{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T06:44:34Z","timestamp":1784357074184,"version":"3.55.0"},"reference-count":45,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100007414","name":"Qassim University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007414","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.fr","clinicalkey.com.au","clinbiomech.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Biomechanics"],"published-print":{"date-parts":[[2019,2]]},"DOI":"10.1016\/j.clinbiomech.2019.01.004","type":"journal-article","created":{"date-parts":[[2019,1,23]],"date-time":"2019-01-23T19:11:52Z","timestamp":1548270712000},"page":"50-57","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":30,"special_numbering":"C","title":["Variability of the helical axis during active cervical movements in people with chronic neck pain"],"prefix":"10.1016","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3470-8272","authenticated-orcid":false,"given":"Feras","family":"Alsultan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1632-6684","authenticated-orcid":false,"given":"Corrado","family":"Cescon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro Marco","family":"De Nunzio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8579-0686","authenticated-orcid":false,"given":"Marco","family":"Barbero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola R.","family":"Heneghan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8114-7669","authenticated-orcid":false,"given":"Alison","family":"Rushton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Falla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0005","first-page":"336","article-title":"Mobility, muscular strength and endurance in the cervical spine in Swedish Air Force pilots","volume":"72","author":"Alricsson","year":"2001","journal-title":"Aviat. Space Environ. Med."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0010","article-title":"Longitudinal changes in midrange cervical spine kinematics after anterior cervical arthrodesis","volume":"35","author":"Anderst","year":"2017","journal-title":"J. Orthop. Res. Conf."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0015","doi-asserted-by":"crossref","first-page":"1884","DOI":"10.1016\/j.apmr.2010.09.007","article-title":"The effect of neck pain on cervical kinematics, as assessed in a virtual environment","volume":"91","author":"Bahat","year":"2010","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0020","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.math.2013.10.006","article-title":"Do neck kinematics correlate with pain intensity, neck disability or with fear of motion?","volume":"19","author":"Bahat","year":"2014","journal-title":"Man. Ther."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0025","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.math.2016.10.008","article-title":"Can parameters of the helical axis be measured reliably during active cervical movements?","volume":"27","author":"Barbero","year":"2017","journal-title":"Musculoskelet. Sci. Pract."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0030","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.clinbiomech.2010.08.008","article-title":"Neck motion patterns in whiplash-associated disorders: quantifying variability and spontaneity of movement","volume":"26","author":"Baydal-Bertomeu","year":"2011","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0035","first-page":"307","article-title":"Active range of motion utilized in the cervical spine to perform daily functional tasks","volume":"15","author":"Bennett","year":"2002","journal-title":"Clin. Spine Surg."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0040","first-page":"15","article-title":"Normal functional range of motion of the cervical spine during 15 activities of daily living","volume":"23","author":"Bible","year":"2010","journal-title":"Clin. Spine Surg."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0045","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.3389\/fpsyg.2016.01466","article-title":"Cut-off points for mild, moderate, and severe pain on the numeric rating scale for pain in patients with chronic musculoskeletal pain: variability and influence of sex and catastrophizing","volume":"7","author":"Boonstra","year":"2016","journal-title":"Front. Psychol."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0050","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1016\/j.jelekin.2014.05.004","article-title":"Methodological analysis of finite helical axis behavior in cervical kinematics","volume":"24","author":"Cescon","year":"2014","journal-title":"J. Electromyogr. Kinesiol."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0055","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s40945-015-0008-7","article-title":"Finite helical axis for the analysis of joint kinematics: comparison of an electromagnetic and an optical motion capture system","volume":"5","author":"Cescon","year":"2015","journal-title":"Arch. Physiother."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0060","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.gaitpost.2015.02.007","article-title":"Changes of postural control and muscle activation pattern in response to external perturbations after neck flexor fatigue in young subjects with and without chronic neck pain","volume":"41","author":"Cheng","year":"2015","journal-title":"Gait Posture"},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0065","series-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen","year":"1988"},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0070","first-page":"338","article-title":"Differences between women with traumatic and idiopathic chronic neck pain and women without neck pain: interrelationships among disability, cognitive deficits, and central sensitization","volume":"97","author":"Coppieters","year":"2017","journal-title":"Phys. Ther."