DEEP NECK FLEXOR ENDURANCE TEST MANUAL

The purpose of this case report is to describe the diagnostic procedure and musculoskeletal intervention in a patient with chronic, nonspecific neck pain and dizziness that occurred subsequent to prolonged bed rest. The clinical characteristics of the patient are described, according to the constructs of the ICF. Using the World Health Organization's ICF model, we describe the process of clinical reasoning and clinical decision making in a patient with nonspecific neck pain and dizziness. 8, 54 The ICF is widely accepted within the field of physiotherapy and the overall medical community. The World Health Organization's International Classification of Functioning, Disability and Health (ICF) provides such a framework for a comprehensive and integrative understanding of functioning and disability, which is disease nonspecific. 30 The use of a framework, based on the concept of functioning and health, may be beneficial both for diagnosis and intervention in patients with neck pain. 50 In most cases, the pathoanatomical basis for neck pain is unclear and the pain is labeled as being nonspecific or mechanical.

3 A serious medical pathology is rarely the cause of neck pain (<1%).

Neck pain is considered to be a multidimensional condition that includes physical, affective, cognitive, and social aspects. Physiotherapy intervention accounts for the largest proportion of these costs, at approximately 84%. In the Netherlands, the costs are about 1% of total healthcare expenditures and 0.1% of the gross domestic product. 2 The costs related to the management of neck pain are substantial.

DEEP NECK FLEXOR ENDURANCE TEST MANUAL

47 Approximately 59% of patients with chronic neck pain are referred to a physiotherapist or manual therapist. 27 Chronic neck pain is an increasing problem in today's society. Between 50% and 85% of those who experience neck pain at some initial point report having it again 1 to 5 years later. 23 Most people with neck pain do not experience a complete resolution of symptoms, resulting in a persistent and recurrent condition. 23 International epidemiological data show a 12-month prevalence of neck pain ranging between 17% and 75%, with a mean of 40% and a point prevalence ranging between 10% and 20%. Neck pain is a common condition that affects many individuals at some time in their lives.

Deep neck flexor endurance test