Imperial College London
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Prof Michael Fertleman

Faculty of Engineering, Department of Bioengineering

Professor of Practice
 
 
 
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Contact

 

+44 (0)20 7594 9046m.fertleman

 
 
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Location

 

6.24Sir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kelani:2021:10.1177/21514593211012391,
author = {Kelani, T and Lee, A and Walker, M and Koizia, L and Dani, M and Fertleman, M and Kedgley, A},
doi = {10.1177/21514593211012391},
journal = {Geriatric Orthopaedic Surgery and Rehabilitation},
pages = {1--7},
title = {The influence of cervical spine angulation on symptoms associated with wearing a rigid neck collar},
url = {http://dx.doi.org/10.1177/21514593211012391},
volume = {12},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Introduction:Rigid cervical spine collars can be used to maintain the position of the cervical spine following injury or surgery. However, they have been associated with difficulty swallowing, pressure sores and pain, particularly in older patients. We aimed to investigate the relationship between cervical spine angulation, a rigid neck collar and neck pain in healthy young and older adults.Methods:Twenty healthy young adults aged 25 ± 3 years and 17 healthy older adults aged 80 ± 8 years were tested. Magnetic resonance imaging scans of their cervical spines were taken before and after the rigid neck collar was worn for 1 hour. Measurement of vertebral angulation involved digitization of the scans and joint angle calculations using image processing software. Pain was quantified before and after the collar was worn, using a visual analogue scale.Results:Pain scores increased in the young group after the collar was worn (p = 0.001). The older group showed no difference in pain score after the collar was worn. Statistical tests showed no significant correlations between the change in cervical angles and the change in pain scores after the collar was worn.Discussion:The aging process may contribute to the changing distribution of subcutaneous tissue and increase risk of symptoms associated with wearing a collar. Oesophageal compression is not a result of collar use.Conclusion:There is no correlation between cervical spine vertebrae angulation and symptoms associated with wearing a neck collar. Generally, older individuals have greater cervical lordosis angles, and more straight and lordotic neck shapes. Older individuals may be more prone to skin-interface pressures from the neck collar than younger individuals.
AU  - Kelani,T
AU  - Lee,A
AU  - Walker,M
AU  - Koizia,L
AU  - Dani,M
AU  - Fertleman,M
AU  - Kedgley,A
DO  - 10.1177/21514593211012391
EP  - 7
PY  - 2021///
SN  - 2151-4585
SP  - 1
TI  - The influence of cervical spine angulation on symptoms associated with wearing a rigid neck collar
T2  - Geriatric Orthopaedic Surgery and Rehabilitation
UR  - http://dx.doi.org/10.1177/21514593211012391
UR  - https://journals.sagepub.com/doi/10.1177/21514593211012391
UR  - http://hdl.handle.net/10044/1/89165
VL  - 12
ER  -
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