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0075","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1249\/01.MSS.0000078924.61453.FB","article-title":"International physical activity questionnaire: 12-country reliability and validity","volume":"35","author":"Craig","year":"2003","journal-title":"Med. Sci. Sports Exerc."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0080","doi-asserted-by":"crossref","first-page":"245","DOI":"10.36076\/ppj.2017.260","article-title":"Is traumatic and non-traumatic neck pain associated with brain alterations? A systematic review","volume":"20","author":"De Pauw","year":"2017","journal-title":"Pain Physician"},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0085","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1471-2474-15-16","article-title":"Head-eye movement control tests in patients with chronic neck pain; inter-observer reliability and discriminative validity","volume":"15","author":"Della Casa","year":"2014","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0090","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.math.2004.07.004","article-title":"Influence of cranio-cervical posture on three-dimensional motion of the cervical spine","volume":"10","author":"Edmondston","year":"2005","journal-title":"Man. Ther."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0095","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/j.clinbiomech.2013.07.006","article-title":"Instantaneous helical axis methodology to identify aberrant neck motion","volume":"28","author":"Ellingson","year":"2013","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0100","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.bjpt.2017.05.005","article-title":"Prevalence and factors associated with neck pain: a population-based study","volume":"21","author":"Genebra","year":"2017","journal-title":"Braz. J. Phys. Ther."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0105","doi-asserted-by":"crossref","first-page":"S90","DOI":"10.1016\/j.pain.2010.10.020","article-title":"Moving differently in pain: a new theory to explain the adaptation to pain","volume":"152","author":"Hodges","year":"2011","journal-title":"Pain"},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0110","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.msksp.2017.03.004","article-title":"Eye stabilization reflexes in traumatic and non-traumatic chronic neck pain patients","volume":"29","author":"Ischebeck","year":"2017","journal-title":"Musculoskeletal Science and Practice"},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0115","first-page":"424","article-title":"Newman. The development of the Dizziness Handicap Inventory","volume":"118","author":"Jaco","year":"1990","journal-title":"Arch. Otolaryngol. Head Neck Surg."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0120","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1080\/14038190510010403","article-title":"Reliability of clinical balance tests and subjective ratings in dizziness and disequilibrium","volume":"7","author":"Kammerlind","year":"2005","journal-title":"Adv. Physiother."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0125","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1111\/papr.12169","article-title":"Measuring pain intensity in patients with neck pain: does it matter how you do it?","volume":"15","author":"Kamper","year":"2015","journal-title":"Pain Pract."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0130","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s00586-004-0825-y","article-title":"Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control","volume":"15","author":"Lamoth","year":"2006","journal-title":"Eur. Spine J."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0135","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.jmpt.2004.12.005","article-title":"Neck muscle endurance, self-report, and range of motion data from subjects with treated and untreated neck pain","volume":"28","author":"Lee","year":"2005","journal-title":"J. Manipulative Physiol. Ther."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0140","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s00221-010-2405-1","article-title":"Movement timing and reach to reach variability during a repetitive reaching task in persons with chronic neck\/shoulder pain and healthy subjects","volume":"206","author":"Lomond","year":"2010","journal-title":"Exp. Brain Res."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0145","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1007\/s00221-007-1199-2","article-title":"Changes in the degree of motor variability associated with experimental and chronic neck-shoulder pain during a standardised repetitive arm movement","volume":"185","author":"Madeleine","year":"2008","journal-title":"Exp. Brain Res."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0150","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/s12891-015-0517-2","article-title":"Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study","volume":"16","author":"Meisingset","year":"2015","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0155","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/00002508-199103000-00053","article-title":"The Tampa Scale: a measure of kinisophobia","volume":"7","author":"Miller","year":"1991","journal-title":"Clin. J. Pain"},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0160","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1589\/jpts.26.323","article-title":"Properties of force output and spectral EMG in young patients with nonspecific low back pain during isometric trunk extension","volume":"26","author":"Miura","year":"2014","journal-title":"J. Phys. Ther. Sci."