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Cited by 40Musculoskeletal pain and rehabilitationOccupational Health and PerformanceErgonomics and Musculoskeletal Disorders

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Neck Proprioception, Strength, Flexibility, and Posture in Pilots With and Without Neck Pain History

Nagai, Takashi, Abt, John P., Sell, Timothy C., Clark, Nicholas C., Smalley, Brian W., Wirt, Michael D., Lephart, Scott M.·2014·Aviation, Space, and Environmental Medicine
DOI 10.3357/asem.3874.2014
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Abstract

INTRODUCTION: Neck pain (NP) is common among military helicopter pilots. Older age and more flight-hours have been associated with pilots with a history of NP. However, modifiable neuromuscular and musculoskeletal characteristics such as neck proprioception, strength, flexibility, and posture have rarely been investigated in military helicopter pilots with a history of NP. The purpose of the study was to compare demographics, flight characteristics, physical fitness information, neck proprioception, strength, flexibility, and posture between helicopter pilots with and without a history of NP. METHODS: A total of 27 Army helicopter pilots with NP in the past 12 mo (pain group) were matched based on age with pilots without a history of NP (nonpain group). All pilots had flown at least 100 h in the past 12 mo and were cleared for flight and physical training. All pilots completed a battery of laboratory testing: neck proprioception, neck and scapular muscular strength, neck active range-of-motion (ROM), forward head and shoulder posture, and pectoralis minor length. Paired t-tests or Wilcoxon tests were used to compare differences between groups. RESULTS: The pain group had significantly less cervical extension (63.7 +/- 8.5 degrees) and rotation ROM (R rotation: 67.7 +/- 8.8 degrees; L rotation: 67.4 +/- 9.0 degrees) when compared to the nonpain group (extension: 68.3 +/- 7.4 degrees; R rotation: 73.4 +/- 7.4 degrees; L rotation: 72.9 +/- 6.8 degrees). No significant differences were found for other variables. CONCLUSION: The results demonstrate less neck active ROM in pilots with a history of NP. Operating a helicopter with limited neck ROM or NP may negatively impact flight safety and force readiness. Continued research is warranted.

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Metadata

Authors
Nagai, T., Abt, J. P., Sell, T. C., Clark, N. C., Smalley, B. W., Wirt, M. D., & Lephart, S. M.
ORCID
Venue
Aviation, Space, and Environmental Medicine
Publisher
Aerospace Medical Association
Published
2014-05-01
Volume
85
Issue
5
Pages
529-535
ISSN
  • 0001-9402 (ISSN-L)
  • 0095-6562
DOI
10.3357/asem.3874.2014
OpenAlex
W2325237715
Cited by
40
References
25
Citations by year
2026: 1 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 5 · 2020: 3 · 2019: 5 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 4
FWCI
2.42
Type
journal article
Language
en
Open access
closed
Locations
  • Aviation Space and Environmental Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Performance
  • Social Sciences › Human Factors and Ergonomics › Ergonomics and Musculoskeletal Disorders
Keywords
neck pain, military helicopter pilots, neck proprioception, neck muscle strength, neck flexibility, active range of motion, scapular posture, forward head posture, pectoralis minor length, cervical extension, cervical rotation, flight safety, musculoskeletal fitness
MeSH terms
Adult, Aerospace Medicine, Humans, Male, Military Personnel, Posture, Proprioception, Range of Motion, Articular, Neck Pain, Muscle Strength, Air Travel

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CoChat. (2026). Citation check: Neck Proprioception, Strength, Flexibility, and Posture in Pilots With and Without Neck Pain History. https://app.cochat.ai/papers/10.3357/asem.3874.2014
The paper
Nagai, T., Abt, J. P., Sell, T. C., Clark, N. C., Smalley, B. W., Wirt, M. D., & Lephart, S. M. (2014). Neck Proprioception, Strength, Flexibility, and Posture in Pilots With and Without Neck Pain History. Aviation, Space, and Environmental Medicine. https://doi.org/10.3357/asem.3874.2014