Pilot study protocol: cervical spine joint pain and stiffness - accuracy of physical assessment in nursing

Bruno Garrido Soares; Fátima Raquel Fonseca; Patrícia Fonseca; Paulo Jorge Alves

Pilot study protocol: cervical spine joint pain and stiffness - accuracy of physical assessment in nursing

Bruno Garrido Soares, Fátima Raquel Fonseca, Patrícia Fonseca, Paulo Jorge Alves

Research output: Working paper › Preprint

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Abstract

Background: Cervical spine dysfunction (CSD) is a problem with high personal, social and economic impact worldwide. Although its etiology is described as multifactorial, there is a need for better clarification. Literature has shown the relationship between the cervical condition, the mandibular functioning and the visceral condition. In order to guide and contribute to the accuracy of the physical assessment performed by nurses, we decided to study the influence of the stomatognathic system (SS) and viscerosomatic reflexes (VR) on pain and joint stiffness of the cervical spine. Objective: Describe the pilot study protocol of the influence of SS and RV on cervical structures. Methods: Pilot study, with a quasi-experimental design, carried out in 2019, with 50 volunteer participants from the university population of the Academic Federation of Porto, where the influence of the usual intercuspation change, the occlusal deprogramming and the pressure stimulus of the reflex skin region of the ilium/colon in the cervical spine were analyzed. This study was divided into two moments, where we first performed the kinematic and pain analysis in the passive mobilization of the upper cervical spine, using the Motion Capture System® and the Visual Analog Scale. In the second moment, we evaluated the pain threshold on palpation of the erector neck muscles and the structures of the stomatognathic system, using algometry. The influence of viscerosomatic reflexes on the structures of the stomatognathic system was also analyzed. Results: Selection and preparation of the data collection site, acquisition of materials, constitution of the sample group and data collection were completed. The analysis of the results is being carried out. Conclusions: The data from this study will allow the observation of the possible influence of SS and VR on pain and range of motion of the upper cervical spine, providing data for future randomized studies. Potential limitations have been identified.

Original language	English
Publication status	Published - 13 Jul 2021

Publication series

Name	JMIR Research Protocols
Publisher	JMIR Publications Inc.
ISSN (Print)	1929-0748

Keywords

Nursing process
Nursing assessment
Pain
Referred pain
Range of motion
Neck pain
Stomatognathic system
Viscerosomatic reflexes

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38411948Final published version, 4.54 MBLicence: CC BY

http://hdl.handle.net/10400.14/35366Licence: CC BY

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CIIS: Center for Interdisciplinary Research in Health
Barros, M., Rosa, N., Correia, M. J., Caldas, A. C., Amado, J. C., Figueiredo, A. S., Esteves, A. C., Mineiro, A., Abreu, A. M., Duarte, A. S., Almeida, S. F., Correia, A., Moura, A., Almeida, A., Araújo, B., Moura-Netto, C., Ferrito, C. R. D. A. C., Pais-Vieira, C., Festas, C., Marques-Vieira, C., Catré, D., Nunes, E., Jesus, É., Ribeiro, F., Rosário, F., Fernandes, G., Rato, J. R., Salgado, J. R., Neves-Amado, J., Amendoeira, J., Sá, L., Capelas, M. L., Vieira, M. M., Silva Nunes, M. V., Cardoso, M., Veiga, N. J., Fonseca, P., Correia, P. N., Couto, P., Sousa, P. P., Ravasco, P., Carvalho, P. V. D., Alves, P., Melo, P., Silva, R., Canaipa, R., Noites, R., Rio, R., Almeida, S., Deodato, S., Caldeira, S., Silva, S., Borges, T., Silva, V., Charepe, Z., Rodrigues-Pires, F., Veludo, F., Carmo, H., Romeiro, J., Melo, M., Braga, M., Amaral, T., Moreira, M. A., Guerra, N., Santos, P., Paço, S., Lynce, S., Miguel, S., Costa, T., Silva-Neves, V., Silva, A., Carvalho, A. R., Almeida, B., Figueiredo, C., Esteves, E., Araújo, F. M., Garcia, J. G., Santos, L., Santos, N. M. D., Lopes, P., Bornes, R., Silva, R., Costa, S., Silva, S. M., Marques, T., Almeida, A., Santos, M., Santos, P., Miguel, S., Mendes, A. K. D. S., Gomes, A. T. P. D. C., Henriques, J. M. P., Costa, H. A. F. P. & Ribeiro, P. A. D. O. C.
Fundação para a Ciência e a Tecnologia
1/01/20 → 31/12/23
Project: Research

1 Article

Accuracy of physical assessment in nursing for cervical spine joint pain and stiffness: pilot study protocol
Soares, B. G., Fonseca, F. R., Fonseca, P. & Alves, P. J., 17 Dec 2021, In: JMIR Research Protocols. 10, 12, 15 p., e31878.
Research output: Contribution to journal › Article › peer-review

