Neck muscle strength across the sagittal and coronal planes: an isometric study.
OBJECTIVE
To determine the maximal isometric strength of neck muscles across different anatomical positions in the body sagittal and coronal planes.


METHODS
A descriptive study involving maximal isometric strength measurements of the cervical musculature in extension, flexion, and left and right lateral bending. Before measurements, the new device was tested for reliability.


BACKGROUND
The literature contains only a few studies on cervical musculature strength assessment. Of these, measurement methods have displayed weak reliability. No studies existed reporting neck strength at various positions in the body coronal plane.


METHODS
A new device incorporating local population anthropometry was developed for neck strength assessment on an isokinetic dynamometer. The device's repeatability attributes at measuring the strength of functionally different groups of neck muscles were first evaluated. The isometric apparatus was next used to determine the maximal strength of the cervical musculature of 17 healthy volunteers at different anatomical positions across the body sagittal and coronal motion planes.


RESULTS
The results showed good intratester repeatability for intraday and day-to-day studies for all measured parameters. Strength values demonstrated that extensor muscles yielded the greatest torque and that flexor muscles provided the least torque. Linear regression analyses showed strong association of isometric strength with anatomical positions in the two body planes.


CONCLUSIONS
Maximal isometric strength of neck muscles in four directions was quantified. Cervical musculature strength levels vary in discernible patterns with head-neck positions and contraction directions.


CONCLUSIONS
Knowledge of normative values of neck muscle strength is essential for designing and implementing appropriate rehabilitation programmes. Results from the present study contribute to such literature.
Human Effectiveness Lab, Defence Medical Research Institute, Defence Science and Technology Agency, 5 Depot Road, Defence Technology Tower B, #20-04 Singapore 109681, Singapore. kyseng@dsta.gov.sg
Kok-Yong
KY
Seng
Vee-Sin
VS
Lee Peter
Pin-Min
PM
Lam
D000328:Adult; D006801:Humans; D007537:Isometric Contraction; D008297:Male; D018482:Muscle, Skeletal / Q000502:physiology*; D009333:Neck / Q000502:physiology*; D015203:Reproducibility of Results