with high sensitivity and specificity (Dall'Alba P, Sterling M, Treleaven J, et al. Cervical range of motion discriminated between asymptomatic and whiplash subjects. Spine 2001; 26:2090-4). Likewise, a reduced range of movement distinguishes cervicogenic (neck origin) headache sufferers from those with migraine and tension-type headache (Zwart JA. Neck mobility in differerent headache discorders. Headache 1997; 37:6-11) . Manual examination of the cervical segments is also a non-specific test from a pathological point of view. This method tests the responsiveness of a cervical segment to manually induced motion in qualitative terms of the nature of tissue resistance and pain provocation. This method of examination has not fared well from the perspective of inter-therapist reliability to grade hypo-or hypermobility. Nevertheless, when manual examination has been tested to answer a more general question, namely, is painful cervical segmental dysfunction present in a particular subject or subject group, its value is proven from a diagnostic perspective. Discreet provocation of pain over a cervical zygapophysial joint identifies neck pain subjects from asymptomatic control subjects and, in the case of headache, manual examination has very acceptable sensitivity and specificity to detect those with non-cervicogenic headaches (Marcus Da, Scharff L, Mercer S, et al. Musculoskeletal abnormalities in chronic headache: a controlled comparison of headache diagnostic groups. Headache 1999: 39:21-7). Thus, the assessment of regional movement and the assessment of the presence of painful cervical segmental dysfunction are proving their value in detecting impairment in the cervical region.
From a clinical management perspective, a reduced range of movement would direct inclusion of mobilizing exercises in a management program, and physiotherapists have several approaches to address symptomatic segmental joint dysfunction, including manual therapy and specific exercises, the efficacy of which has been proven in the management of neck pain. Likewise, possible mechanisms of the effect of manual therapy are beginning to be better understood. However, it must be noted that the evidence suggests that manual therapy alone is insufficient for the management of neck disorders. This should not be unexpected as the evidence suggests that relief of pain does not automatically guarantee a return of muscle function.
To be continued…




Luck LI
Musculoskeletal Physiotherapist

Location

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  • Home 主頁
  • B-Free Products 必飛產品
    • B-Free Ranger (Wired model) 必飛越野號 (原創有線版)
    • B-Free Ranger (Remote control model) 必飛越野號(創新遙控版)
    • B-Free Flash (Wired model) 必飛閃電號 (原創有線版)
    • B-Free Flash (Remote control model) 必飛閃電號(創新遙控版)
    • B-Free Double Flash (latest model) 必飛閃電號升級版 (創新遙控版)
    • FAQ about Stair-Climbing Wheelchairs, 常見問題
    • Our Growing Path 我們成長之路
      • 2014
        • 2014-09, Wheelchair Users' Joy Ride 輪椅使用者之興奮
        • 2014-10, MTR Onsite Test 通過地鐵公司的嚴格測試
        • 2014-12, Wheelchair Users' Joy Ride 輪椅使用者之興奮
      • 2015
        • 2015-02, 頭條日報
        • 2015-04, 東張西望
        • 2015-04, Geneva Inventions Gold Awards 瑞士日內瓦發明金獎
        • 2015-04, Celebrity congratulates 名人祝賀
        • 2015-05, Celebrity congratulates 名人祝賀
        • 2015-06, Celebrity congratulates 名人祝賀
        • 2015-10, 威爾斯醫院
        • 2015-10, at Nursing Home 在安老院當義工
        • 2015-10, Celebrity congratulates 名人祝賀
        • 2015-11, TVB, 貿發局廣告
        • 2015-11, Fedex Grant contest FedEx中小企拓展業務大賽勝出得到大獎
        • 2015-12, Elderly Joy Ride 長者之興奮
        • 2015-12, HK Chamber of Commerce Award ​香港工商業科技獎
      • 2016
        • 2016-02, TVB, 敢創, 香港
        • 2016-03, TVB, 學是學非
        • 2016-04, Mediazone Award 媒體大獎
        • 2016-05, 人大委員長張德江到科學園
        • 2016-08, B-Free Ranger Pilot Run 必飛越野號試航
        • 2016-09, SCMP 香港精神奬
        • 2016-10, Cybathlon, Switzerland 瑞士殘疾人士科技競賽
      • 2017
        • 2017-03, B-Free in Birmingham 必飛被邀請到英國伯明翰參展
        • 2017-05, B-Free in New York 必飛被邀請到美國紐約參展
        • 2017-07, B-Free in Shanghai 必飛被邀請到中國上海參展
        • 2017-07, B-Free in Toyko 必飛被邀請到日本東京參展
        • 2017-10, B-Free in Vienna 必飛被邀請到奧地利維也納參展
        • 2017-12, 諾貝爾學人卓越科技獎
      • 2018
  • Health Info 健康資訊
    • Headaches
      • Cervical headaches
      • Headaches & Manipulative
    • Neck
      • Neck pain by Gwen Jull, Part I
      • Neck pain by Gwen Jull, Part II
      • Neck pain by Gwen Jull, Part III
      • Neck pain position statement
      • Neck Pain
      • Neck, Dizziness and Vertigo
    • Back
      • Thoracic extension (upper back backward bending) and chest expansion
    • Low back
      • Acute, treat early for best results
      • Education for low back pain
      • Management of acute to prevent chronic LBP
      • Non-specific low back pain
      • Sciatica, 1
      • Sciatica, 2
      • Mobility to maintain lumbar lordosis
    • Hip
      • Common hip joint exercises
      • Other hip joint exercises
    • Case study series
      • Limp & Wasting From Lumbar, 76 yr
      • Sciatica
    • Crisis Plan Series
      • Acute shoulder pain
      • Acute thoracic pain
      • Ankle sprain
      • Carpal tunnel syndrome
      • FHP, Neck pain
      • Hip strain
      • lumbar lordosis
      • PF Joint
      • Plantar fasciitis
      • Subacute shoulder pain
      • Tennis elbow
    • Exercise
      • Calf stretches for cramp, swollen-aching leg
      • Exercises for OA
      • Fitness exercise advice, postural to sporting
      • Karate training
      • Marathon Prerequiite
      • Postural Exercises, Flexion Exercises Cause Injury
      • Scoliosis Screening, Exercise Program
      • Stretches for RSI, tendinitis
      • Stretch to prevent injury
      • Stretching exercises, the challenge
      • Swimming, To swim or not to swim?
      • Therapeutic Exercises, Importance of Different Type
      • To exercise or not to exercise?
      • To stretch or not to stretch?
      • Wii as an Exerise Device
      • Wii, Exer-gaming, More Evidence
      • Work athlete, marathon workers
      • XBOX 360 Kinect
    • General Advice
      • Back pain, more than a clinical symptom
      • Common sayings or Heuristics for patients
      • Cost effectiveness of physiotherapy
    • Posutre
      • Core awareness belt
      • Core stabilization for sports & ADL
      • Core stabilization, motor control
      • Dental saddle stool
      • Dr Mandal, balanced sitting posture on forward sloping seat #1
      • Dr Mandal, balanced sitting posture on forward sloping seat #2
      • Evolution figures for postural advice
      • Kyphosis, more common, need of early detection
      • Need of postural training for patients with neck pain
      • Olympic athletes, lifting with lordosis & bracing
      • Postural muscle training I
      • Postural muscle training II
      • Treadmill desk
  • About Us 關於我們
    • Found's Profile
  • Contact Us 聯絡我們
  • Announcement 通告
    • 2018-05-31
  • Subsidiaries 子公司
    • Smart-Office
    • Beauty & Health