Investigation of the morphology of longus colli among patients with neck pain using ultrasonography – a preliminary study

Authors

  • RI Hussain Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur
  • LJ Henry Senior Lecturer in Musculoskeletal Physiotherapy, Musculoskeletal Laboratory, Program Physiotherapy, School of Rehabilitation Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia
  • A Ramli Physiotherapy Program, School of Rehabilitation Science, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur
  • SN Othman Physiotherapy Program, School of Rehabilitation Science, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur
  • V Mohan Department of Physiotherapy, Faculty of Health Sciences, Universiti Tecknologi MARA, Puncak Alam, Selangor
  • HF Mohamad Occupational Therapy Program, School of Rehabilitation Science, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur

DOI:

https://doi.org/10.3329/bjms.v12i4.13692

Keywords:

longus colli, neck pain, ultrasonography, thickness, muscle

Abstract

Objective: Longus colli provides stability to cervical spine during movements. In clinical practice, the clinicians teach exercises to longus colli to manage neck pain. The aim of this study was to investigate differences in thickness or anterior-posterior dimension (APD), shape ratio and contraction ratio of longus colli between subjects with neck pain and healthy controls.

Materials and methods: A total of 12 subjects (6 with neck pain and 6 healthy controls) were recruited by predefined selection criteria. Ultrasound imaging of bilateral longus colli was conducted at the level C5-C6. Anterior-posterior dimension (APD) and lateral dimension (LD) were measured using Ultrasonography. Shape ratio (LD/APD) and contraction ratio (APD during contraction/APD during rest) were calculated. Mann-Whitney U test was used to compare the thickness of longus colli between healthy and neck pain subjects.

Results and discussion: The results showed that the subjects with neck pain had smaller APD (Mean Rank=4.83, n=6) than healthy subjects (Mean Rank=8.17, n=6), U=16.00, z=-1.601 (corrected for ties), p=0.109, two tailed. Also, shape ratio showed higher values in neck pain subjects (Mean Rank=7.17, n=6) than normal subjects (Mean Rank=5.83, n=6), U=14.00, z=-0.641(corrected for ties) p=0.522, two tailed. In addition, contraction ratio was smaller in neck pain subjects (Mean Rank=4.83, n=6) than those healthy subjects (Mean Rank=8.17, n=6), U=8.00, z=- 1.601(corrected for ties) p=0.109, two tailed.

Conclusion: There is a trend of reduced size of longus colli with the median of APD and smaller contraction ratio among patients with neck pain when compared to healthy controls.

DOI: http://dx.doi.org/10.3329/bjms.v12i4.13692

Bangladesh Journal of Medical Science Vol. 12 No. 04 October 13 Page 419-426

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Published

2013-10-26

How to Cite

Hussain, R., Henry, L., Ramli, A., Othman, S., Mohan, V., & Mohamad, H. (2013). Investigation of the morphology of longus colli among patients with neck pain using ultrasonography – a preliminary study. Bangladesh Journal of Medical Science, 12(4), 419–426. https://doi.org/10.3329/bjms.v12i4.13692

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Original Articles