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0165","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1037\/0735-7044.120.2.474","article-title":"Reduced variability of postural strategy prevents normalization of motor changes induced by back pain: a risk factor for chronic trouble?","volume":"120","author":"Moseley","year":"2006","journal-title":"Behav. Neurosci."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0170","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.jmpt.2007.01.008","article-title":"Age- and sex-specific reference values of a test of neck muscle endurance","volume":"30","author":"Peolsson","year":"2007","journal-title":"J. Manipulative Physiol. Ther."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0175","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1080\/14763141.2012.738700","article-title":"Movement variability and skills monitoring in sports","volume":"12","author":"Preatoni","year":"2013","journal-title":"Sports Biomech."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0180","doi-asserted-by":"crossref","first-page":"1475","DOI":"10.1016\/j.spinee.2017.11.014","article-title":"Predictors before and after multimodal rehabilitation for pain acceptance and engagement in activities at a 1-year follow-up for patients with whiplash-associated disorders (WAD)-a study based on the Swedish Quality Registry for Pain Rehabilitation (SQRP)","volume":"18","author":"Soderlund","year":"2018","journal-title":"Spine J."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0185","first-page":"1S","article-title":"Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining \u201cwhiplash\u201d and its management","volume":"20","author":"Spitzer","year":"1995","journal-title":"Spine"},{"issue":"1","key":"10.1016\/j.clinbiomech.2019.01.004_bb0190","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-018-1964-3","article-title":"Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial","volume":"19","author":"Sremakaew","year":"2018","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0195","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1016\/j.jmpt.2008.08.006","article-title":"The Neck Disability Index: state-of-the-art, 1991\u20132008","volume":"31","author":"Vernon","year":"2008","journal-title":"J. Manipulative Physiol. Ther."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0200","first-page":"409","article-title":"The Neck Disability Index: a study of reliability and validity","volume":"14","author":"Vernon","year":"1991","journal-title":"J. Manipulative Physiol. Ther."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0205","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1186\/1471-2474-14-314","article-title":"Muscle activity and head kinematics in unconstrained movements in subjects with chronic neck pain; cervical motor dysfunction or low exertion motor output?","volume":"14","author":"Vikne","year":"2013","journal-title":"BMC Musculoskelet. Disord."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0210","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1002\/pri.377","article-title":"Movement behaviour in patients with chronic neck pain","volume":"12","author":"Vogt","year":"2007","journal-title":"Physiother. Res. Int."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0215","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1016\/j.ijsu.2014.07.013","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"12","author":"Von Elm","year":"2014","journal-title":"Int. J. Surg."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0220","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1111\/j.1365-2702.2005.01121.x","article-title":"Pain: a review of three commonly used pain rating scales","volume":"14","author":"Williamson","year":"2005","journal-title":"J. Clin. Nurs."},{"key":"10.1016\/j.clinbiomech.2019.01.004_bb0225","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1111\/1756-185X.12389","article-title":"Do male and female patients with chronic neck pain really have different health-related physical fitness, depression, anxiety and quality of life parameters?","volume":"20","author":"Yalcinkaya","year":"2017","journal-title":"Int. J. Rheum. Dis."}],"container-title":["Clinical Biomechanics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0268003318306193?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0268003318306193?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T05:24:37Z","timestamp":1606109077000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0268003318306193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":45,"alternative-id":["S0268003318306193"],"URL":"https:\/\/doi.org\/10.1016\/j.clinbiomech.2019.01.004","relation":{},"ISSN":["0268-0033"],"issn-type":[{"value":"0268-0033","type":"print"}],"subject":[],"published":{"date-parts":[[2019,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Variability of the helical axis during active cervical movements in people with chronic neck pain","name":"articletitle","label":"Article Title"},{"value":"Clinical Biomechanics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clinbiomech.2019.01.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}