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Cite this

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title = "Pilot study protocol: cervical spine joint pain and stiffness - accuracy of physical assessment in nursing",

abstract = "Background: Cervical spine dysfunction (CSD) is a problem with high personal, social and economic impact worldwide. Although its etiology is described as multifactorial, there is a need for better clarification. Literature has shown the relationship between the cervical condition, the mandibular functioning and the visceral condition. In order to guide and contribute to the accuracy of the physical assessment performed by nurses, we decided to study the influence of the stomatognathic system (SS) and viscerosomatic reflexes (VR) on pain and joint stiffness of the cervical spine. Objective: Describe the pilot study protocol of the influence of SS and RV on cervical structures. Methods: Pilot study, with a quasi-experimental design, carried out in 2019, with 50 volunteer participants from the university population of the Academic Federation of Porto, where the influence of the usual intercuspation change, the occlusal deprogramming and the pressure stimulus of the reflex skin region of the ilium/colon in the cervical spine were analyzed. This study was divided into two moments, where we first performed the kinematic and pain analysis in the passive mobilization of the upper cervical spine, using the Motion Capture System{\textregistered} and the Visual Analog Scale. In the second moment, we evaluated the pain threshold on palpation of the erector neck muscles and the structures of the stomatognathic system, using algometry. The influence of viscerosomatic reflexes on the structures of the stomatognathic system was also analyzed. Results: Selection and preparation of the data collection site, acquisition of materials, constitution of the sample group and data collection were completed. The analysis of the results is being carried out. Conclusions: The data from this study will allow the observation of the possible influence of SS and VR on pain and range of motion of the upper cervical spine, providing data for future randomized studies. Potential limitations have been identified.",

keywords = "Nursing process, Nursing assessment, Pain, Referred pain, Range of motion, Neck pain, Stomatognathic system, Viscerosomatic reflexes",

author = "Soares, {Bruno Garrido} and Fonseca, {F{\'a}tima Raquel} and Patr{\'i}cia Fonseca and Alves, {Paulo Jorge}",

year = "2021",

month = jul,

day = "13",

language = "English",

series = "JMIR Research Protocols",

publisher = "JMIR Publications Inc.",

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T2 - cervical spine joint pain and stiffness - accuracy of physical assessment in nursing

AU - Soares, Bruno Garrido

AU - Fonseca, Fátima Raquel

AU - Fonseca, Patrícia

AU - Alves, Paulo Jorge

PY - 2021/7/13

Y1 - 2021/7/13

N2 - Background: Cervical spine dysfunction (CSD) is a problem with high personal, social and economic impact worldwide. Although its etiology is described as multifactorial, there is a need for better clarification. Literature has shown the relationship between the cervical condition, the mandibular functioning and the visceral condition. In order to guide and contribute to the accuracy of the physical assessment performed by nurses, we decided to study the influence of the stomatognathic system (SS) and viscerosomatic reflexes (VR) on pain and joint stiffness of the cervical spine. Objective: Describe the pilot study protocol of the influence of SS and RV on cervical structures. Methods: Pilot study, with a quasi-experimental design, carried out in 2019, with 50 volunteer participants from the university population of the Academic Federation of Porto, where the influence of the usual intercuspation change, the occlusal deprogramming and the pressure stimulus of the reflex skin region of the ilium/colon in the cervical spine were analyzed. This study was divided into two moments, where we first performed the kinematic and pain analysis in the passive mobilization of the upper cervical spine, using the Motion Capture System® and the Visual Analog Scale. In the second moment, we evaluated the pain threshold on palpation of the erector neck muscles and the structures of the stomatognathic system, using algometry. The influence of viscerosomatic reflexes on the structures of the stomatognathic system was also analyzed. Results: Selection and preparation of the data collection site, acquisition of materials, constitution of the sample group and data collection were completed. The analysis of the results is being carried out. Conclusions: The data from this study will allow the observation of the possible influence of SS and VR on pain and range of motion of the upper cervical spine, providing data for future randomized studies. Potential limitations have been identified.

AB - Background: Cervical spine dysfunction (CSD) is a problem with high personal, social and economic impact worldwide. Although its etiology is described as multifactorial, there is a need for better clarification. Literature has shown the relationship between the cervical condition, the mandibular functioning and the visceral condition. In order to guide and contribute to the accuracy of the physical assessment performed by nurses, we decided to study the influence of the stomatognathic system (SS) and viscerosomatic reflexes (VR) on pain and joint stiffness of the cervical spine. Objective: Describe the pilot study protocol of the influence of SS and RV on cervical structures. Methods: Pilot study, with a quasi-experimental design, carried out in 2019, with 50 volunteer participants from the university population of the Academic Federation of Porto, where the influence of the usual intercuspation change, the occlusal deprogramming and the pressure stimulus of the reflex skin region of the ilium/colon in the cervical spine were analyzed. This study was divided into two moments, where we first performed the kinematic and pain analysis in the passive mobilization of the upper cervical spine, using the Motion Capture System® and the Visual Analog Scale. In the second moment, we evaluated the pain threshold on palpation of the erector neck muscles and the structures of the stomatognathic system, using algometry. The influence of viscerosomatic reflexes on the structures of the stomatognathic system was also analyzed. Results: Selection and preparation of the data collection site, acquisition of materials, constitution of the sample group and data collection were completed. The analysis of the results is being carried out. Conclusions: The data from this study will allow the observation of the possible influence of SS and VR on pain and range of motion of the upper cervical spine, providing data for future randomized studies. Potential limitations have been identified.

KW - Nursing process

KW - Nursing assessment

KW - Pain

KW - Referred pain

KW - Range of motion

KW - Neck pain

KW - Stomatognathic system

KW - Viscerosomatic reflexes

M3 - Preprint

T3 - JMIR Research Protocols

BT - Pilot study protocol

ER -

Pilot study protocol: cervical spine joint pain and stiffness - accuracy of physical assessment in nursing

Abstract

Publication series

Keywords

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Projects

CIIS: Center for Interdisciplinary Research in Health

Research output

Accuracy of physical assessment in nursing for cervical spine joint pain and stiffness: pilot study protocol

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