CCFT-NOD: The Cranio-cervical Flexion Test Using the NOD Device
Study Details
Study Description
Brief Summary
to measure strength of the deep anterior neck muscles with a new measurement protocol and by using the NOD device, a dynamometer, in subjects with and without bruxism, and compared to EMG on the superficial muscles of the anterior neck and the masseter muscle.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Bruxism subjects with known bruxism, no TMD, primary headache or neck pain |
Other: cranio-cervical flexion test with NOD
testing the anterior neck muscles during a nodding movement and by using a dynamometer
|
| healthy non-bruxism, no primary headache, TMD or neck pain |
Other: cranio-cervical flexion test with NOD
testing the anterior neck muscles during a nodding movement and by using a dynamometer
|
Outcome Measures
Primary Outcome Measures
- activation score = AS [baseline]
stepwise (5 steps) and correct (no substitution by the superficial muscles) activation of the deep neck flexors, that can be hold for 10 seconds: Each step increases by 3.4N. The scale will be offset, starting at 0N. Steps are accordingly: 3.4N, 6.8N, 10.2N, 13.6N, 17N. Higher scores denote better function
- performance index= PI [baseline]
number of correctly performed 10 second holds at each incremental step. number between 1 and 10. Higher scores denote better function.
Secondary Outcome Measures
- Neck-Pain [baseline]
neck pain, headache or discomfort during or immediate after the test protocol, measured by a numeric rating scale from 0 to 10. Higher scores denote more pain or discomfort
Eligibility Criteria
Criteria
Inclusion Criteria:
-
with or without bruxism
-
German fluent
-
informend consent
Exclusion Criteria:
-
primary headache
-
cranio-mandibulary disorders (CMD) in >3 months within the last 12 months
-
current neck pain intensity > 2 out of 10 on Numeric rating scale
-
known:
-
neurological pathologies
-
mental impairments or diseases
-
pregnancy
-
rheumatic disorders
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Zurich University of applied sciences | Winterthur | Switzerland | 8401 |
Sponsors and Collaborators
- Zurich University of Applied Sciences
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Chiu TT, Law EY, Chiu TH. Performance of the craniocervical flexion test in subjects with and without chronic neck pain. J Orthop Sports Phys Ther. 2005 Sep;35(9):567-71. doi: 10.2519/jospt.2005.35.9.567.
- Ernst MJ, Sax N, Meichtry A, Aegerter AM, Luomajoki H, Ludtke K, Gallina A, Falla D; NEXpro collaboration group. Cervical musculoskeletal impairments and pressure pain sensitivity in office workers with headache. Musculoskelet Sci Pract. 2023 Aug;66:102816. doi: 10.1016/j.msksp.2023.102816. Epub 2023 Jun 26.
- James G, Doe T. The craniocervical flexion test: intra-tester reliability in asymptomatic subjects. Physiother Res Int. 2010 Sep;15(3):144-9. doi: 10.1002/pri.456.
- Jull G, Amiri M, Bullock-Saxton J, Darnell R, Lander C. Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: Subjects with single headaches. Cephalalgia. 2007 Jul;27(7):793-802. doi: 10.1111/j.1468-2982.2007.01345.x.
- CCFT-NOD