Evidence map›Paper›PMID 38664811›Full record

Observational studyBMC musculoskeletal disorders2024

An observational study of quality of motion in the aging cervical spine: sequence of segmental contributions in dynamic fluoroscopy recordings.

Valérie N E Schuermans, Anouk Y J M Smeets, Alexander Breen, Jonathan Branney, Inez Curfs, Henk van Santbrink, Toon F M Boselie

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04222777 (Analysis of Cervical Motion During Flexion and Extension Cinematographic Recordings in Asymptomatic Elderly), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04222777 nacompletednot on this map

Analysis of Cervical Motion During Flexion and Extension Cinematographic Recordings in Asymptomatic Elderly

TypeinterventionalSponsorZuyderland Medisch CentrumRan2019 to 2020Enrolled10ConditionsCervical Spine Degeneration, Movement, Abnormal, AgingArmsCinematographic Recording
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. From static X-rays to dynamic 3D tracking: A scoping review of cervical spine Imaging-Based motion assessment.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Valérie N E SchuermansDepartment of Neurosurgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands. valerie.schuermans@mumc.nl.
Anouk Y J M SmeetsDepartment of Neurosurgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
Alexander BreenCollege of Engineering, Mathematics and Physical Sciences, University of Exeter, Exeter, UK.
Jonathan BranneyFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
Inez CurfsDeptartment of Orthopaedic Surgery and Traumatology, Zuyderland Medical Center, Heerlen, the Netherlands.
Henk van SantbrinkDepartment of Neurosurgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
Toon F M BoselieDepartment of Neurosurgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe term 'physiological motion of the spine' is commonly used although no proper definition exists. Previous work has revealed a consistent sequence of cervical segmental contributions in 80-90% of young healthy individuals. Age has been shown to be associated with a decreased quantity of motion. Therefore, it is of interest to study whether this sequence persists throughout aging. The aim of this prospective cohort study is to investigate if the consistent sequence of cervical segmental contributions in young asymptomatic individuals remains present in elderly asymptomatic individuals.

methodsIn this prospective cohort study, dynamic flexion to extension cinematographic recordings of the cervical spine were made in asymptomatic individuals aged 55-70 years old. Individuals without neck pain and without severe degenerative changes were included. Two recordings were made in each individual with a 2-to-4-week interval (T1 and T2). Segmental rotation of each individual segment between C4 and C7 was calculated to determine the sequence of segmental contributions. Secondary outcomes were segmental range of motion (sRoM) and sagittal alignment.

resultsTen individuals, with an average age of 61 years, were included. The predefined consistent sequence of segmental contributions was found in 10% of the individuals at T1 and 0% at T2. sRoM and total range of motion (tRoM) were low in all participants. There was no statistically significant correlation between sagittal alignment, degeneration and sRoM in the respective segments, nor between cervical lordosis and tRoM.

conclusionsThis study shows that aging is associated with loss of the consistent motion pattern that was observed in young asymptomatic individuals. The altered contribution of the cervical segments during extension did not appear to be correlated to the degree of degeneration or sagittal alignment. Trial registration clinicaltrials.gov NCT04222777, registered 10.01.2020.

Indexed as

AgingCervical VertebraeRange of Motion, ArticularAgedCohort StudiesFemaleFluoroscopyHumansMaleMiddle AgedProspective StudiesAgingCervical spinePhysiological motionRange of motionSequence of segmental Contributions

Identifiers

PMID38664811
PMCPMC11044387

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.