{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:31:57Z","timestamp":1777397517461,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med&amp;#65533;Insights&amp;#65533;Arthritis&amp;#65533;Musculoskelet Disord"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>Dropped head syndrome (DHS) is manifested as the inability to maintain the head in an upright posture. It has been associated with a wide spectrum of myopathies and neurological conditions. Isolated neck extensor myopathy (INEM) is one of many potential causes of DHS. This is a case report of a 72-year-old man who presented with degenerative cervical spondylosis and DHS for 2\u2009years. He had previously failed to achieve a positive outcome to medication, cervical collar and exercise rehabilitation. However, he was able to regain his voluntary head control after a 4-month chiropractic program. It is believed that INEM is caused by isolated myopathic changes from chronic injury and overloading of the cervical muscles. Cervical spondylosis has been attributed as the cause of DHS secondary to denervation of the cervical extensors. While INEM associated with degenerative spondylosis is not medically treatable, manipulative therapies may be adopted before considering surgical intervention.<\/jats:p>","DOI":"10.1177\/1179544120977844","type":"journal-article","created":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T13:06:32Z","timestamp":1606914392000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Isolated Neck Extensor Myopathy Associated With Cervical Spondylosis: A Case Report and Brief Review"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0893-556X","authenticated-orcid":false,"given":"Eric Chun-Pu","family":"Chu","sequence":"first","affiliation":[{"name":"New York Chiropractic &amp; Physiotherapy Centre, New York Medical Group, Hong Kong SAR, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arnold Yu-Lok","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy Fu-Chieh","family":"Lin","sequence":"additional","affiliation":[{"name":"New York Chiropractic &amp; Physiotherapy Centre, New York Medical Group, Hong Kong SAR, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1267104"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-019-06229-1"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/5247102"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.46.4.917"},{"key":"e_1_3_2_6_2","unstructured":"Kim D Davis DD Menger RP. Spine sagittal balance. In: StatPearls. StatPearls Publishing; 2020. 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Paraspinous myopathies: the dropped head and bent spine syndrome. In: Katirji B, Kaminski HJ, Ruff RL, ed. Neuromuscular Disorders in Clinical Practice. Springer; 2013:1369-1377."},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bsd.0000123423.12852.bb"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2007.6.2.165"},{"key":"e_1_3_2_18_2","first-page":"12","article-title":"Dropped head syndrome proceeding cervical spondylotic myelopathy: case report","volume":"4","author":"Rimizadeh A","year":"2013","unstructured":"Rimizadeh A, Afsari A, Rahimizadeh A. Dropped head syndrome proceeding cervical spondylotic myelopathy: case report. 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